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Current models of assessment and treatment of co-morbid Axis I anxiety disorders and chemical dependency are examined. Since the scope of this class of disorder is so heterogeneous, the most encountered disorders are discussed, including Post Traumatic Stress Disorder (PTSD); Panic Disorder (PD); Social Phobia; Generalized Anxiety Disorder (GAD); and Obsessive Compulsive Disorder (OCD). Problems encountered in past approaches to this dual diagnosis population are explored. Proposals for methods of differential diagnosis, comprehensive assessment and various modalities of service delivery are made. A discussion regarding current methodology liabilities and strengths follow a synopsis of current research. [ABSTRACT FROM AUTHOR]

The adult version of the Substance Abuse Subtle Screening Inventory-2 (SASSI-2) has proven effective in identifying chemically dependent individuals. This research examines whether adult SASSI-2 scores can change significantly from pre- to post-test administration. In the course of this research, subjects completed the SASSI-2 prior to receiving treatment and again after the completion of the treatment phase. A shift in scores was found from pre- to post-test administration for treatment subjects on both global scores, as well as on three subscales. Though limited in generalizability due to a sample size of 20, the results suggest that the adult SASSI-2 may be helpful in detecting recovery. [ABSTRACT FROM AUTHOR]

This research addresses the efficacy of Rational Recovery (RR) as a treatment modality. Two groups of ten (10) alcohol/drug dependent subjects were exposed to two different treatment approaches at an outpatient-counseling center in the Southwest United States. All subjects were given the Substance Abuse Subtle Screening Inventory-2 (SASSI-2) as a measurement of symptoms associated with alcohol/drug dependency. Findings showed that the RR group showed significant change from pre to post-test administration of the SASSI. The results indicate that RR can be an effective treatment for enhancing openness and decreasing denial for alcohol/drug dependent subjects. [ABSTRACT FROM AUTHOR]