Treatment Options for Individuals with Dual Diagnosis

Burnett, Rallah; Porter, Erica; Stallings, Kathryn

doi:10.1080/10911359.2011.616426

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…For example, dually-diagnosed persons have worse post-treatment outcomes compared to persons with substance use disorders in terms of disability symptoms and alcohol use (Burns et al, 2005), high rates of relapse (Kushner et al, 2005), and high levels of psychiatric severity that are associated with increased HIV-risk sexual behavior (Majer et al, 2015) and poor improvements in terms of fulfilling treatment plan objectives related to treatment drop-out in therapeutic communities (Vergara-Moragues et al, 2013). Although the need for stable housing is great among persons with dual diagnoses (Burnett et al, 2011; Davis and O'Neill, 2005), there are not many options for this population in the United States.…”

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confidence: 99%

Comparative analysis of treatment conditions upon psychiatric severity levels at two years among justice involved persons

Majer

Chapman

Jason

2016

Advances in Dual Diagnosis

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Purpose The aim of this investigation was to compare the effects of two types of community-based, residential treatment programs among justice involved persons with dual diagnoses. Design/methodology A randomized clinical trial examined treatment conditions among justice involved persons with substance use disorders who reported high baseline levels of psychiatric severity indicative of diagnosable psychiatric comorbidity. Participants (n = 39) were randomly assigned to one of three treatment conditions upon discharge from inpatient treatment for substance use disorders: a professionally staffed, integrated residential treatment setting (therapeutic community), a self-run residential setting (Oxford House), or a treatment-specific aftercare referral (usual care). Levels of psychiatric severity, a global estimate of current psychopathological problem severity, were measured at two years as the outcome. Findings Participants randomly assigned to residential conditions reported significant reductions in psychiatric severity whereas those assigned to the usual care condition reported significant increases. There were no significant differences in psychiatric severity levels between residential conditions. Research limitations/implications Findings suggest that cost-effective, self-run residential settings such as Oxford Houses provide benefits comparable to professionally-run residential integrated treatments for justice involved persons who have dual diagnoses. Social implications Results support the utilization of low-cost, community-based treatments for a highly marginalized population. Originality/value Little is known about residential treatments that reduce psychiatric severity for this population. Results extend the body of knowledge regarding the effects of community-based, residential integrated treatment and the Oxford House model.

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confidence: 99%

Comparative analysis of treatment conditions upon psychiatric severity levels at two years among justice involved persons

Majer

Chapman

Jason

2016

Advances in Dual Diagnosis

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Learning the Language of Addiction Counseling

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Factors Contributing to Relapse of Mental Health Care Users Treated for Substanceinduced Psychotic Disorder in a Psychiatric Hospital in Gauteng, South Africa

Thothela¹,

Wath²,

Rensburg³

2016

AJNM

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This study explored the factors contributing to relapse of mental health care users (MHCUs) treated for substance-induced psychotic disorder in a public psychiatric hospital in Gauteng, South Africa. A qualitative, explorative, descriptive and contextual research design was followed. The study was conducted at the outpatient department of the hospital. Participants were selected purposefully from MHCUs visiting the outpatient department for follow-up. Ten semistructured interviews were used to collect data until data saturation occurred. The transcribed interviews and field notes were analysed using Tesch’s method of qualitative data analysis. The researcher and an independent coder reached consensus on the categories, sub-categories and themes. Trustworthiness was ensured through application of the strategies of dependability, transferability, conformability, credibility and authenticity. The findings explicated the factors contributing to relapse of MHCUs treated for substanceinduced psychotic disorder in a psychiatric hospital. These factors included psychological, physical and social factors. Recommendations were provided for psychiatric nurses in terms of therapeutic programme planning and involvement of the community and family in the management of MHCUs treated for substance-induced psychotic disorder.

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Treatment Options for Individuals with Dual Diagnosis

Cited by 3 publications

References 18 publications

Comparative analysis of treatment conditions upon psychiatric severity levels at two years among justice involved persons

Comparative analysis of treatment conditions upon psychiatric severity levels at two years among justice involved persons

References

Factors Contributing to Relapse of Mental Health Care Users Treated for Substanceinduced Psychotic Disorder in a Psychiatric Hospital in Gauteng, South Africa

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