A Prospective Study of Integrated Outpatient Treatment for Substance-Abusing Schizophrenic Patients

The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements

“…176, 177 Hellerstein et al 176 randomly assigned 47 participants with schizophrenia and SUDs to either integrated or nonintegrated psychiatric and SUD treatment. The integrated program included a supportive substance abuse treatment group; education about mental illness and medication, alcohol and drug abuse, and the disease model of addiction; weekly urinalysis; linking to self-help groups; monthly medication management or more if needed; and regular communication with clinicians and family members involved in participants' care.…”

Severely and Persistently Mentally Ill Substance Abusers: Clinical and Policy Issues

“…Both pilot studies and a subsequent random assignment prospective study (Hellerstein, Rosenthal & Miner 1995) of this model showed a decrease in hospital days, a decrease in psychotic symptoms, and a decrease in drug use. Standard care consisted of comparable levels (number of hours) of substance abuse and psychiatric services consisting primarily of case management, group psychotherapy, and psychopharmacology.…”

“…A series of studies on the Combined Psychiatric and Addictive Disorders (COPAD) outpatient program at Beth Israel Medical Center in New York indicates that engagement in integrated outpatient treatment may decrease rehospitalization and lessen both psychiatric and substance abuse severity (Hellerstein, Rosenthal & Miner 1995;Rosenthal, Hellerstein & Miner 1992a, b). This model is based on the premise that an integrated treatment approach at a single site, featuring coordination of treatment philosophy, services, and timing of intervention will be more effective than a mixture of discrete and loosely coordinated services provided at different locations.…”

Psychose et toxicomanie : l’expérience de l’équipe de la Polyclinique Sainte-Anne

“…Même lorsque le trai te ment de la toxi co ma nie est in té gré dans les soins psy chia tri ques, on obs erve que la ma jo rité aban donne le suivi s'il n'y a pas de ges tion des cas (Hellerstein et al, 1995 ;Mercer-McFadden et al, 1997). Il n'y avait pas de grou pes d'en traide ano ny mes pour les toxi co ma nes avec un trou ble men tal grave et per sis tant dans la ville de Qué bec.…”