Abstract:
:Objective: The recognition of concurrent disorders (combined mental health and substance use disorders) has increased substantially over the last three decades, leading to greater numbers of people with these diagnoses and a subsequent greater financial burden on the health care system, yet establishing effective modes of management remains a challenge. Further, there is little evidence on which to base recommendations for a particular mode of health service delivery. This paper will further summarize the existing treatment models for a comprehensive overview. The objectives of this study are to determine whether existing service models are effective in treating combined mental health and substance use disorders and to examine whether an integrated model of service delivery should be recommended to policy makers. The following two research questions are the focus of this paper: (1) Are the existing service models effective at treating mental health and substance use disorders? (2) How are existing service models effective at treating mental health and substance use disorders? Methods: We used various databases to systematically review the effectiveness of service delivery models to treat concurrent disorders. Models were considered effective if they are found to be cost-effective and significantly improve clinical and social outcomes. Results: This systematic review revealed that integrated models of care are more effective than conventional, nonintegrated models. Integrated models demonstrated superiority to standard care models through reductions in substance use disorders and improvement of mental health in patients who had diagnoses of concurrent disorders. Our meta-analysis revealed similar findings, indicating that the integrated model is more cost-effective than standard care. Conclusions: Given the limited number of studies in relation to service delivery for concurrent disorders, it is too early to make a strong evidence-based recommendation to policy makers and service providers as to the superiority of one approach over the others. However, the available evidence suggests that integrated care models for concurrent disorders are the most effective models for patient care. More research is needed, especially around the translation of research findings to policy development and, vice versa, around the translation from the policy level to the patients' level.
journal_name
J Dual Diagnjournal_title
Journal of dual diagnosisauthors
Karapareddy Vdoi
10.1080/15504263.2018.1518553subject
Has Abstractpub_date
2019-01-01 00:00:00pages
56-66issue
1eissn
1550-4263issn
1550-4271journal_volume
15pub_type
杂志文章,评审abstract:OBJECTIVE:States across the country are recognizing recovery housing, an abstinence-based living environment promoting recovery from alcohol and other drugs, as an important yet underrepresented choice within their housing and treatment continuums. However, strategies for bringing recovery housing to scale are not well...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2016.1173971
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:Firefighters represent a distinct group of first responders that are at heightened risk of developing posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Assessing the role of transdiagnostic factors that underlie PTSD-AUD associations can inform specialized interventions among this populatio...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2020.1854411
更新日期:2020-12-14 00:00:00
abstract:OBJECTIVE:The objective of the study was to investigate whether a diagnosis of posttraumatic stress disorder (PTSD; full or partial) or specific PTSD symptom clusters predicted failure in quitting smoking in a trauma-exposed population. Methods: Participants were 310 smokers who attempted quitting smoking, either succe...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2020.1786615
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:Low attendance in psychotherapy, particularly among individuals with comorbid disorders, is a pervasive challenge. The present study examined predictors of treatment attendance in a sample of veterans with depression, substance use disorder, and trauma. METHODS:This is an analysis of data collected as part o...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章,随机对照试验
doi:10.1080/15504263.2016.1146384
更新日期:2016-01-01 00:00:00
abstract::Objectives: Physical health conditions cause significant disability and mortality among people living with alcohol and other drug problems. There has been limited research on the prevalence of health problems among clinical samples of people with substance use disorders, particularly among those in residential treatme...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2019.1704960
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Comorbid mental health and substance use problems are highly prevalent in substance use treatment settings and generally lead to poorer treatment outcomes. Pathways to Comorbidity Care (PCC) is a multimodal training program developed to encourage an integrated service approach to improve clinicians capacity t...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2018.1437496
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:Ecological momentary assessment (EMA) methods have provided a rich assessment of the contextual factors associated with a wide range of behaviors including alcohol use, eating, physical activity, and smoking. Despite this rich database, this information has not been linked to specific locations in space. Such...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2013.866841
更新日期:2014-01-01 00:00:00
abstract::Objective: This case series describes and illustrates the effective use of a trauma-informed approach, GLAPE, to provide drug screens for individuals in substance use treatment programs. The GLAPE approach recognizes that individuals who have experienced traumatic events and are recovering from substance use difficult...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2020.1744786
更新日期:2020-07-01 00:00:00
abstract::Objectives: The hypofunctioning of N-methyl-D-aspartate (NMDA) receptors are thought to play an important role in the pathophysiology of schizophrenia. The augmentation of the glutamatergic system through the NMDA receptor may attenuate alcohol craving and use. This study was designed to evaluate the efficacy of glyci...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章,随机对照试验
doi:10.1080/15504263.2018.1549764
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Integrated treatment for people with co-occurring mental illness and substance use disorder would be enhanced by a simple, recovery-oriented instrument to plan treatment and monitor progress toward dual recovery. This paper describes the development of a clinical instrument, the WestBridge Dual Recovery Inven...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2016.1146555
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Large-scale epidemiologic studies have consistently found that co-occurring mental and substance use disorders are associated with increased risk of involvement in violence. Individuals with co-occurring mental and substance use disorders can present either in mental health or substance abuse treatment system...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2013.804773
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of self-induced vomiting (SIV) in a sample of patients with Alcohol Use Disorder (AUD), and to explore whether such behavior is associated with a comorbid eating disorder psychopathology and other clinical symptomatology, such as impulsivity. Methods: This cross-sectional descripti...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2020.1802541
