Outcomes of the treatment climate in psychiatric and substance abuse programs

Timko, Christine; Moos, Rudolf H.

doi:10.1002/(sici)1097-4679(199812)54:8<1137::aid-jclp12>3.0.co;2-0

Cited by 41 publications

(32 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifically, younger age (Kruzich, 1985;Nagy, Fisher, & Tessler, 1988), higher psychosocial functioning (Kruzich, 1985), greater social competence (Kennedy, 1989), and less psychopathology (Segal & Everett-Dille, 1980;Timko & Moos, 1998) have been associated with higher levels of physical integration.…”

Section: Determinants Of Community Integrationmentioning

confidence: 99%

Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness

Gülçür

Tsemberis

Stefancic

et al. 2007

Community Ment Health J

108

View full text Add to dashboard Cite

This study tests components of Wong and Solomon's (2002, Mental Health Services Research, 4(2), 13-28) model of community integration, identifying both the dimensions and predictors of integration. It evaluates community integration among adults with psychiatric disabilities assigned randomly to receive either independent scatter-site apartments with the Housing First approach (experimental) or services as usual (control). Factor analysis supported a definition of community integration that includes psychological, physical, and social domains, but also suggested the existence of another factor, independence/self-actualization. Regression analysis suggested that choice and independent scatter-site housing were predictors of psychological and social integration respectively. Psychiatric hospitalization, symptomatology and participation in substance use treatment were also found to influence aspects of integration. We discuss several issues that future studies should explore including the possibility that the same factor can differentially influence discrete aspects of integration, the role of person-environment fit, integration that is not based in the neighborhood, and, finally, conceptions of community integration from the perspective of consumers themselves.

show abstract

Section: Determinants Of Community Integrationmentioning

confidence: 99%

Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness

Gülçür

Tsemberis

Stefancic

et al. 2007

Community Ment Health J

108

View full text Add to dashboard Cite

show abstract

“…Self-help groups, often based on the 12-step philosophy, have played an important role in furthering the recovery of persons who have addictive disorders as well as persons with mental illness (16)(17)(18)(19)(20)(21)(22). However, some members of 12-step groups who have dual diagnoses report receiving misguided advice about psychiatric illness and the use of psychiatric medications, which are seen as "drugs" (23), although this is not the official view of Alcoholics Anonymous or Narcotics Anonymous (24,25).…”

mentioning

confidence: 99%

Adherence to Medication Regimens and Participation in Dual-Focus Self-Help Groups

Magura¹,

Laudet²,

Mahmood³

et al. 2002

View full text Add to dashboard Cite

Objective-The authors examined the associations between attendance at self-help meetings, adherence to psychiatric medication regimens, and mental health outcomes among members of a 12-step self-help organization specifically designed for persons with both chronic mental illness and a substance use disorder.Methods-A sample of members of Double Trouble in Recovery (DTR) was interviewed at baseline and one year later. Correlates of adherence to psychiatric medication regimens at the followup interview were identified for 240 attendees who had received a prescription for a psychiatric medication.Results-Consistent attendance at DTR meetings was associated with better adherence to medication regimens after baseline variables that were independently associated with adherence were controlled for. Three baseline variables were associated with adherence: living in supported housing, having fewer stressful life events, and having a lower severity of psychiatric symptoms. In addition, better adherence was associated with a lower severity of symptoms at one year and no psychiatric hospitalization during the follow-up period.Conclusions-Treatment programs and clinicians should encourage patients who have both mental illness and a substance use disorder to participate in dual-focus self-help groups that encourage the responsible use of effective psychiatric medication, particularly after discharge to community living. Clinicians also should be sensitive to stressful life events and discuss with patients how such events might affect their motivation or ability to continue taking medication.Poor adherence to psychiatric medication regimens is a major obstacle to the effective care of persons who have chronic mental illness. A recent review reported that patients who were receiving antipsychotics or antidepressants took an average of 58 percent and 65 percent,

show abstract

“…Several studies have suggested that staff beliefs about treatment are a key factor in determining their acceptance of new treatment approaches, including the adoption of evidence-based practices (Amodeo, 2000;Humphreys, Noke, & Moos, 1996;Ball et al, 2002;Forman, Bovasso, & Woody, 2001;Forman et al, 2002). Climate has also been used to refer to the "treatment milieu" (Timko & Moos, 1998) or "treatment orientation" (Lee, Reif, Ritter, Levine, & Horgan, 2001;Moos, King, Burnett, & Andrassy, 1997;.…”

Section: Organizational Characteristicsmentioning

confidence: 99%

Organizational characteristics of drug abuse treatment programs for offenders

Grella

Greenwell

Prendergast

et al. 2007

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

This paper examines the association between organizational characteristics of drug abuse treatment programs for offenders and the provision of wrap-around services and three types of treatment orientations. Data are from the National Criminal Justice Treatment Practices Survey that was conducted with program directors (N = 217). A greater number of wrap-around services provided was associated with inpatient treatment, specialized treatment facilities, community setting (versus correctional), services provided for more types of client populations, college-educated staff, and planned treatment for more than 180 days. Therapeutic community orientation was associated with prison-based treatment and specialized treatment facilities. Cognitive behavioral therapy orientation was associated with higher perceived importance on community treatment, more perceived staff influence on treatment, and treatment for 91-180 days. The 12-step orientation was most strongly associated with having staff specialized in substance abuse. Study findings have implications for developing effective re-entry programs for offenders that bridge correctional and community treatment.

show abstract

Outcomes of the treatment climate in psychiatric and substance abuse programs

Cited by 41 publications

References 16 publications

Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness

Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness

Adherence to Medication Regimens and Participation in Dual-Focus Self-Help Groups

Organizational characteristics of drug abuse treatment programs for offenders

Contact Info

Product

Resources

About