What You'll Learn

By the end of this course, you will be better prepared to:

  • explain the relationship between sociocultural context, social determinants of health, and co-occurring disorders;

  • explain how treatment considerations vary across contexts such as poverty, homelessness, and involvement in the justice system, and categories of difference such as age, race/ethnicity, veteran status, LGBTQ+ identity; and

  • identify areas you need to explore further in order to integrate these considerations into treatment for those with co-occurring disorders.

Who This Course Is For

Mental health and addictions treatment providers and peer specialists across the globe, including:

  • Certified Alcohol and Drug Counselors (CADC);

  • Qualified Mental Health Associates (QMHA);

  • Certified Recovery Mentors (CRM);

  • Qualified Mental Health Professionals (QMHP);

  • family therapists, art therapists, mental health counselors, social workers, psychologists, and other mental health clinicians; and

  • those who work work in Oregon's approved Integrated Co-occurring Disorder treatment programs.

What Is Included

This on-demand training builds on the ACORN Sociocultural Attunement and Co-occurring Disorders in Sociocultural Context courses by looking more closely at how to address social determinants of health (SDoH) and practice trauma-informed care in integrated co-occurring disorder treatment. You will explore how social determinants of health influence people with co-occurring disorders and strengthen your ability to apply trauma-informed principles in ways that promote safety, responsiveness, and more integrated, person-centered care.

  • The course includes presentations, readings, and immersive case studies.

  • This course includes videos of experienced mental health clinicians demonstrating clinical skills in scenarios adapted from real sessions. Clients are portrayed by actors. This provides authenticity while protecting client privacy.

  • We suggest you take your time, view content as many times as you like, and access suggested readings and resources when possible.

  • It is not necessary to complete the course in a single sitting. You are free to open and close the course as many times as you like.

  • Once you have reviewed and mastered the content, you will be required to pass short quizzes before you are eligible for verification that you have successfully completed the course.

Learn from immersive case studies

Who Developed This Course

Senior Instructor Teresa McDowell

Teresa McDowell, EdD, LMFT is professor emerita at Lewis & Clark, where she served as department chair and co-founded the college’s Problem Gambling Services. With over 40 years of experience as a clinician, educator, administrator, and consultant, Teresa focuses on workforce development, equity-based clinical practice, integrated treatment for problem gambling, and clinical supervision. She is a social researcher, program evaluator, and consultant with Partners in Social Research and Senior Instructor for ACORN. Dr. McDowell has authored more than 50 scholarly publications and is lead author of Socioculturally Attuned Family Therapy: Applying Third Order Thinking to Theory and Practice (3rd Ed., 2026).

OHA Instructor David Corse

David Corse, LPC, CADC III, CGAC II has worked with the Oregon Health Authority (OHA) since 2018, initially coordinating the Oregon Problem Gambling Treatment System and more recently supporting development of the OHA Integrated Co-Occurring Disorders Treatment and Recovery system. His clinical background includes crisis intervention, gambling disorder treatment, substance use disorder services, and community mental health. David has also served as a program director and clinical supervisor in nonprofit and county mental health organizations. In addition, he maintains a private practice providing therapy for individuals and couples and post-graduate clinical supervision for Licensed Professional Counselor Associates.

What Others Are Saying

5 star rating

Determinants of Health

Loretta Crawford

I have a better understanding on the causes and barriers with youth, and feel I can make more informed decisions while interacting with childhood traumas and...

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I have a better understanding on the causes and barriers with youth, and feel I can make more informed decisions while interacting with childhood traumas and current stressors with youth.

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5 star rating

Social determination of health and trauma Informed care.

Julie Mason

Great course on Trauma Information Care. A eye opener at looking at Being about other people's health needs. And their basic understanding . An...

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Great course on Trauma Information Care. A eye opener at looking at Being about other people's health needs. And their basic understanding . And their basic living conditions..

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5 star rating

Good information

Torri Steele

All health care providers should be educated on this material

All health care providers should be educated on this material

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5 star rating

trustworthy environments to improve long-term patient ou...

Lillian Herbert

5 star rating

It's a great

orlondo smith

5 star rating

interesting and challenging

Monica Tarcea

good

What About CE Hours

Certificate of completion will be made available on the Student Dashboard after you complete all required course activities and the course evaluation survey.

ACORN is approved by the Mental Health & Addiction Certification Board of Oregon (MHACBO), Provider ID: 26-0044, to provide continuing education courses. Additionally, ACORN is approved by the National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider, ACEP No. 7274. Programs that do not qualify for NBCC credit are clearly identified. ACORN is solely responsible for all aspects of the programs.

Start Learning Today

Free of charge, courtesy of Oregon Health Authority. For questions about Oregon’s Integrated Co-occurring Disorders Program contact OHA program support at [email protected].

Oregon Health Authority (OHA) logo
Mental Health and Addiction Certification Board of Oregon logo
National Board for Certified Counselors logo
Oregon Council on Problem Gambling logo