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

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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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Authors and Affiliations

  1. Department of Community Health, Program Evaluation Specialist, Services Research Unit, Mental Health and Substance Abuse Services, Lewis Cass Building, 320 S. Walnut, 49813, Lansing, MI

    Sandra E. Herman Ph.D.

  2. the Department of Education, Michigan State University, USA

    Kenneth A. Frank Ph.D. (associate professor)

  3. the School of Social Work, the University of Michigan, USA

    Carol T. Mowbray Ph.D. (professor)

  4. the Department of Health Behavior and Health Education, the University of North Carolina, School of Public Health, USA

    Kurt M. Ribisl Ph.D. (assistant professor)

  5. the Department of Psychology, Michigan State University, USA

    William S. Davidson II Ph.D. (professor)

Authors
  1. Sandra E. Herman Ph.D.
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  2. Kenneth A. Frank Ph.D.
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  3. Carol T. Mowbray Ph.D.
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  4. Kurt M. Ribisl Ph.D.
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  5. William S. Davidson II Ph.D.
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Correspondence to Sandra E. Herman Ph.D..

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Herman, S.E., Frank, K.A., Mowbray, C.T. et al. Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders. The Journal of Behavioral Health Services & Research 27, 286–302 (2000). https://doi.org/10.1007/BF02291740

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