Issues and outcomes in integrated treatment programs for dual disorders
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In an integrated, dual disorder treatment program delivered at two sites, the authors address numerous barriers to delivering services to dually diagnosed consumers and employ a set of multidimensional indicators to assess outcome. Consumers who received services through the well-implemented, integrated services program for 12 months were functioning better in the community. There was a cost shifting from mental health to drug and alcohol services, as well as a one-third increase in the total costs of care by the end of the first year of treatment. Program implementation issues are described and the clinical management implications for more effectively serving dually diagnosed consumers through integrated treatment programs are discussed.
- Ridgely MS, Goldman HH, Willenbring M: Barriers to the care of persons with dual diagnoses: Organizational and financing issues.Schizophrenia Bulletin 1990; 16:123–132.
- Hanson M, Kramer TH, Gross W: Outpatient treatment of adults with coexisting substance use and mental disorders.Journal of Substance Abuse Treatment 1990; 7:109–116.
- Burnam MA, Morton SC, McGlynn EA, Petersen LP, Stecher BM, Hayes C, Vaccaro JV: An experimental evaluation of residential and nonresidential treatment for dually diagnosed homeless adults.Journal of Addictive Diseases 1995; 14:111–134.
- Jerrell JM: Toward cost-effective care for persons with dual diagnoses.Journal of Mental Health Administration 1996; 23:329–337.
- Ridgely MS, Jerrell JM: Analysis of three interventions for substance abuse treatment of severely mentally ill people.Community Mental Health Journal 1996; 32:561–572.
- Godley SH, Hoewing-Roberson R, Godley MD:Final MISA Report. Bloomington, IL: Lighthouse Institute, 1994.
- Drake RE, Yovetich NA, Bebout RR, Harris M, McHugo GJ: Integrated treatment for dually diagnosed homeless adults.Journal of Nervous and Mental Disease 1997; 185:298–305.
- Schooler N, Weissman M, Hogarty G: Social adjustment scale for schizophrenics. In: Hargreaves WA, Attkisson CC, Sorenson J (Eds.):Resource Material for Community Mental Health Program Evaluators. DHHS Pub. No. (ADM)79328. Rockville, MD: National Institute of Mental Health, 1979.
- Wieduwilt KM, Jerrell JM: Reliability and validity of the SAS-SMI.Journal of Psychiatric Research 1999; 33:105–112.
- Green R, Gracely E: Selecting a rating scale for evaluating services to the chronically mentally ill.Community Mental Health Journal 1987; 23:91–102.
- Wieduwilt KM, Jerrell JM: Measuring sensitivity to change of the Role Functioning Scale using the RCID index.International Journal of Methods in Psychiatric Research 1998; 7:163–171.
- Robins LN, Helzer JE, Croughan J, et al.: National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity.Archives of General Psychiatry 1981; 38:381–389.
- McGovern MP, Morrison DH: The Chemical Use, Abuse, and Dependence Scale (CUAD): Rationale, reliability, and validity.Journal of Substance Abuse Treatment 1992; 9:27–38.
- Test MA, Stein L: Alternative to mental hospital treatment III: Social cost.Archives of General Psychiatry 1980; 37:409–412.
- Attkisson CC, Zwick R: The Client Satisfaction Questionnaire: Psychometric properties and correlations with service utilization and psychotherapy outcome.Evaluation and Program Planning 1982; 5:233–237.
- Vaccaro JV, Liberman RP, Wallace C, Blackwell G: Combining social skills training and assertive case management: The Social and Independent Living Skills Program of the Brentwood VA Medical Center. In: Liberman RP (Ed.):Effective Rehabilitation. San Francisco: Jossey-Bass, New Directions for Mental Health Services, 1990.
- Linehan MM:Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford, 1993.
- Marlatt G, Gordon J (Eds):Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behavior. New York: Guilford, 1985.
- Issues and outcomes in integrated treatment programs for dual disorders
The Journal of Behavioral Health Services & Research
Volume 27, Issue 3 , pp 303-313
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