Community Mental Health Journal

, Volume 31, Issue 3, pp 265–277 | Cite as

Substance abuse and the chronically mentally ill: A description of dual diagnosis treatment services in a psychiatric hospital

  • Shelly F. Greenfield
  • Roger D. Weiss
  • Maurico Tohen


Between 20% and 70% of psychiatric patients have a co-occurring substance use disorder and rates of substance abuse among patients with psychotic disorders are especially high. Patients with co-existing psychosis and substance use disorders typically have poorer outcomes than patients diagnosed with either disorder alone. Frequently, treatment services for such dually diagnosed patients are not integrated and organizational barriers may impede the approapriate detection, referral, and treatment of these patients. This article reviews the epidemiology and treatment outcome for patients dually diagnosed with chronic mental illness (usually psychotic dsorders) and substance use disorders. The article then presents a description of a dual diagnosis referral and treatment service in a large private, non-profit psychiatric hospital.


Public Health Substance Abuse Mental Illness Treatment Outcome Psychiatric Hospital 
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Copyright information

© Human Sciences Press, Inc. 1995

Authors and Affiliations

  • Shelly F. Greenfield
    • 1
  • Roger D. Weiss
    • 1
  • Maurico Tohen
    • 2
  1. 1.Alcohol and Drug Abuse Ambulatory Treatment ServicesMcLean HospitalBelmont
  2. 2.Bipolar and Psychotic Disorders ProgramMcLean HospitalUSA

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