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This book describes a simple, evidence-based, yet revolutionary design of the modern behavioral health clinic that fully integrates addiction and mental health diagnoses. This design, called the 2 x 4 model, will eliminate the silos that now pervasively exist between mental health and addiction treatment and expertise in the US. It can serve as a new backbone for a modernized behavioral healthcare system and holds considerable potential in facilitating a woefully needed renaissance in behavioral health in the US.
R. Andrew Chambers, MD is Director of Addiction Psychiatry Training at Indiana University School of Medicine in Indianapolis. He is a graduate of Centre College (chemical physics/mathematics; 1991), Duke University School of Medicine (MD; 1996), and Yale University Psychiatry (2000) and Basic Neuroscience Programs (2002). After completing the IU Addiction Psychiatry Fellowship (2012) and earning certifications in Addiction Medicine (ABAM) and Addiction Psychiatry (ABPN), Andy has practiced and taught Addiction Psychiatry at Midtown Mental Health Center in Indianapolis. His research, supported by the Veterans Administration, the American Psychiatric Association, and the National Institutes on Drug Abuse (NIDA) and Alcohol Abuse and Alcoholism (NIAAA), has pioneered rodent models of dual diagnosis, contributing to our understanding of neurodevelopmental mechanisms that drive addiction disease in adolescence and mental illness. Andy's basic, neuro-computational, and health systems research aims to translate to a better future of integrated addiction and mental health care and professional training.
1. Introducing the 2 x 4 Model 2. Clinical and Neuroscience Basis for the 2 x 4 Model 3. The Illness Dimension: Integrating Equal Focus on Both Mental Illness and Addictions 4. The Treatment Dimension: Vertical Binding of Diagnostics, Psychotherapies, Medications, and Communications 5. Diagnostics 6. Psychotherapeutics 7. Medications 8. Communications 9. Professional Team Composition and Physical Infrastructure 10. All Together Now: Vertical and Horizontal Binding in the Functioning 2 x 4 Model Clinic 11. Professional Training and Research in the 2 x 4 Model Clinic 12. Building 2 x 4 Model Clinics and Systems: Local to International
