A review of treatments for people with severe mental illnesses and co-occurring substance use disorders

Psychiatric Rehabilitation Journal
Robert E DrakeGregory J McHugo

Abstract

Several interventions for people with co-occurring severe mental illnesses and substance use disorders have emerged since the early 1980s. This paper reviews 26 controlled studies of psychosocial interventions published or reported in the last 10 years (1994-2003). Though most studies have methodological weaknesses, the cumulative evidence from experimental and quasi-experimental research supports integrating outpatient mental health and substance abuse treatments into a single, cohesive package. Effective treatments are also individualized to address personal factors and stage of motivation, e.g., engaging people in services, helping them to develop motivation, and helping them to develop skills and supports for recovery. Accumulating evidence from quasi-experimental studies also suggests that integrated residential treatment, especially long-term (one year or more) treatment, is helpful for individuals who do not respond to outpatient dual disorders interventions. Current research aims to refine and test individual components and combinations of integrated treatments.

References

Dec 1, 1992·Journal of Consulting and Clinical Psychology·K T MueserJ J Blanchard
Jan 1, 1992·New Directions for Mental Health Services·A Detrick, V Stiepock
Nov 21, 1990·JAMA : the Journal of the American Medical Association·D A RegierF K Goodwin
Oct 1, 1989·Hospital & Community Psychiatry·K Minkoff
Jul 1, 1981·Hospital & Community Psychiatry·B PepperH Ryglewicz
Jul 1, 1981·Hospital & Community Psychiatry·C L Caton
Sep 1, 1995·The Journal of Nervous and Mental Disease·J M Jerrell, M S Ridgely
Feb 1, 1994·American Journal of Public Health·C L CatonB Dominguez
Feb 1, 1993·The American Journal of Psychiatry·R E DrakeD L Noordsy
Mar 1, 1993·Addiction·T H BienJ S Tonigan
May 1, 1993·Hospital & Community Psychiatry·J DurellR J Frances
Jan 1, 1996·The American Journal of Orthopsychiatry·M J Alexander
May 1, 1996·Schizophrenia Research·C D SwoffordL B Inderbitzin
Mar 1, 1997·Comprehensive Psychiatry·M F Brunette, R E Drake
May 1, 1997·The Journal of Nervous and Mental Disease·R E DrakeG J McHugo
Jun 1, 1997·Psychiatric Services : a Journal of the American Psychiatric Association·A ShanerJ Mintz
Jun 1, 1997·Psychiatric Services : a Journal of the American Psychiatric Association·R K Ries, D G Dyck
Jun 1, 1997·The Journal of Nervous and Mental Disease·C O'KeefeK T Mueser
Jan 28, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·L A NuttbrockB G Link
Jan 16, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·A S Bellack, C C DiClemente
Jan 16, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·J M Jerrell, M S Ridgely
Apr 6, 1999·The American Journal on Addictions·W J KasprowD DiLella
Jun 22, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·G J McHugoH Xie
Oct 27, 1999·The Journal of Nervous and Mental Disease·A J SwansonK R Cohen
Nov 5, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·J RachBeiselL Dixon
Feb 7, 2001·Schizophrenia Bulletin·R E Drake, K T Mueser
May 9, 2000·Community Mental Health Journal·W C Torrey, P Wyzik
May 17, 2000·Drug and Alcohol Dependence·A I AltermanE P Merikle
Aug 10, 2000·Community Mental Health Journal·S Mead, M E Copeland
Sep 1, 2000·Public Health Reports·D S Satcher
Sep 6, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·R E Drake, M A Wallach
Sep 8, 2000·The American Journal of Drug and Alcohol Abuse·G De LeonK McKendrick
Dec 29, 2000·Experimental and Clinical Psychopharmacology·S C SigmonS T Higgins
Mar 29, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·R E DrakeL Rickards
Mar 29, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·M F BrunetteT Hartnett

❮ Previous
Next ❯

Citations

Apr 24, 2007·Neurotoxicity Research·Alan I Green
May 22, 2007·Neurotoxicity Research·Tomas PalomoTrevor Archer
Oct 26, 2007·Administration and Policy in Mental Health·Michelle P SalyersMary F Brunette
May 29, 2008·Administration and Policy in Mental Health·Thomas D FletcherW Dean Klinkenberg
Apr 8, 2011·Administration and Policy in Mental Health·Fang-Pei Chen, Daniel B Herman
Jun 28, 2011·Administration and Policy in Mental Health·Allison R GilbertBradley N Gaynes
Mar 18, 2006·Community Mental Health Journal·Lori J DucharmePaul M Roman
Aug 10, 2006·Community Mental Health Journal·Gary A MorseSuzanne McCudden
Aug 26, 2006·Community Mental Health Journal·Daniel William Chandler, Gary Spicer
Oct 20, 2011·Community Mental Health Journal·Michael A Mancini, Wynter Wyrick-Waugh
Mar 14, 2007·The Journal of Behavioral Health Services & Research·Larry Davidson, William White
Dec 25, 2007·The Journal of Behavioral Health Services & Research·Ya-Fen ChanMichael L Dennis
Apr 2, 2009·The Journal of Behavioral Health Services & Research·Lawrence D RickardsRobyn S Raysor
Jul 31, 2009·The Journal of Behavioral Health Services & Research·Jean-Pierre BoninNoé Djawn White
Jul 3, 2013·The Journal of Behavioral Health Services & Research·Michael A ManciniJames Coleman
Aug 16, 2005·Current Psychiatry Reports·Robert M RothAlan I Green
Dec 2, 2008·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Paula RiggsFrank Vocci
May 21, 2013·Journal of Dual Diagnosis·Howard PadwaChristine E Grella
Jun 5, 2013·Social Work in Public Health·Thomas M Kelly, Dennis C Daley
Mar 10, 2006·Schizophrenia Bulletin·Robert E DrakeBarbara Helmstetter
Jul 20, 2006·Schizophrenia Bulletin·Gregory J McHugoAlan I Green
Apr 10, 2014·BMC Health Services Research·Marie-Josée FleuryJean Caron
Dec 1, 2014·Current Addiction Reports·Sarah C AkermanAlan I Green
Apr 20, 2011·BMC Psychiatry·Sabrina J SchulteJohn Stirling
Jun 27, 2006·Journal of Women's Health·Heather L CorlissSusan D Cochran
Jun 15, 2014·The Journal of Behavioral Health Services & Research·Michael Chaple, Stanley Sacks
Mar 17, 2015·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Douglas L PolcinMadhabika Nayak
Feb 1, 2007·Early Intervention in Psychiatry·Lone PetersenMerete Nordentoft
Jun 27, 2014·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Anja HildebrandJürgen Hoyer
Sep 27, 2013·Issues in Mental Health Nursing·Ashley L Peterson
Sep 16, 2014·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Giuseppe CarràMassimo Clerici
Nov 14, 2014·Journal of Dual Diagnosis·Alison LucianoRobert E Drake

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.