Clients who have multiple addictions and disorders are more difficult to engage and treat than clients with a single disorder. Many of the current systems are ill-equipped to address the myriad challenges of these clients-their relapse and recidivism rates are higher, and many of these clients tend to slip through the cracks, often going back and forthnbsp;among addictions treatment, psychiatric and medical hospitalizations, and incarceration. Too many difficult-to-reach clients are at risk for relapse because their practitioners lack effective, innovative strategies for this unique client base whonbsp;remain part of a revolving-door syndrome. Now, Certified Alcohol and Drug Addictions Counselor Mark Sanders, LCSW, offers specific strategies to assist therapists and counselors who work with difficult and at-risk populations, including those with: * multiple addictions * co-occurring disorders * adolescents; rural methamphetamine users * antisocial personality disorder, criminality, and addiction * trauma or grief and chemical dependency * history of chronic relapse and recidivism Slipping Through the Cracks is a encyclopedic handbook to specific traits of the difficult-to-reach client, as well as a concise guidebook to effective strategies that will be useful to anyone working with clients in private practice or in treatment programs who have both mental health and substance abuse issues.