A National Survey of Care for Persons With Co-occurring Mental and Substance Use Disorders

Watkins, Katherine E.; Burnam, Audrey; Kung, Fuan-Yue; Paddock, Susan M.

doi:10.1176/appi.ps.52.8.1062

Cited by 166 publications

(113 citation statements)

References 42 publications

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“…Os estudos apontam que os serviços psiquiátricos raramente são incluídos no tratamento do dependente químico e, quando incluídos, são na maioria das vezes pobremente coordenados com o serviço de adicção (Edmund et al, 1997;Minkoff, 1997;Watkins et al, 2001). Inversamente, tais estudos sugerem que os serviços psiquiátricos também precisam melhorar os resultados para o tratamento do uso de álcool e drogas nos pacientes com comorbidade psiquiátrica (Drake et al, 1996;Hoff e Rosenheck, 1998), especialmente se integrados (Substance Abuse and Mental Health Services Administration, 2002).…”

Section: Discussão Dos Resultadosunclassified

“…As tentativas de aperfeiçoar o tratamento para indivíduos com co-ocorrência de desordens são extremamente complicadas em virtude da heterogenia dessa população, como características demográficas (gênero, etnia, idade), tipo de substância usada, tipo de desordem mental, incluindo todas essas combinações (Quello et al, 2005;Watkins et al, 2001).…”

Section: Discussão Dos Resultadosunclassified

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A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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ResumoContexto: O consumo de álcool e drogas constitui-se em uma problemática mundial. A exclusão e a ausência de políticas específicas que marcaram a saúde pública brasileira demonstram a necessidade de reversão dos modelos assistenciais para contemplar as reais necessidades dos usuários que apresentam transtornos decorrentes do consumo de álcool e drogas. O desafio de formular uma política específica de prevenção, tratamento e reabilitação numa lógica que permita a singularidade e a reinserção social dos indivíduos tem sido tema dos diversos estudos nessa área. Objetivos: Identificar a utilização e compreensão do conceito da reabilitação psicossocial na atenção aos problemas associados ao consumo de álcool e drogas. Métodos: Revisão bibliográfica do banco de dados MEDLINE, de 1997 a 2007, sobre a reabilitação psicossocial no campo da atenção aos transtornos decorrentes do consumo de álcool e outras drogas. Resultados: Foram selecionados dez artigos que apresentavam similaridade com o tema. Conclusões: Encontramos os termos "suporte social" e "apoio social", que fazem referência à importância da rede social na recuperação do usuário de álcool e outras drogas, assim como a reabilitação psicossocial determina a importância da rede social do indivíduo como um de seus eixos. , P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008 Palavras-chave: Reabilitação psicossocial, álcool, drogas. Pinho AbstractContext: The consumption of alcohol and drugs constitutes a worldwide problem. Exclusion and lack of specific policies for those who suffer with drug and alcohol dependency has marked Brazilian public health policy and demonstrated the need for change in the service models in order to contemplate the real needs of those with alcohol and drug abuse disorders. The challenge of formulating a specific prevention, treatment and rehabilitation policy within a framework that considers individuality and allows social reinsertion of individuals has been the subject of numerous studies in this area. Objectives: To identify the use and understanding of the concept of psychosocial rehabilitation associated with the problems of alcohol and drug abuse. Methods: Literature review in the MEDLINE database between 1997 and 2007 on psychosocial rehabilitation, specifically in the cases of alcohol and drug use disorders. Results: Ten articles were selected based on their pertinence to the subject. Conclusions: We found the term "social support" which refers to the importance of a social network to help the patient recovering from alcohol and drug addiction, just as the psychosocial rehabilitation -which determines the importance of the individual's social network -is one of its bases.Pinho, P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008

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Section: Discussão Dos Resultadosunclassified

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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“…42,43 Preventive measures, aggressive screening, and treatment of substance abuse may yield benefits in improving antidepressant adherence. Our findings add to prior research in suggesting that timing matters.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Antidepressant Treatment Among Privately Insured Patients Diagnosed With Depression

Akincigil¹,

Bowblis²,

Levin³

et al. 2007

Medical Care

138

112

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“…These attempts to improve treatment for individuals with co-occurring disorders are further complicated by the heterogeneity of this population, including sub-groups based on demographic characteristics (i.e., gender, ethnicity, age), types of substances used, and types of mental disorders, including various combinations of the above (Quello et al, 2005;Watkins et al, 2001). Moreover, individuals enter treatment with varying levels of functioning, access to social and familial support, and other resources that may influence their short-and longterm treatment outcomes and functioning.…”

Section: Introductionmentioning

confidence: 99%

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

Warren

Stein

Grella³

2007

Drug and Alcohol Dependence

115

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Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with cooccurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals.

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A National Survey of Care for Persons With Co-occurring Mental and Substance Use Disorders

Cited by 166 publications

References 42 publications

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Adherence to Antidepressant Treatment Among Privately Insured Patients Diagnosed With Depression

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

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