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- Publisher
- Oxford University Press
- Copyright
- Copyright © 2015 Maryland Psychiatric Research Center and Oxford University Press
- ISSN
- 0586-7614
- eISSN
- 1745-1701
- DOI
- schizophreniabulletin;24/4/589
- Publisher site
- See Article on Publisher Site
Abstract
Patients with severe mental disorders such as schizophrenia and co-occurring substance use disorders traditionally received treatments for their two disorders from two different sets of clinicians in parallel treatment systems. Dissatisfaction with this clinical tradition led to the development of integrated treatment models in which the same clinicians or teams of clinicians provide substance abuse treatment and mental health treatment in a coordinated fashion. We reviewed 36 research studies on the effectiveness of integrated treatment for dually diagnosed patients. Studies of adding dual-disorders groups to traditional services, studies of intensive integrated treatments in controlled settings, and studies of demonstration projects have thus far yielded disappointing results. On the other hand, 10 recent studies of comprehensive, integrated outpatient treatment programs provide encouraging evidence of the programs' potential to engage dually diagnosed patients in services and to help them reduce substance abuse and attain remission. Outcomes related to hospital use, psychiatric symptoms, and other domains are less consistent. Several program features appear to be associated with effectiveness: assertive outreach, case management, and a longitudinal, stage-wise, motivational approach to substance abuse treatment. Given the magnitude and severity of the problem of dual disorders, more controlled research on integrated treatment is needed. Key words Substance abuse dual disorders integrated treatment case management dual diagnosis © Oxford University Press « Previous | Next Article » Table of Contents This Article Schizophr Bull (1998) 24 (4): 589-608. » Abstract Free Full Text (PDF) Free Classifications Articles Services Article metrics Alert me when cited Alert me if corrected Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Drake, R. E. Articles by Bond, G. R. Search for related content PubMed PubMed citation Articles by Drake, R. E. Articles by Mercer-McFadden, C. Articles by Mueser, K. T. Articles by McHugo, G. J. Articles by Bond, G. R. 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Journal
Schizophrenia Bulletin – Oxford University Press
Published: Jan 1, 1998