Assessment and Classification of Patients With Psychiatric and Substance Abuse Syndromes

Lehman, Anthony F.; Myers, C. Patrick; Corty, Eric

doi:10.1176/ps.40.10.1019

Cited by 125 publications

(100 citation statements)

References 43 publications

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“…Both clinical observation and formal research have shown the complexity of the relationships between substance abuse and psychiatric disabilities (Drake, 1995;Lehman, Myers & Corty, 1989,Lehman, Myers, Dixon & Johnson, 1994Meyer, 1988;Nunes & Deliyannides, 1993). Although the reasons for initial onset of substance use or psychiatric symptoms may vary, careful investigations have found that in some cases substance abuse and mental disorders begin to reinforce each other, while in other cases they describe a relatively autonomous course (Hein, Zimberg, Weissman, First & Ackerman, 1993;Lehman, et al, 1994), Thus, remediating either the substance use or mental disorder will often not automatically resolve the other.…”

Section: Formal Services and Their Limitationsmentioning

confidence: 99%

Double trouble in recovery: Self-help for people with dual diagnoses.

Vogel¹,

Knight²,

Laudet³

et al. 1998

Psychiatric Rehabilitation Journal

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Self-help is gaining increased acceptance among treatment professionals as the advent of managed care warrants the use of cost-effective modalities. Traditional "one disease-one recovery" self-help groups cannot serve adequately the needs of the dually diagnosed. This article discusses Double Trouble in Recovery (DTR), a 12-step self-help group designed to meet the special needs of those diagnosed with both a psychiatric disability and a chemical addiction, DTR differs from traditional self-help groups by offering people a safe forum to discuss their psychiatric disabilities, medication, and substance abuse. Preliminary data collected at four DTR sites in NYC indicate that DTR members have a long history of psychiatric disabilities and of substance abuse, and extensive experience with treatment programs in both areas. They are actively working on their recovery, as evidenced by their fairly intensive attendance at DTR. Recent substance use is limited, suggesting that participation in DTR (in conjunction with format treatment when needed) is having a positive effect. Most members require medication to control their psychiatric disabilities, and that alone may make attendance at "conventional" 12-step groups uncomfortable. Ratings of statements comparing DTR to other 12-step meetings suggest that DTR is a setting where members can feel comfortable and safe discussing their dual recovery needs.

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Section: Formal Services and Their Limitationsmentioning

confidence: 99%

Double trouble in recovery: Self-help for people with dual diagnoses.

Vogel¹,

Knight²,

Laudet³

et al. 1998

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…Roughly defined as the effect of a comorbid mental illness and substance misuse, the effect each has on the other was identified for the primary subgroups among people with a co-occurring disorder. Researchers and consensus panels made a number of important observations based on assumptions of the day (SAMHSA, 1995;Landry et al, 1991a;Lehman, Myers & Corty, 1989;Meyer, 1986). These researchers and practitioners concluded that behaviors related to substance misuse could mimic psychiatric symptoms and even psychiatric disorders.…”

Section: What Is a Co-occurring Disordermentioning

confidence: 99%

Mixing Oil and Water: Developing Integrated Treatment for People with the Co-Occurring Disorders of Mental Illness and Addiction

Cherry¹

2012

Mental Illnesses - Evaluation, Treatments and Implications

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“…He noticed that for people with dual diagnosis is needed different diagnostic and therapeutic-specific approach and that social services (Lehman, 2000; Le hman 1993; Lehman, Myers 1994).…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

Eur. j. interdiscip. stud.

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Assessment and Classification of Patients With Psychiatric and Substance Abuse Syndromes

Cited by 125 publications

References 43 publications

Double trouble in recovery: Self-help for people with dual diagnoses.

Double trouble in recovery: Self-help for people with dual diagnoses.

Mixing Oil and Water: Developing Integrated Treatment for People with the Co-Occurring Disorders of Mental Illness and Addiction

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