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Substance Abuse and Mental Health Services Administration
Assertive Community Treatment for Patients with Co-Occurring Severe Mental Illness and Substance Use Disorder: A Clinical Trial
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Compared the effectiveness of an integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach with a standard case management approach for 203 patients (mean age 34 yrs) with dual disorders of severe mental illness and substance use disorders over 3 yrs. It was hypothesized that ACT Ss would increase their days in stable community housing by decreasing hospital, jail, and homeless days. It was also hypothesized that ACT Ss would experience greater symptom reductions and improvements in quality of life. ACT Ss showed greater improvements on some measures of substance abuse and quality of life, but the groups were equivalent on most measures, including stable community days, hospital days, psychiatric symptoms, and remission of substance use disorder. (Authors)