Hosp Community Psychiatry 40:1025-1030, October 1989
© 1989 American Psychiatric Association
|
| | |
|
Treatment of Patients With Psychiatric and Psychoactive Substance Abuse Disorders
Fred C. Osher M.D.1 and
Lial L. Kofoed M.D.2
1 West Central Community Mental Health Services in Hanover, New Hampshire, the Department of Psychiatry at Dartmouth Medical School in Hanover
2 Outpatient Services at the Veterans Administration Medical Center in White River Junction, Vermont, the Department of Psychiatry at Dartmouth Medical School in Hanover
18 Bailey Avenue, Claremont, New Hampshire 03743
The treatment of individuals with coexisting psychoactive substance abuse and severe psychiatric disorders requires an integration of principles from the mental health and chemical dependency fields. The authors outline a conceptual model for treating dually diagnosed patients that consists of four treatment phases—engagement, persuasion, active (or primary) treatment, and relapse prevention. The components of these phases include case management, group therapy, psychopharmacology, toxicologic screening, detoxification, family involvement, and participation in self-help groups. Due to the high morbidity and mortality associated with dual daignoses, the authors encourage the development, implementation, and scientific evaluation of integrated treatment models targeted toward this population.
This article has been cited by other articles:
|
|
|
|
 
P. W. Bush, R. E. Drake, H. Xie, G. J. McHugo, and W. R. Haslett
The Long-Term Impact of Employment on Mental Health Service Use and Costs for Persons With Severe Mental Illness
Psychiatr Serv,
August 1, 2009;
60(8):
1024 - 1031.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. F. Brunette, R. E. Drake, H. Xie, G. J. McHugo, and A. I. Green
Clozapine Use and Relapses of Substance Use Disorder Among Patients With Co-occurring Schizophrenia and Substance Use Disorders
Schizophr Bull,
October 1, 2006;
32(4):
637 - 643.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. J. McHugo, R. E. Drake, M. F. Brunette, H. Xie, S. M. Essock, and A. I. Green
Enhancing Validity in Co-occurring Disorders Treatment Research
Schizophr Bull,
October 1, 2006;
32(4):
655 - 665.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. E. Drake, G. J. McHugo, H. Xie, M. Fox, J. Packard, and B. Helmstetter
Ten-Year Recovery Outcomes for Clients With Co-Occurring Schizophrenia and Substance Use Disorders
Schizophr Bull,
July 1, 2006;
32(3):
464 - 473.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. S. Bellack, M. E. Bennett, J. S. Gearon, C. H. Brown, and Y. Yang
A randomized clinical trial of a new behavioral treatment for drug abuse in people with severe and persistent mental illness.
Arch Gen Psychiatry,
April 1, 2006;
63(4):
426 - 432.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Xie, G. J. McHugo, M. B. Fox, and R. E. Drake
Special Section on Relapse Prevention: Substance Abuse Relapse in a Ten-Year Prospective Follow-up of Clients With Mental and Substance Use Disorders
Psychiatr Serv,
October 1, 2005;
56(10):
1282 - 1287.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. E. Drake, M. A. Wallach, and M. P. McGovern
Special Section on Relapse Prevention: Future Directions in Preventing Relapse to Substance Abuse Among Clients With Severe Mental Illnesses
Psychiatr Serv,
October 1, 2005;
56(10):
1297 - 1302.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. E. Drake, S. M. Essock, A. Shaner, K. B. Carey, K. Minkoff, L. Kola, D. Lynde, F. C. Osher, R. E. Clark, and L. Rickards
Implementing Dual Diagnosis Services for Clients With Severe Mental Illness
Focus,
January 1, 2004;
2(1):
102 - 110.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. E. Biegel, L. A. Kola, R. J. Ronis, P. E. Boyle, C. M. Delos Reyes, B. Wieder, and P. Kubek
The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence: Implementation Support for Evidence-Based Practice
Research on Social Work Practice,
July 1, 2003;
13(4):
531 - 545.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. B. Carey, M. P. Carey, S. A. Maisto, and D. M. Purnine
The Feasibility of Enhancing Psychiatric Outpatients' Readiness to Change Their Substance Use
Psychiatr Serv,
May 1, 2002;
53(5):
602 - 608.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. E. Drake, S. M. Essock, A. Shaner, K. B. Carey, K. Minkoff, L. Kola, D. Lynde, F. C. Osher, R. E. Clark, and L. Rickards
Implementing Dual Diagnosis Services for Clients With Severe Mental Illness
Psychiatr Serv,
April 1, 2001;
52(4):
469 - 476.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. E. Drake and M. A. Wallach
Dual Diagnosis: 15 Years of Progress
Psychiatr Serv,
September 1, 2000;
51(9):
1126 - 1129.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. RachBeisel, J. Scott, and L. Dixon
Co-Occurring Severe Mental Illness and Substance Use Disorders: A Review of Recent Research
Psychiatr Serv,
November 1, 1999;
50(11):
1427 - 1434.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Draine and P. Solomon
Describing and Evaluating Jail Diversion Services for Persons With Serious Mental Illness
Psychiatr Serv,
January 1, 1999;
50(1):
56 - 61.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. S. Bellack and C. C. DiClemente
Treating Substance Abuse Among Patients With Schizophrenia
Psychiatr Serv,
January 1, 1999;
50(1):
75 - 80.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. R. Klein, R. A. Cnaan, and J. Whitecraft
Significance of Peer Social Support With Dually Diagnosed Clients: Findings From a Pilot Study
Research on Social Work Practice,
September 1, 1998;
8(5):
529 - 551.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. E. Pollack and G. Stuebben
Addiction Education Groups for Inpatients With Dual Diagnoses
Journal of the American Psychiatric Nurses Association,
August 1, 1998;
4(4):
121 - 127.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. S. Ridgely, D. Lambert, A. Goodman, C. S. Chichester, and R. Ralph
Interagency Collaboration in Services for People With Co-Occurring Mental Illness and Substance Use Disorder
Psychiatr Serv,
February 1, 1998;
49(2):
236 - 238.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
S. L. Satel
When Disability Benefits Make Patients Sicker
N. Engl. J. Med.,
September 21, 1995;
333(12):
794 - 796.
[Full Text]
|
|
|
|
|
|
|
M.-L. Drainoni and S. S. Bachman
Overcoming Treatment Barriers to Providing Services for Adults With Dual Diagnosis: Three Approaches
Journal of Disability Policy Studies,
April 1, 1995;
6(1):
43 - 55.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. M. Stecher, C. A. Andrews, L. McDonald, S. C. Morton, E. A. McGlynn, L. P. Petersen, M.A. Burnam, C. Hayes, and J. V. Vaccaro
Implementation of Residential and Nonresidential Treatment for the Dually Diagnosed Homeless
Eval Rev,
December 1, 1994;
18(6):
689 - 717.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. E. Blankertz and R. A. Cnaan
Principles of Care for Dually Diagnosed Homeless Persons: Findings From a Demonstration Project
Research on Social Work Practice,
October 1, 1992;
2(4):
448 - 464.
[Abstract]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1989
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
