The special treatment team: An inpatient approach to the mentally ill alcoholic patient

Treatment of co‐occurring substance abuse and major mental illness

“…Both clinical observations (Levy and Mann, 1988) and empirical evidence (Mueser, Drake, and Miles, in press;McHugo, Drake, Burton, and Ackerson, 1995) suggest that not all clients with co-occurring disorders are ready to accept substance use as a problem or to engage in active steps to reduce substance use. Relevant to understanding individual differences in readiness to change are the stages of change central to the Transtheoretical Model of Change (Prochaska and DiClemente, 1992).…”

Issues in the treatment of dual diagnosis clients who have chronic mental illness.

“…These clients have seemed to do poorly in both mental health and substance abuse treatment settings. Problems have been found in assessment, treatment, and coordination of care among various needed professionals (Fariello & Scheidt, 1989; Levy & Mann, 1987; Minkoff, 1989; Ridgely et al, 1987; Ridgely et al, 1990). Part of the problem has been attributed to philosophical differences between substance abuse treatments and mental health therapies (Minkoff, 1989; Ridgely et al, 1987; Ridgely et al, 1990; Thacker & Tremaine, 1989).…”

“…Diagnostic procedures, the role of medications, spiritual factors, and the usefulness of self-help groups have been some areas of difference between substance abuse and mental health professionals (Levy & Mann, 1987; Minkoff, 1987b, 1989; Osher & Kofoed, 1989; Pepper, 1987; Smith, 1983). Largely impressionistic diagnostic procedures have been used by substance abuse professionals, whereas more formal assessments (e.g., use of DSM–III–R ) have traditionally been used by mental health professionals (Smith, 1983).…”

The Development of a Substance Abuse Treatment Program for Forensic Patients With Cognitive Impairment

“…Given the high comorbidity rates (from 15% to 70%) between substance abuse and severe psychiatric disorders (e.g., schizophrenia; Greenfield, Weiss, & Tohen, 1995;Lehman, Myers, Corty, & Thompson, 1994;Soni et al, 2005;Storch, 1992), substance abuse counseling has been demonstrated to be an important and effective intervention for this population (Brower, Blow, & Beresford, 1989;K. B. Carey, Purnine, Maisto, Carey, & Simons, 2000;Cimino, 2002;Kaufman, 1989;Leach, Hardy, & Dinwiddie, 1998;Levy, 2002;Levy & Mann, 1988;Mowbray et al, 1995). However, when providing addictions counseling to individuals with severe mental illness, counselors must determine which interventions are appropriate for their patients given limitations in cognitive ability (Brower et al, 1989;K.…”

“…However, when providing addictions counseling to individuals with severe mental illness, counselors must determine which interventions are appropriate for their patients given limitations in cognitive ability (Brower et al, 1989;K. B. Carey et al, 2000;Cimino, 2002;Kaufman, 1989;Leach et al, 1998;Levy, 2002;Levy & Mann, 1988;Mowbray et al, 1995) and social functioning (K. B. Carey & Carey, 1990;Van Horn, 2000) that can accompany psychiatric disorders such as schizophrenia.…”