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An Integrated Treatment Model for Dual Diagnosis of Psychosis and Addiction
Kenneth Minkoff
Psychiatric Services 1989; doi:
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Choate-Symmes Health Services, Inc., 21 Warren Avenue, Woburn, Massachusetts 01801

1989 by the American Psychiatric Association

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Abstract

A model that integrates the treatment of patients with a dual diagnosis of psychosis and addiction has been developed on a general hospital psychiatric unit. The model emphasizes the parallels between the standard biopsychosocial illness-and-rehabilitation model for treatment of serious psychiatric disorders and the 12-step disease-and-recovery model of Alcoholics Anonymous for treatment of addiction. Dual-diagnosis patients are viewed as having two primary, chronic, biologic mental illnesses, each requiring specific treatment to stabilize acute symptoms and engage the patient in a recovery process. An integrated treatment program is described, as are the steps taken to alleviate psychiatric clinicians' concerns about patient involvement in AA and addiction clinicians' discomfort with patients' use of medication.

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