Articles for the Topic "Co-occurring Disorders (COD)"

2004 APA Achievement Awards: Silver and Bronze Achievement Awards: Silver Award: Thresholds Grais Apartments, Chicago, Illinois—Residential Treatment for Adults with Severe Mental Illness and Co-Occurring Substance Use Disorders

2010-06-08T09:11:06

This article describes Thresholds’ Grais Apartments, a long-term residential program that serves persons with severe mental illness and a co-occurring substance use disorder who have a history of homelessness. The Grais model applies principles of integrated dual disorders treatment, an evidence-based practice for persons with co-occurring disorders, to a long-term residential treatment setting.

A Review of Treatments for People with Severe Mental Illness and Co-Occurring Substance Abuse Disorders

2010-06-09T07:48:59

This comprehensive review of research from 1994–2003 presents evidence that supports integrating outpatient mental health and substance abuse treatments into a single, cohesive package and individualizing services to address personal factors and stage of motivation.

Review of Integrated Mental Health and Substance Abuse Treatment for Patients with Dual Disorders

2007-12-15T11:20:54

Patients with severe mental disorders such as schizophrenia and co-occurring substance use disorders traditionally received treatments for their two disorders from two different sets of clinicians in parallel treatment systems. Dissatisfaction with this clinical tradition led to the development of integrated treatment models in which the same clinicians or teams of clinicians provide substance abuse treatment and mental health treatment in a coordinated fashion. We reviewed 36 research studies on the effectiveness of integrated treatment for dually diagnosed patients. Studies of adding dual-disorders groups to traditional services, studies of intensive integrated treatments in controlled settings, and studies of demonstration projects have thus far yielded disappointing results. On the other hand, 10 recent studies of comprehensive, integrated outpatient treatment programs provide encouraging evidence of the programs' potential to engage dually diagnosed patients in services and to help them reduce substance abuse and attain remission. Outcomes related to hospital use, psychiatric symptoms, and other domains are less consistent Several program features appear to be associated with effectiveness: assertive outreach, case management, and a longitudinal, stage-wise, motivational approach to substance abuse treatment. Given the magnitude and severity of the problem of dual disorders, more controlled research on integrated treatment is needed. (Authors)