Abstract
The treatment of “dual diagnosis”, co-occurring substance abuse and mental illness, calls for addressing two serious and often confounding problems. The authors introduce an expanded version of the transtheoretical model of change as formulated by J.O. Prochaska and C.C. DiClemente, and suggest that this new version offers a pragmatic approach to the conceptualization and treatment of dual diagnosis. The potential utility of the treatment model is presented through the authors' experiences in working with inner-city, chronic mentally ill individuals with substance abuse problems. Practical guidelines for dual diagnosis group therapy are discussed.
This is a preview of subscription content, log in via an institution to check access.
References
American Psychiatric Association (1987).Diagnostic and Statistical Manual of Mental Disorders-III-R. Washington, D.C.: American Psychiatric Association.
DiClemente, C.C. & Prochaska, J.O. (1985). Process and stages of change: coping and competence in smoking behavior change. In S. Shiffman & T.A. Wills (Eds.),Coping and substance abuse (pp. 319–343). San Diego, CA: Academic Press.
Drake, R.E., McLaughlin, P., Pepper, B., & Minkoff, K. (1991). Dual diagnosis of major mental illness and substance disorder: an overview.New Directions for Mental Health Services, 50, 3–12.
Minkoff, K. (1991). Program components of a comprehensive integrated care system for serious mentally ill patients with substance abuse disorders.New Directions for Mental Health Services, 50, 13–27.
Oepen, G., Levy, M., Saemann, R., Harrington, A., Handren, M., Pinnone, L., Pollen, L., Ellison, J. & Boshes, R. (1993). A neuropsychological perspective on dual diagnosis.Journal of Psychoactive drugs, 25(2), 129–133.
Onken, L.S. & Blaine, J.D. (1990). Psychotherapy and counseling in the treatment of drug abuse.NIDA Research Monograph 104. Rockville, MD.
Penk, W., Irving, E. & Frost, D. (1992). Presentation to 1992 Annual APA Convention, Boston, MA.
Prochaska, J.O., DiClemente, C.C. & Norcross, J.C. (1992). In search of how people change: applications to addictive behaviors.American Psychologist, 47, 1102–1114.
Weiss, R.D., Miran, S. & Frances, R.J. (1992). The myth of the typical dual diagnosis patient.Hospital and Community Psychiatry, 42(2), 107–108.
Author information
Authors and Affiliations
Additional information
Dr. Brady is an assistant research professor at the Boston University School of Medicine and the deputy superintendent for research and training at the Dr. Solomon Carter Fuller Mental Health Center. Drs. Hiam, Saemann, Humbert, Fleming and Brickhouse were senior members of the clinical/administrative staff at the Fuller MHC.
Rights and permissions
About this article
Cite this article
Brady, S., Hiam, C.M., Saemann, R. et al. Dual diagnosis: A treatment model for substance abuse and major mental illness. Community Ment Health J 32, 573–578 (1996). https://doi.org/10.1007/BF02251067
Issue Date:
DOI: https://doi.org/10.1007/BF02251067