Psychosocial Treatment of Patients With Schizophrenia and Substance Abuse Disorders

Psychosocial treatments for people with co‐occurring severe mental illness and substance misuse: systematic review

“…They aim to change social attitudes and behaviours, are potentially cost‐effective and provide a structure for daily living, along with a commitment to stopping substance use (Mueser et al. 2005, Tsuang et al. 2006).…”

“…The intervention matches the patient's level of problem recognition with specific strategies and goals. MI is based on four principles: expressing empathy, developing discrepancy, supporting self-efficacy and rolling with resistance (Chanut et al 2005), and is directed at five stages: precontemplation, contemplation, preparation, action and maintenance (Tsuang et al 2006).…”

“…Dual diagnosis group therapies such as Double Trouble in Recovery (Magura et al 2003) aim to improve interpersonal and problem-solving skills to assist in establishing and maintaining relationships with others, dealing with conflict and handling social situations involving substance misuse (Jerrell & Ridgely 1995, Mueser et al 2005. They aim to change social attitudes and behaviours, are potentially costeffective and provide a structure for daily living, along with a commitment to stopping substance use (Mueser et al 2005, Tsuang et al 2006.…”

“…In contrast, other reviews including RCTs and non-experimental studies have shown support for particular psychosocial interventions, but with inconsistent results. For example, support has been found for a motivational approach (Mueser et al 2005, Barrowclough et al 2006, Laker 2007, group therapies (Mueser et al 2005, Drake et al 2008, contingency management (Drake et al 2008) and residential programmes (Drake et al 2004, 2008, Mueser et al 2005, as well as for integrated models of treatment delivery (Drake et al 1998b, 2004, Barrowclough et al 2006, Tsuang et al 2006. Intensive case management (Dumaine 2003) and assertive community treatment (ACT; Drake et al 1998b) have, however, received limited support.…”

“…Notwithstanding this, not all types of interventions were assessed in all reviews. For example, Laker (2007) assessed only MI, Drake et al (1998b) assessed integrated care and Drake et al (2008), Mueser et al (2005), Tiet and Mausbach (2007) and Tsuang et al (2006) were the only reviews to include contingency management studies.…”