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Training for Health and Social Services
Co-occurring or Co-existing Problems - CEP

In most cases, those affected by mental health conditions will identify with one condition as being the cause of their problems, while there is a high likelihood that they will be affected by two or more mental health conditions. These conditions will usually impact upon each other, and in treatment, the best practice will be to identify them and work with the client using in an integrated approach. In particular, addictions and other mental health conditions commonly coexist, with the result that either the addiction or the mental health condition impact upon each other to deepen the severity of either or both conditions. Coexisting mental health conditions may increase risk for addictions, act as a barrier to their treatment, and increase relapse rates if they not addressed in an integrated manner with the addiction treatment.

The need for identification of coexisting mental health and substance use disorders amongst those presenting in specialist mental health and addiction services is an important process to effectively address the impact of these conditions.

Abacus offers half day introductory or more intensive one-day programmes for:

  1. Mental health workers effectively addressing coexisting mental health and substance use disorders
  2. Alcohol and other drug workers effectively addressing coexisting substance use disorders and mental health conditions

The programmes will cover:

  • Evidence for addressing coexisting conditions and effectiveness of integrated interventions
  • Screening for mental health and/or substance use disorders
  • Assessment
  • Treatment planning
  • Collaborative and single site approaches: when to refer
  • Working with clients/patients with coexisting conditions
  • Developing skills and coping behaviours
  • Service needs and appropriate client/patient environment
  • Exercises, role plays

Delivery of the training will be provided by experienced registered mental health professionals, with client examples providing illustration of key points. An NZQA registered certificate of attendance will be provided upon completion.


Enquire about this
or any other course

154 Richmond Road
Grey Lynn
Auckland 1021

Phone 09 360 6957


Co-occurring or co-existing conditions / problems - CEP

Co-existing problem (CEP) service checklist
The CEP service checklist is a brief tool for mental health and addiction (AOD/problem gambling) services to use for self-assessment, reflection and planning to develop service level CEP responsiveness and capability. A number of areas across service delivery and workforce development have been identified for services to consider how these are reflected in their organisation. This can be used to identify current areas of practice and areas for improvement that can be used to develop an action plan.

Download the checklist for your own use, and contact ABACUS if you need further information or wish to discuss how to use it in your organisation.