Skip to main content
Erschienen in: Community Mental Health Journal 4/2006

01.08.2006

Availability of Integrated Care for Co-occurring Substance Abuse and Psychiatric Conditions

verfasst von: Lori J. Ducharme, Ph.D., Hannah K. Knudsen, Ph.D., Paul M. Roman, Ph.D.

Erschienen in: Community Mental Health Journal | Ausgabe 4/2006

Einloggen, um Zugang zu erhalten

Abstract

The co-occurrence of psychiatric conditions and substance abuse presents significant challenges for behavioral healthcare providers. The need for integrated care has received substantial recent attention from clinical, research, and funding entities. However, the availability of integrated care has been low, carrying potential adverse implications for quality of care and treatment outcomes. This article describes the prevalence and key correlates of the availability of integrated care for co-occurring conditions within public and private-sector addiction treatment programs. Several organizational attributes, caseload characteristics, and service provision patterns were associated with the availability of integrated care.
Literatur
Zurück zum Zitat Bergmann P. A., Smith M. B., Hoffmann N. G. (1995) Adolescent treatment: Implications for assessment, practice guidelines, and outcome management. Pediatric Clinics of North America 42:453–472PubMed Bergmann P. A., Smith M. B., Hoffmann N. G. (1995) Adolescent treatment: Implications for assessment, practice guidelines, and outcome management. Pediatric Clinics of North America 42:453–472PubMed
Zurück zum Zitat Brems C., Johnson M. E., Namyniuk L. L. (2002) Clients with substance abuse and mental health concerns: A guide for conducting intake interviews. Journal of Behavioral Health Services and Research 29:327–334PubMedCrossRef Brems C., Johnson M. E., Namyniuk L. L. (2002) Clients with substance abuse and mental health concerns: A guide for conducting intake interviews. Journal of Behavioral Health Services and Research 29:327–334PubMedCrossRef
Zurück zum Zitat Department of Health and Human Services [DHHS]. (1999) Mental health: A report of the surgeon general. US DHHS, Washington, DC Department of Health and Human Services [DHHS]. (1999) Mental health: A report of the surgeon general. US DHHS, Washington, DC
Zurück zum Zitat Drake R. E., Essock S. M., Shaner A., Carey K. B., Minkoff K., Kola L., Lynde D., Osher F. C., Clark R. E., Rickards L. (2001) Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services 52:469–476PubMedCrossRef Drake R. E., Essock S. M., Shaner A., Carey K. B., Minkoff K., Kola L., Lynde D., Osher F. C., Clark R. E., Rickards L. (2001) Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services 52:469–476PubMedCrossRef
Zurück zum Zitat Drake R. E., Mueser K. T., Brunette M. F., McHugo G. J. (2004) A review of treatments for people with severe mental illness and co-occurring substance use disorders. Psychiatric Rehabilitation Journal 27:360–374PubMedCrossRef Drake R. E., Mueser K. T., Brunette M. F., McHugo G. J. (2004) A review of treatments for people with severe mental illness and co-occurring substance use disorders. Psychiatric Rehabilitation Journal 27:360–374PubMedCrossRef
Zurück zum Zitat Friedmann P. D., Alexander J. A., D’Aunno T. A. (1999) Organizational correlates of access to primary care and mental health services in drug abuse treatment units. Journal of Substance Abuse Treatment 16:71–80PubMedCrossRef Friedmann P. D., Alexander J. A., D’Aunno T. A. (1999) Organizational correlates of access to primary care and mental health services in drug abuse treatment units. Journal of Substance Abuse Treatment 16:71–80PubMedCrossRef
Zurück zum Zitat Grant B. F., Stinson F. S., Dawson D. A., Chou S. P., Dufour M. C., Compton W., Pickering R. P., Kaplan K. (2004) Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. Archives of General Psychiatry 61:807–816PubMedCrossRef Grant B. F., Stinson F. S., Dawson D. A., Chou S. P., Dufour M. C., Compton W., Pickering R. P., Kaplan K. (2004) Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. Archives of General Psychiatry 61:807–816PubMedCrossRef
Zurück zum Zitat Hoff R. A., Rosenheck R. A. (1999) The cost of treating substance abuse patients with and without comorbid psychiatric disorders. Psychiatric Services 50:1309–1315PubMed Hoff R. A., Rosenheck R. A. (1999) The cost of treating substance abuse patients with and without comorbid psychiatric disorders. Psychiatric Services 50:1309–1315PubMed
Zurück zum Zitat Hoffman N. G., Mee-Lee D., Arrowood A. A. (1993) Treatment issues in adolescent substance use and addictions: Options, outcome, effectiveness, reimbursement and admission criteria. Adolescent Medicine State of the Art Reviews 4:371–390 Hoffman N. G., Mee-Lee D., Arrowood A. A. (1993) Treatment issues in adolescent substance use and addictions: Options, outcome, effectiveness, reimbursement and admission criteria. Adolescent Medicine State of the Art Reviews 4:371–390
