Journal of Substance Abuse Treatment
Volume 30, Issue 1 , Pages 79-84, January 2006

Integrated versus parallel treatment of co-occurring psychiatric and substance use disorders

Portions of this manuscript were presented at the 2004 Annual Conference of the College on Problems of Drug Dependence in San Juan, Puerto Rico.

  • Laurel F. Mangrum, Ph.D.

      Affiliations

    • Addiction Research Institute, University of Texas, Austin, TX 78703, USA
    • Corresponding Author InformationCorresponding author.
  • ,
  • Richard T. Spence, Ph.D.

      Affiliations

    • Addiction Research Institute, University of Texas, Austin, TX 78703, USA
  • ,
  • Molly Lopez, Ph.D.

      Affiliations

    • Texas Department of State Health Services, Austin, TX 78758, USA

Received 6 May 2005; received in revised form 27 September 2005; accepted 18 October 2005.

Abstract 

The study examines 1-year treatment outcomes of 216 individuals with co-occurring severe and persistent mental illness and substance use disorders who were assigned to an integrated or parallel treatment condition. Comparisons indicated that the integrated group achieved greater reductions in the incidence of psychiatric hospitalization and arrest. The results of this study support the enhanced effectiveness of integrated treatment in decreasing the use of higher cost crisis-oriented services in clients with severe mental illness and substance use disorders.

Keywords: Integrated treatment, Treatment outcomes, Co-occurring disorders, Dual diagnosis, Severe mental illness

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PII: S0740-5472(05)00201-1

doi:10.1016/j.jsat.2005.10.004

Journal of Substance Abuse Treatment
Volume 30, Issue 1 , Pages 79-84, January 2006