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Five Years, Twelve Steps, and REBT in the Treatment of Dual Diagnosis

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Abstract

A five-year NIDA-funded grant is described that compared client-centered 12-step-oriented and REBT/SMART Recovery-oriented intensive outpatient treatment/partial hospitalization programs with severely impaired clients with dual diagnosis (serious mental illness/substance abuse). Results are presented and suggestions made for applying the findings.

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REFERENCES

  • Bartels, S. J., & Thomas, W. N. (1991). Lessons from a pilot residential treatment program for people with dual diagnosis of severe mental illness and substance abuse disorder. Psychosocial Rehabilitation Journal, 15, 19–30.

    Google Scholar 

  • Caton, C. L., Gralnick, A., Bender, S., & Simon, R. (1989). Young chronic patients and substance abuse. Hospital and Community Psychiatry, 40, 1037–1040.

    Google Scholar 

  • Center for Substance Abuse Treatment (1995). Assessment and treatment of patients with coexisting mental illness and alcohol and other drug abuse: Treatment improvement protocol series 9 (DHHS Publication No. [SMA] 95-3061). Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • DonGiovanni, V., & VandeCreek, L. (1990). The mental health/drug and alcohol program at Torrance State Hospital. Journal of Substance Abuse Treatment, 7, 265–267.

    Google Scholar 

  • Ellis, A., & Velten, E. (1992). When AA doesn't work for you: Rational steps to quitting alcohol. New York: Barricade Books.

    Google Scholar 

  • Frances, R. J. (1988). Update on alcohol and drug disorder treatment. Journal of Clinical Psychiatry, 49(9, Suppl.), 13–17.

    Google Scholar 

  • Horvath, A. T., & Velten, E. (in press). SMART Recovery®: Addiction recovery support from a cognitive-behavioral perspective. Journal of Rational-Emotive and Cognitive-Behavior Therapy.

  • Kahn, M. W., Hannah, M., Kirkland, S., Lesnik, S., & Chatel, D. (1992). Substance misuse, emotional disturbance, and dual diagnosis in a meal-line population of mixed ethnicity. International Journal of the Addictions, 27(3), 317–33.

    Google Scholar 

  • Kay, S. R., Kalathara, M., & Meinzer, A. E. (1989). Diagnostic and behavioral characteristics of psychiatric patients who abuse substances. Hospital and Community Psychiatry, 40, 1062–1064.

    Google Scholar 

  • Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 51–62.

    Google Scholar 

  • McLellan, A. T., Luborsky, L., O'Brien, C. P., & Woody, G. (1983). An improved diagnostic evaluation instrument for substance abuse patients: The addiction severity index. Journal of Nervous and Mental Disorders, 169, 232–239.

    Google Scholar 

  • Menicucci, L. D., Wermuth, L., & Sorensen, J. (1988). Treatment providers' assessment of dual-prognosis patients: Diagnosis, treatment, referral, and family involvement. International Journal of the Addictions, 23, 617–622.

    Google Scholar 

  • Miller, W. R. (1985). SOCRATES: Experimental instrument. Albuquerque, NM: University of New Mexico.

    Google Scholar 

  • Miller, W. R. (1991). The stages of change readiness and treatment eagerness scale. Albuquerque, NM: Author.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.

    Google Scholar 

  • Olevitch, B. A. (1995). Using cognitive approaches with the seriously mentally ill: Dialogue across the barrier. Westport, CT: Praeger.

    Google Scholar 

  • Osher, F. C., & Kofoed, L. L. (1989). Treatment of patients with psychiatric and psychoactive substance abuse disorders. Hospital and Community Psychiatry, 40, 1025–1030.

    Google Scholar 

  • Othmer, E., Penick, E. C., Powell, B. J., Read, M. R., & Othmer, S. C. (1989). Psychiatric diagnostic interview-revised manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Ouimette, P. C., Gima, K., Moos, R. H., & Finney, J. W. (1999). A comparative evaluation of substance abuse treatment IV. The effect of comorbid psychiatric diagnoses on amount of treatment, continuing care, and 1-year outcomes. Alcoholism: Clinical and Experimental Research, 23, 552–557.

    Google Scholar 

  • Penn, P. E., & Brooks, A. J. (1999). Comparing substance abuse treatments for dual diagnosis: Final report. Rockville, MD: National Institute on Drug Abuse Grant No. R01 DA08537.

    Google Scholar 

  • Penn, P. E. & Brooks, A. J. (2000a). Comparing treatments for dual diagnosis: Twelve step and self-management and recovery training. Manuscript submitted for publication.

  • Penn, P. E., & Brooks, A. J. (2000b). Application of a process evaluation model in dual diagnosis treatment research. Manuscript submitted for publication. Project MATCH Research Group. (1997, January). Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 7–29.

  • Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., & Goodwin, F. K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association, 264(19), 2511–2518.

    Google Scholar 

  • Regier, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., & Goodwin, F. K. (1993). The de facto US mental and addictive disorders service system: Epidemiological catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.

    Google Scholar 

  • Robin, M. W., & DiGiuseppe, R. (1997). “Shoya moya ik baraba”: Using REBT with culturally diverse clients. In J. Yankura & W. Dryden (Eds.), Special applications of REBT: A therapist's casebook (pp. 39–68). New York: Springer.

    Google Scholar 

  • Roman, P. M., & Blum, T. C. (1997). National treatment center study: Summary report. Athens, GA: Institute for Behavior Research, University of Georgia.

    Google Scholar 

  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychology Monographs, 80, 1–28.

    Google Scholar 

  • SMART (1996). SMART Recovery member's manual-A compilation of practical information designed to assist the reader in attaining the ultimate goal of recovery. Mentor, OH: SMART Recovery®.

    Google Scholar 

  • Trimpey, J. (1994). The final fix for alcohol and drug dependence: AVRT. Lotus, CA: Lotus Press.

    Google Scholar 

  • Velten, E., & Penn, P. E. (forthcoming). Cognitive and behavioral self management and recovery training for dual diagnoses. Sarasota, FL: Professional Resources Press.

  • Zweben, J. E., Smith, D. E., & Stewart, P. (1991). Psychotic conditions and substance use: Prescribing guidelines and other treatment issues. Special issue: Prescription drug issues: Public policy and clinical practice. Journal of Psychoactive Drugs, 23, 387–395.

    Google Scholar 

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Penn, P.E., Brooks, A.J. Five Years, Twelve Steps, and REBT in the Treatment of Dual Diagnosis. Journal of Rational-Emotive & Cognitive-Behavior Therapy 18, 197–208 (2000). https://doi.org/10.1023/A:1007883021936

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