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:Individuals with serious mental illnesses are more likely to have substance-related problems than those without mental health problems. They also face more difficult recovery trajectories as they cope with dual disorders. Nevertheless, little is known about individuals' perspectives regarding their dual recov...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2014.975004
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:In recent years, treatment of substance use disorder has rekindled emphasis on recovery which, being a gradual process, starts with remoralization. In this study, we examine the level of demoralization throughout the treatment process for patients with comorbid substance dependence and psychiatric disorders. ...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章,多中心研究
doi:10.1080/15504263.2017.1287457
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:Addressing alcohol and other drug disorders and other mental disorders among adult Hispanics/Latinos is of critical concern, as they are one of the fastest-growing ethnic groups with a disproportionate rate of disease, mental disorders, and poverty. Although improvement in outcomes is associated with sustaine...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2017.1348649
更新日期:2017-10-01 00:00:00
abstract::Understanding how the body regulates pain is fundamental to develop rational strategies to combat the growing prevalence of chronic pain states, opioid dependency, and the increased financial burden to the medical care system. Pain is the most prominent reason why Americans seek medical attention and extensive literat...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2019.1668100
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and another mental health disorder) is an important challenge in mental health, this study assessed health care professionals' perceptions and knowledge of the current state of speci...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2014.906195
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:In the context of an increasing correctional population and corresponding rates of mental illness and substance abuse among this population, this study focuses on describing the predictors of substance abuse service utilization for ex-inmates with dual disorders. Our aim is to assess the likelihood and charac...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2012.749449
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:Heroin dependence is associated with deficits in impulsivity, which is also a core feature of attention deficit hyperactivity disorder (ADHD). This study aimed to explore the association between childhood ADHD symptoms and cognitive and motor impulsivity among abstinent individuals with a history of heroin de...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2015.1104482
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:This article explores the meaning and importance of career exploration and career development in the context of integrated treatment for young adults with early psychosis and substance use disorders (i.e., co-occurring disorders). METHODS:Twelve young adult men (aged 18 to 35 years) with co-occurring disorde...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2014.962337
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine differences between older and younger adults who received integrated treatment for co-occurring substance use and mental disorders, including differences on demographic and baseline characteristics (e.g., substance use, readiness for change, mental health symptoms, and...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2014.993263
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Many individuals receiving methadone maintenance receive their treatment through their primary care provider. As many also drink alcohol excessively, there is a need to address alcohol use to improve health outcomes for these individuals. We examined problem alcohol use and its treatment among people attendin...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2015.1027630
更新日期:2015-01-01 00:00:00
abstract::Objective: The co-occurrence of posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) is common. Individuals with PTSD/AUD commonly drink to cope with PTSD symptoms, which maintains PTSD/AUD, and may result in increased craving for alcohol. Negative affect is implicated in negative reinforcement models o...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2020.1741754
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:The use of central stimulant medication in adults with attention deficit hyperactivity disorder (ADHD) who receive opioid maintenance treatment remains controversial and empirical evidence is limited. Because of the abuse potential of stimulant drugs, Norway has restrictions on prescribing central stimulants ...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2013.867657
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:This study reports the prevalence of co-occurring mental health problems in a large convenience sample of emergency department (ED) patients with high-risk or dependent alcohol use patterns, as well as investigates associations between sociodemographic variables with co-occurring alcohol and mental health pro...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2011.569192
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Alcohol misuse can coexist with and/or contribute to the development of cognitive impairment in the older adult population but continues to be underestimated and undetected in older people. This study aimed to examine the feasibility and acceptability of routine screening for alcohol misuse in a small sample ...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2014.992095
更新日期:2015-01-01 00:00:00
abstract::OBJECTIVE: The aim of this report was to examine the accuracy of diagnosing substance use disorders in manic adolescents with bipolar disorder. METHODS: The substance use disorder modules of the KSADS-PL were administered to a sample of 80 manic adolescents (12-21 years old) with co-occurring bipolar and substance us...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2012.647349
更新日期:2012-01-01 00:00:00
abstract::Objective: In recent years, the use of cannabidiol in the treatment of refractory epilepsy has been increasingly investigated and has been gaining public support as a novel way to treat these disorders. Marijuana has been used for medical purposes for thousands of years, and a lot of research has been conducted over t...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2019.1645372
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Cannabis use disorder is the most common co-occurring drug use disorder in people with schizophrenia and is associated with poor outcomes. We launched a randomized controlled trial to assess the impact of clozapine compared with treatment as usual on cannabis use in patients with schizophrenia and co-occurrin...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2011.570118
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Individuals with psychotic-spectrum disorders use tobacco and cannabis at higher rates than the general population and individuals with other psychiatric disorders, which may contribute to increased rates of medical problems and mortality. The present study examined whether individuals with psychosis and como...
journal_title:Journal of dual diagnosis
pub_type: 杂志文章
doi:10.1080/15504263.2018.1470359
更新日期:2018-07-01 00:00:00