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Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with Depression

Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with... This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to enhanced case management (ECM) (n 64) or treatment as usual (TAU) (n 56). Both groups were followed up at six and 12 months. Participants' current clinical status across a broad range of domains in the past 90 days was assessed using the Global Appraisal of Individual Needs and included their Depressive Symptom Scale, HomicidalSuicidal Thought Index, and Mental Health Treatment Index scores. The findings did not reveal any statistically significant effects of ECM on outcome measures. However, in view of the high rates of adverse treatment outcomes among comorbid groups, including suicide, the finding of a clinically significant reduction in homicidal and suicidal thoughts warrants further research; the comprehensive approach to treatment tested may be especially helpful to depressed substance abusers with such ideations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Social Work Research Oxford University Press

Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with Depression

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References (21)

Publisher
Oxford University Press
Copyright
2013 National Association of Social Workers
Subject
ARTICLES
ISSN
1070-5309
eISSN
1545-6838
DOI
10.1093/swr/svs019
Publisher site
See Article on Publisher Site

Abstract

This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to enhanced case management (ECM) (n 64) or treatment as usual (TAU) (n 56). Both groups were followed up at six and 12 months. Participants' current clinical status across a broad range of domains in the past 90 days was assessed using the Global Appraisal of Individual Needs and included their Depressive Symptom Scale, HomicidalSuicidal Thought Index, and Mental Health Treatment Index scores. The findings did not reveal any statistically significant effects of ECM on outcome measures. However, in view of the high rates of adverse treatment outcomes among comorbid groups, including suicide, the finding of a clinically significant reduction in homicidal and suicidal thoughts warrants further research; the comprehensive approach to treatment tested may be especially helpful to depressed substance abusers with such ideations.

Journal

Social Work ResearchOxford University Press

Published: Mar 8, 2013

Keywords: case management comorbidity depression integrated care suicide

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