Beyond the Coke and Smoke Syndrome


Electronic version available

By Patricia Deegan, PhD

“How does one work with people who are unmotivated”

This curriculum, organized into eight modules, will help consumer/survivors/ex-patients, staff, families and friends to provide more effective support and compassionate understanding for those diagnosed with mental illness who appear unmotivated.

Roy Starks, Director of Rehabilitation Services at Mental Health Corp. of Denver, Inc. wrote: “Both staff and members found the training materials invaluable. I have worked in the field of Psychiatric Rehabilitation for thirty years and found this training tape to be the most helpful I have ever seen…I recommend this training to anyone working in mental health.”

Staff of the University of Kansas School of Social Welfare comments:

  • “Pat is a powerful myth-buster!”
  • “These tapes really challenge and overturn conventional ways of thinking about ‘unmotivated’ or ‘low-functioning’ consumers.”
  • “Pat makes it so clear that their are no cookie cutter approaches, and her emphasis on relationship is so important.”
  • “These training materials will really be useful in working with staff who are resistant to the role changes that are needed to move the system toward a recovery orientation.”
  • “There is so much authenticity in this material. It is a grounded and thoughtful presentation of the life experience of real people.”

This curriculum is available as a downloadable document.

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Included in this package are:

  • Two videotaped lectures (available in DVD)
  • Training guide
  • Supplemental material of suggested readings, and discussion questions
  • Organized into eight modules

Additional information


English, Spanish


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