Randomized Controlled Trial of Motivational Interviewing, Cognitive Behavior Therapy, and Family Intervention for Patients With Comorbid Schizophrenia and Substance Use Disorders

Barrowclough, Christine; Haddock, Gillian; Tarrier, Nicholas; Lewis, Shôn; Moring, Juha; O’Brien, Rob; Schofield, Nichola; McGovern, John

doi:10.1176/appi.ajp.158.10.1706

Cited by 461 publications

(331 citation statements)

References 27 publications

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“…There is growing agreement that an integrated treatment approach is a more appropriate model [9][10][11][12][13][14] than treatments that address each disorder separately. Previous studies have also shown strong preference among women with a dual diagnosis for integrated treatment.…”

Section: Integrated Treatment Approachmentioning

confidence: 99%

“…Previous studies have also shown strong preference among women with a dual diagnosis for integrated treatment. 13,15 Some components for successful integrated treatment models include stages of change components, motivational interviewing, and cognitive-behavioral interventions, 11,12,16,17 plus screening for trauma and health problems as well as an approach that builds on safety and empowerment in the community. 18 For women with a substance abuse or dependence disorder, especially PTSD, it has been suggested that comprehensive treatments should address substance use and directly intervene with PTSD symptoms and quality of life concerns such as vocational issues and social support.…”

Section: Integrated Treatment Approachmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology.

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Section: Integrated Treatment Approachmentioning

confidence: 99%

Section: Integrated Treatment Approachmentioning

confidence: 99%

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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“…Most trials did not achieve full blindness although many studies attempted to single blind at least some measurements (Barrowclough 2001;Falloon 1981;Goldstein 1978;Leavey 2004;Merinder 1999;Vaughan 1992;Zhang 1994). …”

Section: Assessment Of Reporting Biasesmentioning

confidence: 99%

Family intervention for schizophrenia

Pharoah

Rathbone

et al. 2003

Cochrane Database of Systematic Reviews

190

186

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“…Where family members or carers are present, family interventions have also been viewed as important. Evaluations of this type of approach have shown significant benefits over treatment as usual (case management and anti-psychotic medication for mental health and substance use services) for a 9 month treatment with benefits at the end of the treatment period and at follow-up points (Barrowclough et al, 2001;Haddock et al, 2003).…”

Section: Substance Usementioning

confidence: 99%

Psychological Treatment of Psychosis

Haddock¹,

Spaulding²

2010

Schizophrenia

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Psychological treatments for the treatment of psychosis have been widely studied over many years. Early studies were mainly in the form of individual case studies or case series. However, more recently, treatments have been evaluated in larger, controlled trials leading to a larger evidence base on which to judge their effectiveness for psychosis. This evidence bases suggests that certain approaches can be effective in reducing the severity and distress associated with psychosis and some of these have become more widely employed in the treatment of severe mental health problems over the last decade in the United Kingdom, Europe and the United States. Generally, the treatments with the greatest evidence base are in following treatment domains: 1) individual cognitive and behavioural therapies for psychosis, 2) family interventions for psychosis, 3) neuropsychological and cognitive remediation approaches, 4) social skills training and other skills training approaches and 5) contingency management approaches. Characteristics of the approaches are described, (using clinical examples) and evidence in support of their effectiveness is presented. The implications for applying the approaches with complex cases, such as those with dual diagnoses is described. Finally, the challenges facing services in implementing the approaches is discussed.

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Randomized Controlled Trial of Motivational Interviewing, Cognitive Behavior Therapy, and Family Intervention for Patients With Comorbid Schizophrenia and Substance Use Disorders

Abstract: These findings demonstrate the effectiveness of a program of routine care integrated with motivational interviewing, cognitive behavior therapy, and family intervention over routine psychiatric care alone for patients with comorbid schizophrenia and alcohol or drug abuse or dependence.

Cited by 461 publications

References 27 publications

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Family intervention for schizophrenia

Psychological Treatment of Psychosis

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