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Evolving U.S. service model for patients with severe mental illness and co-occurring substance use disorder

Published online by Cambridge University Press:  24 June 2014

R. E. Drake ,
G. Morse ,
M. F. Brunette  and
W. C. Torrey
R. E. Drake*
Affiliation:
New Hampshire-Dartmouth Psychiatric Research Center Dartmouth Medical School, New Hampshire, USA
G. Morse
Affiliation:
Community Alternatives, and University of Missouri at St. Louis, St. Louis, Missouri, USA
M. F. Brunette
Affiliation:
New Hampshire-Dartmouth Psychiatric Research Center Dartmouth Medical School, New Hampshire, USA
W. C. Torrey
Affiliation:
New Hampshire-Dartmouth Psychiatric Research Center Dartmouth Medical School, New Hampshire, USA West Central Services, Lebanon, New Hampshire, USA
*
Robert E. Drake, Research Center, 2 Whipple Place, Lebanon, NH 03766. Tel: 603–448–0126; E-mail: Robert.E.Drake@Dartmouth.edu
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Abstract

Co-occurring severe mental illness and substance use disorder has been recognized as a common problem in the U.S. since the early 1980s (1–3). For these individuals with co-occurring disorders, research demonstrates the effectiveness of various forms of combining, blending, or integrating mental health and substance abuse treatments (4). The evolving U.S. service model for integrated dual disorders treatment emphasizes several key elements: implementation, leadership, training, engagement, assessment, counseling for all patients, ancillary treatments for those with multiple needs, secondary treatments for patients who are nonresponders, and quality assurance regarding process and outcomes.

Keywords

co-occurring disordersdual diagnosissevere mental illnesssubstance abuse

Information

Type
Research Article
Information
Acta Neuropsychiatrica , Volume 16 , Issue 1 , February 2004 , pp. 36 - 40
Copyright
Copyright © 2004 Blackwell Munksgaard

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