C03 -​​ Management of Substance Use Disorders and Concurrent Disorders: An Evidence-Based Integrated Treatment Review​​ 

Friday, 23 October​​ 

13:30 – 16:45 (3 hrs plus 15 min break)

Valerie Primeau*, MD, FRCPC;​​ Wiplove Lamba, MD,​​ FRCPC​​ 
Supported by the Addiction Psychiatry Section​​ 


CanMEDS Roles:​​ 

  • Medical Expert​​ 

  • Health Advocate​​ 

  • Collaborator​​ 

At the end of this session, participants will be able to:​​ 1) Describe the different treatment modalities for each substance use disorder through case vignettes and discussion; 2) Describe the treatment strategies of psychiatric comorbidities when substance use is present; and 3) Recognize the importance of a trauma-informed, concurrent, and integrated approach for the treatment of mental health and addictions.​​ 

In any given year, one in five Canadians experiences a mental health or addiction problem. People with a mental illness are twice as likely to have a substance use disorder, compared to the general population. At least 20% of people with a mental illness have a co-occurring substance use disorder. For people with schizophrenia, the number may be as high as 50%. Similarly, people with substance use disorders are up​​ to three times more likely to have a mental illness. More than 15% of people with a substance use disorder have a co-occurring mental illness. Unfortunately, despite the high prevalence of concurrent mental illness and substance use disorders in clinical​​ practice, psychiatrists are not always familiar with the available evidence-based treatments for substance use disorders, as well as psychiatric comorbidities, and there is significant variability in the treatments offered to patients. Many psychiatrists are not comfortable prescribing anti-craving medications or opioid replacement therapy. Some psychiatrists may feel it is best to wait for substance abstinence before treating the underlying mental illness.

This course will provide a comprehensive evidence-based review of the treatment of substance use disorders and the management of the concurrent mental illnesses. Clinical vignettes will be used to help clinicians think through real-life scenarios and generate rich discussion, as the presenters go through​​ evidence-based approaches for alcohol, opioid, and other substance use disorders, as well as psychiatric comorbidities and drug-induced psychosis.



/ Virtual Conference 2020