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The Role of Relationship Adjustment in an Integrated Individual Treatment for PTSD and Substance Use Disorders Among Veterans

About the Course:

Identifying factors that influence treatment outcomes of emerging integrated interventions for co-occurring Posttraumatic stress disorder (PTSD) and substance use disorder (SUD) is crucial to maximize Veterans’ health. Dyadic adjustment suffers among individuals with PTSD and SUD, and may be an important mechanism of change in treatment. This exploratory study examined the association between dyadic adjustment and treatment outcomes in individual integrated treatment for co-occurring PTSD and SUD.

This course is based on the article, The Role of Relationship Adjustment in an Integrated Individual Treatment for PTSD and Substance Use Disorders among Veterans created by Julianne C. Flanagan, Ph.D. et al. in 2017.

Publication Date:

J Dual Diagn. 2017 ; 13(3): 213–218. doi:10.1080/15504263.2017.1312039. 2017

Course Material Authors

Julianne C. Flanagan, Ph.D.

Dr. Flanagan is an Assistant Professor in the Addiction Sciences Division of the Department of Psychiatry and Behavioral Sciences. She has published more than 20 articles in peer reviewed journals.

Melanie S. Fischer, Ph.D.

Dr. Fischer works at the Universität Heidelberg · Institute of Medical Psychology and has published more than 40 articles in peer reviewed journals.

Christal L. Badour, Ph.D.

Dr. Badour is the director of the Stress, Trauma and Recovery Research Collaborative (STARRC). . Dr. Badour’s research focuses on understanding the development and maintenance of psychopathology following traumatic experiences. Much of this work involves examining the role of affective expression and regulation in posttraumatic stress disorder (PTSD), with a particular emphasis on moral emotions such as disgust, shame, and guilt. Dr. Badour is also interested in identifying unique and shared processes underlying symptoms of PTSD and commonly comorbid concerns including substance abuse, obsessive-compulsive disorder (OCD), sexual risk behavior, and sexual dysfunction. She has published more than 60 articles in peer reviewed journals.

Course Creator

Hana Kuc, LMHC, NCC, CASAC

Hana Kuc is a Licensed Mental Heath counselor and a Credentialed Alcoholism and Substance Abuse Counselor who has been working in the field for 13 years. In that time she has worked as a counselor, therapist, educator and director. Hana has specialized in working with clients on medication assisted treatment, who are in recovery from opiates, and are also diagnosed with a mental health disorder.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge. This content is at an intermediate level.

Course Objectives:

  1. Describe the rationale, hypotheses and design of the study.

  2. Review results of the study, associations between relationship adjustment, and treatment outcomes for PTSD symptoms, substance use and depression.

  3. Discuss results, limitations, and future study directions.

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American Academy of Health Care Providers in the Addictive Disorders (AAHCPAD)

1.75 CE Credit hour

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American Psychological Association (APA)

1.75 CE Credit hour

CE Learning Systems is approved by the American Psychological Association to sponsor continuing education for psychologists. CE Learning Systems maintains responsibility for this program and its content.

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Association of Social Work Boards (ASWB ACE)

1.75 CE Credit hour

CE Learning Systems, LLC, provider #1020, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. CE Learning Systems, LLC maintains responsibility for this course. ACE provider approval period: 2/23/2019 – 2/23/2022. Social workers completing this course receive 1.75 clinical continuing education credit(s).

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Commission on Dietetic Registration (CDR)

1.75 CE Credit hour

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NAADAC, the Association for Addiction Professionals (NAADAC)

1.75 CE Credit hour

This course has been approved by CE Learning Systems, service provider of CE-Credit.com, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #107243, CE Learning Systems is responsible for all aspects of their programming.

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National Association of School Psychologists (NASP)

1.75 CPD hour

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National Board for Certified Counselors (NBCC)

1.75 CE Credit hour

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Course Material

References begin on page 6

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Exam Questions

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Course Number 102767
1.75 credit hour
Log in for credit hours relevant to your licensure.

  • Reading-Based Online
Exam Fee: $10.45 No exam fee with a membership package!
4.17 out of 5
52 members have taken this course

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