Zurück zum Zitat Kessler R. C., Crum R. M., Warner L. A., Nelson C. B., Schulenberg J., Anthony J. C. (1997) Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Study. Archives of General Psychiatry 54:313–321PubMed Kessler R. C., Crum R. M., Warner L. A., Nelson C. B., Schulenberg J., Anthony J. C. (1997) Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Study. Archives of General Psychiatry 54:313–321PubMed
Zurück zum Zitat Knudsen H. K., Roman P. M. (2004) Modeling the use of innovations in private treatment organizations: The role of absorptive capacity. Journal of Substance Abuse Treatment 26:353–361PubMedCrossRef Knudsen H. K., Roman P. M. (2004) Modeling the use of innovations in private treatment organizations: The role of absorptive capacity. Journal of Substance Abuse Treatment 26:353–361PubMedCrossRef
Zurück zum Zitat Knudsen H. K., Roman P. M., Ducharme L. J. (2004) The availability of psychiatric programs in private substance abuse treatment centers, 1995–2001. Psychiatric Services 55:270–273PubMedCrossRef Knudsen H. K., Roman P. M., Ducharme L. J. (2004) The availability of psychiatric programs in private substance abuse treatment centers, 1995–2001. Psychiatric Services 55:270–273PubMedCrossRef
Zurück zum Zitat Mee-Lee D. L., Gartner L., Miller M. M., Shulman G. (1996) Patient placement criteria for the treatment of substance-related disorders, 2nd ed. American Society of Addiction Medicine, Chevy Chase, MD Mee-Lee D. L., Gartner L., Miller M. M., Shulman G. (1996) Patient placement criteria for the treatment of substance-related disorders, 2nd ed. American Society of Addiction Medicine, Chevy Chase, MD
Zurück zum Zitat Steele L. D., Rechberger, E.(2002). Meeting the treatment needs of multiply diagnosed consumers. Journal of Drug Issues 32:811–824 Steele L. D., Rechberger, E.(2002). Meeting the treatment needs of multiply diagnosed consumers. Journal of Drug Issues 32:811–824
Zurück zum Zitat Substance Abuse and Mental Health Services Administration [SAMHSA]. (2002) Report to congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. SAMHSA, Rockville, MD Substance Abuse and Mental Health Services Administration [SAMHSA]. (2002) Report to congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. SAMHSA, Rockville, MD
Zurück zum Zitat SAMHSA (2004a) Results from the 2003 National Survey on Drug Use and Health: National Findings. DHHS Publication No. (SMA) 04–3964. SAMHSA, Rockville, MD SAMHSA (2004a) Results from the 2003 National Survey on Drug Use and Health: National Findings. DHHS Publication No. (SMA) 04–3964. SAMHSA, Rockville, MD
Zurück zum Zitat SAMHSA (2004b) National Survey of Substance Abuse Treatment Services (N-SSATS): 2003. DHHS Publication No. (SMA) 04–3966. SAMHSA, Rockville MD SAMHSA (2004b) National Survey of Substance Abuse Treatment Services (N-SSATS): 2003. DHHS Publication No. (SMA) 04–3966. SAMHSA, Rockville MD
Zurück zum Zitat SAMHSA (2004c). NSDUH Report: Women with co-occurring serious mental illness and a substance use disorder. SAMHSA, Rockville, MD SAMHSA (2004c). NSDUH Report: Women with co-occurring serious mental illness and a substance use disorder. SAMHSA, Rockville, MD
Zurück zum Zitat SAMHSA (2005) Substance abuse treatment for persons with co-occurring disorders. Treatment Improvement Protocol #42. SAMHSA, Rockville, MD SAMHSA (2005) Substance abuse treatment for persons with co-occurring disorders. Treatment Improvement Protocol #42. SAMHSA, Rockville, MD
Zurück zum Zitat SAMHSA National Advisory Council. (1998) Improving services for individuals at risk of, or with, co-occurring substance-related and mental health disorders. SAMHSA, Rockville, MD SAMHSA National Advisory Council. (1998) Improving services for individuals at risk of, or with, co-occurring substance-related and mental health disorders. SAMHSA, Rockville, MD
Zurück zum Zitat Watkins K. E., Burnam A., Kung F., Paddock S. (2001) A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services 52:1062–1068PubMedCrossRef Watkins K. E., Burnam A., Kung F., Paddock S. (2001) A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services 52:1062–1068PubMedCrossRef
Zurück zum Zitat Young N. K., Grella C. E. (1998) Mental health and substance abuse treatment services for dually-diagnosed clients: Results of a statewide survey of county administrators. Journal of Behavioral Health Services and Research 25:83–92PubMedCrossRef Young N. K., Grella C. E. (1998) Mental health and substance abuse treatment services for dually-diagnosed clients: Results of a statewide survey of county administrators. Journal of Behavioral Health Services and Research 25:83–92PubMedCrossRef
Metadaten
Titel
Availability of Integrated Care for Co-occurring Substance Abuse and Psychiatric Conditions
verfasst von
Lori J. Ducharme, Ph.D.
Hannah K. Knudsen, Ph.D.
Paul M. Roman, Ph.D.
Publikationsdatum
01.08.2006
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 4/2006
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-005-9030-7

