Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders

  • Sandra E. Herman
  • Kenneth A. Frank
  • Carol T. Mowbray
  • Kurt M. Ribisl
  • William S. DavidsonII
Articles

Abstract

A randomized experimental design was used to assign participants to an integrated mental health and substance use treatment program or to standard hospital treatment. A multilevel, nonlinear model was used to estimate hospital treatment effects on days of alcohol use for persons with serious mental illness and substance use disorders over 18 months. The integrated treatment program had a significant effect on the rate of alcohol use at 2 months postdischarge, reducing the rate of use by 54%. Motivation for sobriety at hospital discharge, posttreatment self-help attendance, and social support for sobriety were also found to reduce the rate of use during the follow-up period. Implications for mental health treatment and aftercare support are discussed.

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Copyright information

© Association of Behavioral Healthcare Management 2000

Authors and Affiliations

  • Sandra E. Herman
    • 1
  • Kenneth A. Frank
    • 2
  • Carol T. Mowbray
    • 3
  • Kurt M. Ribisl
    • 4
  • William S. DavidsonII
    • 5
  1. 1.Department of Community HealthProgram Evaluation Specialist, Services Research Unit, Mental Health and Substance Abuse ServicesLansing
  2. 2.the Department of EducationMichigan State UniversityUSA
  3. 3.the School of Social Workthe University of MichiganUSA
  4. 4.the Department of Health Behavior and Health Educationthe University of North Carolina, School of Public HealthUSA
  5. 5.the Department of PsychologyMichigan State UniversityUSA

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