Treatment Providers’ Assessment of Dual-Prognosis Patients: Diagnosis, Treatment, Referral, and Family Involvement

Menicucci, Linda D.; Wermuth, Laurie; Sorensen, James L.

doi:10.3109/10826088809039223

Cited by 21 publications

(8 citation statements)

References 7 publications

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“…Conversely, some mental health patients were difficult to treat because of their co-occurring substance abuse (Bachmann and Moggi, 1993;Osher and Kofoed, 1989). Both US (Carey, 1989;Menicucci et al, 1988;Osher and Kofoed, 1989) and European clinicians (Bachmann and Moggi, 1993) conducted pioneering studies on co-occurring mental health disorders.…”

Section: Effects Of Co-occurring Mental Disordersmentioning

confidence: 96%

“…The study of the effects of co-occurring mental health disorders started in the mid-1980s with the awareness that some patients in substance abuse 74 J. R. Westphal & L. J. Johnson treatment (Carey, 1989;Menicucci et al, 1988) were difficult to treat because of behaviour secondary to mental health disorders. Conversely, some mental health patients were difficult to treat because of their co-occurring substance abuse (Bachmann and Moggi, 1993;Osher and Kofoed, 1989).…”

Section: Effects Of Co-occurring Mental Disordersmentioning

confidence: 99%

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Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

Westphal

Johnson²

2007

International Gambling Studies

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A substantial portion of gamblers in treatment may have co-occurring mental health disorders including substance use disorders, especially alcohol dependency, personality disorders, affective disorders, anxiety disorders and impulse control disorders. Co-occurring mental health disorders affect treatment seeking, the treatment process and its outcome, quality of life and functioning in many mental health disorders. Participants in this study were 78 adults enrolled in state-supported out-patient services for pathological gambling and current Gamblers Anonymous attendees. The majority of participants (76.6%) had co-occurring behaviours; 55.8% had multiple co-occurring behaviours. Participants with multiple co-occurring behaviours were more likely to report that a co-occurring behaviour increased the severity of their gambling symptoms. A dose/response relationship between number of co-occurring behaviours and severity of gambling problems was found. Co-occurring behaviours can interact with gambling behaviour. Brief, validated screening instruments are available for screening and diagnosing co-occurring behaviours among gamblers presenting for treatment.

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Section: Effects Of Co-occurring Mental Disordersmentioning

confidence: 96%

Section: Effects Of Co-occurring Mental Disordersmentioning

confidence: 99%

Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

Westphal

Johnson²

2007

International Gambling Studies

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“…The problem is more dramatically illustrated by a study conducted at the University of California, San Francisco (Menicucci, Wermuth & Sorensen 1988). Eight unit chiefs were interviewed.…”

Section: The Need For Trainingmentioning

confidence: 99%

Training of Residents and Medical Students in the Diagnosis and Treatment of Dual Diagnosis Patients

Chappel

1993

Journal of Psychoactive Drugs

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Treatment of dual diagnosis patients requires simultaneous treatment of the addictive and the mental disorders. Available data suggest that this does not happen often. In a survey of several psychiatric services, the unit chiefs reported that dual diagnoses were underreported, no plans were present for combined treatment, families were infrequently involved, and few referrals were made for combined treatment. There is a need for competent, experienced clinician teachers who have had positive experience with the treatment of dual disorders. The training of addiction and mental health professionals must include cooperation, understanding, and respect for each other. Cross-training is needed in chemotherapy, psychotherapy, abstinence from alcohol and other addictive drugs, 12-Step programs, spiritual issues, and milieu therapy. Negative attitudes and ignorance must be overcome for this training to take place. Faculty Fellow training programs have provided a beginning in this direction, but have so far involved few professional schools. Some examples of training with regard to referrals, prescribing, and psychotherapy are given. The importance of supervised clinical experience in treating dual diagnosis patients is emphasized. The provision of this experience provides a challenge to specialists in addiction medicine and addiction psychiatry.

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“…The feasibility of family therapies to recruit and retain families of adult drug abusers into treatment remains an open question. Certain studies suggest that addicts and their families can be successfully engaged in treatment (e.g., Anton,Hogan,Jalali,Riordan,& Kleber,198 1 ;Menicucci & Wermuth, 1989;Sorensen, Gibson, Bernal, & Deitch, 1988;Stanton et al, , 1984. Forexample, report that 71% of eligible families were engaged in treatment (i.e., at least attended the family evaluation session).…”

Section: Efficacy Of Family Therapy For Adult Drug Abusementioning

confidence: 99%

Efficacy of Family Therapy for Drug Abuse: Promising but Not Definitive

Liddle

Dakof

1995

J Marital Family Therapy

171

134

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Drug abuse is an enormous public health problem with consequences not only for individuals using drugs but also for families, communities, and society. Moreover, research evidence and clinical experience agree that drug abuse is one of the more dificult problems to treat. Despite considerable research on the connection between family factors and drug use, and the existence of family therapy models for drug abuse, comparatively few controlled eficacy studies have been conducted. This article presents a critical review of controlled treatment outcome research in the area of family therapy for drug abuse in both adults and adolescents. A number of studies from different clinical research groups demonstrate that different versions of family intervention can engage and retain drug users and their families in treatment, signijicantly reduce drug use and other related problem behaviors, and enhance particular domains ofprosocialfunctioning. Moreover, a smaller number of comparative eficacy studies have shown family therapy to be more effective than nonfamily therapies. Family therapy of adolescent drug abuse is more developed at present than family therapy of adult drug abuse. Although the results of the reviewed studies are promising, a blanket confirmation of family therapy's eficacy for drug abuse cannot be made at this time because of the relatively small number of studies and the noted methodological limitations of the studies published to date. Nonetheless, substantial progress in this clinical research area has occurred, and i f research and funding support continue or can expand, significant breakthroughs in the treatment of drug abuse with family-based treatments are possible.

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Treatment Providers’ Assessment of Dual-Prognosis Patients: Diagnosis, Treatment, Referral, and Family Involvement

Cited by 21 publications

References 7 publications

Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

Training of Residents and Medical Students in the Diagnosis and Treatment of Dual Diagnosis Patients

Efficacy of Family Therapy for Drug Abuse: Promising but Not Definitive

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