Weitere Artikel der Ausgabe 4/2006

Community Mental Health Journal 4/2006 Zur Ausgabe

Book Review

BOOK REVIEWS

Mehr Zeit in den sozialen Medien kann zu Angststörungen führen

Eine Studie aus Finnland hat die Social-Media-Nutzung unter 16-jährigen Mädchen genauer unter die Lupe genommen. Lange Nutzdauer von Instagram & Co. war mit höheren Raten an Angststörungen assoziiert. Insgesamt waren rund 17% der Mädchen abhängig von Social Media.

Intoxikation ohne Alkoholaufnahme: An das Eigenbrauer-Syndrom denken!

05.06.2024 Internistische Diagnostik Nachrichten

Betrunken trotz Alkoholabstinenz? Der Fall einer 50-jährigen Patientin zeigt, dass dies möglich ist. Denn die Frau litt unter dem Eigenbrauer-Syndrom, bei dem durch Darmpilze eine alkoholische Gärung in Gang gesetzt wird.

Prämenstruelle Beschwerden mit Suizidrisiko assoziiert

04.06.2024 Suizidalität Nachrichten

Manche Frauen, die regelmäßig psychische und körperliche Symptome vor ihrer Menstruation erleben, haben ein deutlich erhöhtes Suizidrisiko. Jüngere Frauen sind besonders gefährdet.

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

03.06.2024 NSCLC Nachrichten

Wie stark Menschen mit fortgeschrittenem NSCLC von einer Therapie mit Immun-Checkpoint-Hemmern profitieren, hängt offenbar auch davon ab, wie sehr die Diagnose ihre psychische Verfassung erschüttert

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.