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Sierra Tucson is a licensed inpatient rehabilitationhospital, nestled in the rural Sonoran Desert, offering fiveunique 30- to 45-day programs addressing (a) addictionrecovery, (b) mood disorders, (c) trauma recovery, (d)complicated chronic pain, and (e) eating disorders. Althougheach program may be clearly defined, patients whoadmit themselves to Sierra Tucson bring with them acomplexity of issues. A recent internal summary found that86% of all patients treated at Sierra Tucson in 2013 werecomorbid for two or more Axis I diagnoses. Whetherreferred to as coexisting disorders or comorbidity, suchpsychological profiles are the expected norm for today’streatment facilities (Hawkings & Gilburt, 2004). As wecome to acknowledge the multifactorial nature of mentalhealth issues (which I often refer to as ‘‘not occurring in avacuum’’), it is imperative to integrate mental healthprograms to combine a variety of therapeutic approachesto treat the myriad issues affecting the whole person
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