Treatment of co‐occurring substance abuse and major mental illness

Carey, Kate B.

doi:10.1002/yd.23319960204

Cited by 15 publications

(5 citation statements)

References 18 publications

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“…Consistent with other recent research [24], it appears that reduced substance use among people with psychotic disorders is associated with significant benefits in other behavioural domains, and that harm reduction approaches are feasible [25]. Other researchers have argued for allowing people with severe mental and substance use disorders to choose harm minimization goals [26–28] and that by doing so, more participants, especially young people, could be engaged in treatment. In the current study, significant linear reductions in substance use ratings were accompanied by significant curvilinear changes in symptomatology, treatment non-compliance and general functioning, the latter being more marked during the first year.…”

Section: Discussionsupporting

confidence: 62%

Group Intervention for Coexisting Psychosis and Substance use Disorders in Rural Australia: Outcomes over 3 Years

Bradley

Baker

Lewin

2007

Aust N Z J Psychiatry

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Section: Discussionsupporting

confidence: 62%

Group Intervention for Coexisting Psychosis and Substance use Disorders in Rural Australia: Outcomes over 3 Years

Bradley

Baker

Lewin

2007

Aust N Z J Psychiatry

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“…Integrated treatment is defined as an intervention in which the same clinicians treat both disorders simultaneously. For the past 15 years, extensive efforts have been made to develop integrated models for individuals with dual disorders (Carey, 1996;Drake, Antosca, Noordsy, Bartels, & Osher, 1991;Minkoff, 1991;Mueser, Drake, & Noordsy, 1998;Ziedonis & Fisher, 1996). Most of the current models integrate services comprehensively and include counseling for both disorders as well as case management, medications, housing, vocational rehabilitation, and family intervention.…”

Section: Integrated Dual Disorders Treatmentmentioning

confidence: 99%

Implementing Evidence-Based Practices for People with Severe Mental Illness

Mueser¹,

Torrey²,

Lynde³

et al. 2003

Behav Modif

228

103

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Persons with severe mental illnesses (SMI) often lack access to effective treatments. The authors describe the Implementing Evidence-Based Practices (EBPs) Project, designed to increase access for people with SMI to empirically supported interventions. The EBP Project aims to improve access through development of standardized implementation packages, created in collaboration with different stakeholders, including clinicians, consumers, family members, clinical supervisors, program leaders, and mental health authorities. The background and philosophy of the EBP Project are described, including the six EBPs identified for initial package development: collaborative psychopharmacology, assertive community treatment, family psychoeducation, supported employment, illness management and recovery skills, and integrated dual disorders treatment. The components of the implementation packages are described as well as the planned phases of the project. Improving access to EBPs for consumers with SMI may enhance outcomes in a cost-effective manner, helping them pursue their personal recovery goals with the support of professionals, family, and friends.

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“…The dually diagnosed client does not "fit" either program and is often seen as noncompliant or inappropriate because no provision has been made for him or her in the system (O'Neill, 1993). Overcoming the split between substance-abuse services and mental health services is an important treatment issue for these clients (Carey, 1996).…”

Section: Duaiiy Diagnosed Cllents Need Services Oriented To the Wholementioning

confidence: 99%

Suicide: An Australian psychological society discussion paper

Graham

Reser

Scuderi

et al. 2000

Australian Psychologist

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This paper presents a review of literature, research, and practice relating to suicide and intentional self‐injury. It incorporates both an international perspective and a particular focus on Australia. The paper reviews the epidemiological knowledge base, noting its complexity and the ways in which risk factors may vary with the population or subpopulation being studied. While much of the recent focus on suicide has been shaped by the increase in youth suicide, suicide remains a significant problem across all adult age groups. Hence, this paper discusses suicide across the life span, but also identifies youth suicide and Indigenous suicide as two areas of particular concern. In relation to Indigenous suicide, it is important to move from a national focus to examine regional suicide patterns and conditions of risk within particular communities. The paper considers core principles of clinical assessment and intervention, acknowledging the powerful emotions and sensitive, complex judgments involved in this work. Mental health service provision is briefly reviewed and issues of concern identified, ranging from gaps in services to the need for more research and training in referral processes. Conceptualisations of suicide prevention and postvention are outlined, noting considerable debate about preferred approaches and a clear need for careful evaluation.

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Treatment of co‐occurring substance abuse and major mental illness

Abstract: A model for the treatment of co‐occurring Substance abuse and major mental disorders is proposed. The model integrates empirically grounded strategies applicable to Substance abuse problems into the context of outpatient mental health treatment.

Cited by 15 publications

References 18 publications

Group Intervention for Coexisting Psychosis and Substance use Disorders in Rural Australia: Outcomes over 3 Years

Group Intervention for Coexisting Psychosis and Substance use Disorders in Rural Australia: Outcomes over 3 Years

Implementing Evidence-Based Practices for People with Severe Mental Illness

Suicide: An Australian psychological society discussion paper

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