Abstract
The co-occurrence of psychiatric conditions and substance abuse presents significant challenges for behavioral healthcare providers. The need for integrated care has received substantial recent attention from clinical, research, and funding entities. However, the availability of integrated care has been low, carrying potential adverse implications for quality of care and treatment outcomes. This article describes the prevalence and key correlates of the availability of integrated care for co-occurring conditions within public and private-sector addiction treatment programs. Several organizational attributes, caseload characteristics, and service provision patterns were associated with the availability of integrated care.
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Bergmann P. A., Smith M. B., Hoffmann N. G. (1995) Adolescent treatment: Implications for assessment, practice guidelines, and outcome management. Pediatric Clinics of North America 42:453–472
Brems C., Johnson M. E., Namyniuk L. L. (2002) Clients with substance abuse and mental health concerns: A guide for conducting intake interviews. Journal of Behavioral Health Services and Research 29:327–334
Department of Health and Human Services [DHHS]. (1999) Mental health: A report of the surgeon general. US DHHS, Washington, DC
Drake R. E., Essock S. M., Shaner A., Carey K. B., Minkoff K., Kola L., Lynde D., Osher F. C., Clark R. E., Rickards L. (2001) Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services 52:469–476
Drake R. E., Mueser K. T., Brunette M. F., McHugo G. J. (2004) A review of treatments for people with severe mental illness and co-occurring substance use disorders. Psychiatric Rehabilitation Journal 27:360–374
Friedmann P. D., Alexander J. A., D’Aunno T. A. (1999) Organizational correlates of access to primary care and mental health services in drug abuse treatment units. Journal of Substance Abuse Treatment 16:71–80
Grant B. F., Stinson F. S., Dawson D. A., Chou S. P., Dufour M. C., Compton W., Pickering R. P., Kaplan K. (2004) Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. Archives of General Psychiatry 61:807–816
Hoff R. A., Rosenheck R. A. (1999) The cost of treating substance abuse patients with and without comorbid psychiatric disorders. Psychiatric Services 50:1309–1315
Hoffman N. G., Mee-Lee D., Arrowood A. A. (1993) Treatment issues in adolescent substance use and addictions: Options, outcome, effectiveness, reimbursement and admission criteria. Adolescent Medicine State of the Art Reviews 4:371–390
Kessler R. C., Crum R. M., Warner L. A., Nelson C. B., Schulenberg J., Anthony J. C. (1997) Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Study. Archives of General Psychiatry 54:313–321
Knudsen H. K., Roman P. M. (2004) Modeling the use of innovations in private treatment organizations: The role of absorptive capacity. Journal of Substance Abuse Treatment 26:353–361
Knudsen H. K., Roman P. M., Ducharme L. J. (2004) The availability of psychiatric programs in private substance abuse treatment centers, 1995–2001. Psychiatric Services 55:270–273
Mee-Lee D. L., Gartner L., Miller M. M., Shulman G. (1996) Patient placement criteria for the treatment of substance-related disorders, 2nd ed. American Society of Addiction Medicine, Chevy Chase, MD
Steele L. D., Rechberger, E.(2002). Meeting the treatment needs of multiply diagnosed consumers. Journal of Drug Issues 32:811–824
Substance Abuse and Mental Health Services Administration [SAMHSA]. (2002) Report to congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. SAMHSA, Rockville, MD
SAMHSA (2004a) Results from the 2003 National Survey on Drug Use and Health: National Findings. DHHS Publication No. (SMA) 04–3964. SAMHSA, Rockville, MD
SAMHSA (2004b) National Survey of Substance Abuse Treatment Services (N-SSATS): 2003. DHHS Publication No. (SMA) 04–3966. SAMHSA, Rockville MD
SAMHSA (2004c). NSDUH Report: Women with co-occurring serious mental illness and a substance use disorder. SAMHSA, Rockville, MD
SAMHSA (2005) Substance abuse treatment for persons with co-occurring disorders. Treatment Improvement Protocol #42. SAMHSA, Rockville, MD
SAMHSA National Advisory Council. (1998) Improving services for individuals at risk of, or with, co-occurring substance-related and mental health disorders. SAMHSA, Rockville, MD
Watkins K. E., Burnam A., Kung F., Paddock S. (2001) A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services 52:1062–1068
Young N. K., Grella C. E. (1998) Mental health and substance abuse treatment services for dually-diagnosed clients: Results of a statewide survey of county administrators. Journal of Behavioral Health Services and Research 25:83–92
Acknowledgments
The authors thank the journal’s reviewers for their helpful comments, and gratefully acknowledge funding support from the National Institute on Drug Abuse (research grants R01DA14482 and R01DA13110). The opinions expressed are those of the authors and do not reflect the official position of NIDA.
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Lori J. Ducharme, Hannah K. Knudsen, and Paul M. Roman are affiliated with the Center for Research on Behavioral Health and Human Services Delivery, Institute for Behavioral Research, University of Georgia.
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Ducharme, L.J., Knudsen, H.K. & Roman, P.M. Availability of Integrated Care for Co-occurring Substance Abuse and Psychiatric Conditions. Community Ment Health J 42, 363–375 (2006). https://doi.org/10.1007/s10597-005-9030-7
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DOI: https://doi.org/10.1007/s10597-005-9030-7