Community Mental Health Journal

, Volume 42, Issue 4, pp 377–404 | Cite as

Treating Homeless Clients with Severe Mental Illness and Substance Use Disorders: Costs and Outcomes

  • Gary A. Morse
  • Robert J. CalsynEmail author
  • W. Dean Klinkenberg
  • Thomas W. Helminiak
  • Nancy Wolff
  • Robert E. Drake
  • Robert D. Yonker
  • Gyanesh Lama
  • Matthew R. Lemming
  • Suzanne McCudden


This study compared the costs and outcomes associated with three treatment programs that served 149 individuals with dual disorders (i.e., individuals with co-occurring severe mental illness and substance use disorders) who were homeless at baseline. The three treatment programs were: Integrated Assertive Community Treatment (IACT), Assertive Community Treatment only (ACTO), and standard care (Control). Participants were randomly assigned to treatment and followed for a period of 24 months. Clients in the IACT and ACTO programs were more satisfied with their treatment program and reported more days in stable housing than clients in the Control condition. There were no significant differences between treatment groups on psychiatric symptoms and substance use. The average total costs associated with the IACT and Control conditions were significantly less than the average total costs for the ACTO condition.


dual disorder integrated treatment assertive community treatment costs 



Financial support was provided by the National Institute of Mental Health, (MH 57154) and the University of Missouri-St.Louis.


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Gary A. Morse
    • 1
  • Robert J. Calsyn
    • 2
    Email author
  • W. Dean Klinkenberg
    • 4
  • Thomas W. Helminiak
    • 2
  • Nancy Wolff
    • 5
  • Robert E. Drake
    • 6
  • Robert D. Yonker
    • 3
  • Gyanesh Lama
    • 4
  • Matthew R. Lemming
    • 2
  • Suzanne McCudden
    • 4
  1. 1.Community AlternativesSt. LouisUSA
  2. 2.University of Missouri-St. LouisSt. LouisUSA
  3. 3.University of ToledoToledoUSA
  4. 4.Missouri Institute of Mental HealthSt. LouisUSA
  5. 5.Rutgers UniversityNew BrunswickUSA
  6. 6.Dartmouth Medical SchoolHanoverUSA

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