Community Mental Health Journal

, Volume 35, Issue 3, pp 213–221

Treatment Satisfaction Compared with Outcome in Severe Dual Disorders

  • Richard K. Ries
  • Craig Jaffe
  • Katherine Anne Comtois
  • Margaret Kitchell


This paper examines patient (N = 75) ratings oftreatment satisfaction and outcome for severely mentallyill dually diagnosed outpatients participating inlong-term integrated dual focus treatment. In addition, it compares these ratings with case managerratings of patient outcome over a one year period.Satisfaction ratings ranged from very good to excellent.Combined means of several outcomes ratings indicated that most patients rated themselves asimproved. Satisfaction with over-all care and with casemanagement was significantly, though weakly (r = .3 and.31, respectively, p < .05), related to patient ratings of overall outcome. While most patientsrated that they had improved, satisfaction withtreatment was only weakly related to either patient orcase manager rated clinical outcomes. These findings indicate the relatively independentrelationship of satisfaction with treatment outcome andcaution against over generalizing the meaning oftreatment satisfaction measures.


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  1. Bigelow, L. B. & Berthot, B. D. (1989). The psychiatric symptom assessment scale. Psychopharmacological Bulletin, 25, 168-179.Google Scholar
  2. Brady, K., Anton, R., Ballenger, J. C., Lydiard, R. B., Adinoff, B. & Selander, J. (1990). Cocaine abuse among schizophrenic patients. American Journal of Psychiatry, 147, 1164–1167.Google Scholar
  3. Brown, V. B., Ridgely, M. S., Pepper, B. & Levine, S. (1989). The dual crises: Mental illness and substance abuse: Present and future directions. American Psychologist, 44, 565–569.Google Scholar
  4. Carey, M. P., Carey, K. B. & Meisler, A. W. (1991). Psychiatric symptoms in mentally ill chemical abusers. Journal of Nervous and Mental Disease, 179, 136–138.Google Scholar
  5. Comtois, K. A., Ries, R. K. & Armstrong, H. E. (1994). Case manager ratings of the clinical status of dually diagnosed outpatients. Hospital and Community Psychiatry, 45, 568–572.Google Scholar
  6. Dixon, L., Haas, G., Weiden, P., Sweeney, J. & Frances, A. (1991). Drug abuse in schizophrenic patients: Clinical correlates and reasons for use. American Journal of Psychiatry, 148, 224–230.Google Scholar
  7. Drake, R. E. & Wallach, M. A. (1989). Substance abuse among the chronic mentally ill. Hospital and Community Psychiatry, 40, 1041–1046.Google Scholar
  8. Jerrell, J. M. & Ridgely, M. S. (1995). Comparative effectiveness of three approaches to serving people with severe mental illness and substance abuse disorders. Journal of Nervous and Mental Disease, 183, 566–576.Google Scholar
  9. Kofoed, L., Kania, J., Walsh, T. & Atkinson, R. M. (1986). Outpatient treatment of patients with substance abuse and coexisting psychiatric disorders. American Journal of Psychiatry, 143, 867–872.Google Scholar
  10. Lehman, A. F., Herron, J. D., Schwartz, R. P. & Myers, C. P. (1993). Rehabilitation for adults with severe mental illness and substance abuse disorders. The Journal of Nervous and Mental Disease, 181, 86–91.Google Scholar
  11. Nguyen, T., Attkisson, C. & Stegner, B. (1993). Assessment of patient satisfaction: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6, 299–314.Google Scholar
  12. Norusis, M. J. (1993). SPSS for Windows 6.0. Chicago IL: SPSS Inc.Google Scholar
  13. Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L. & Godwin, F. K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association, 265, 3511–3518.Google Scholar
  14. Ries, R. (Ed.). (1994). Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse, (DHHS Publication No. SMA 94-2078). Washington, DC: U.S. Government Printing Office.Google Scholar
  15. Rosenthal, R. N., Hellerstein, D. J. & Miner, C. R. (1992). A model of integrated services for outpatient treatment for patients with comorbid schizophrenia and addictive disorders. American Journal of Addictions, 1, 339–348.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1999

Authors and Affiliations

  • Richard K. Ries
  • Craig Jaffe
  • Katherine Anne Comtois
  • Margaret Kitchell

There are no affiliations available

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