Journal of Substance Abuse Treatment
Volume 34, Issue 1 , Pages 3-13 , January 2008

Policy and practice implications of epidemiological surveys on co-occurring mental and substance use disorders

  • H. Westley Clark, M.D., J.D., M.P.H., C.A.S., F.A.S.A.M.

      Affiliations

    • Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, Rockville, MD
    • Corresponding Author InformationCorresponding author. Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, 1 Choke Cherry Road, Rockville, MD 20857. Tel.: +1 240 276 1660; fax: +1 240 276 1670.
  • ,
  • A. Kathryn Power, M.Ed.

      Affiliations

    • Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, Rockville, MD
  • ,
  • Charlene E. Le Fauve, Ph.D.

      Affiliations

    • Co-Occurring and Homeless Activities Branch, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, Rockville, MD
  • ,
  • Elizabeth I. Lopez, Ph.D.

      Affiliations

    • Office of Program, Policy, and Budget, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, Rockville, MD

Received 8 August 2006 ,Revised 5 December 2006 ,Accepted 6 December 2006.

References 

  1. Adelmann PK. Mental and substance use disorders among Medicaid recipients: Prevalence estimates from two national surveys. Administration and Policy in Mental Health. 2003;31:111–129
  2. American Society of Addiction Medicine . Public policy statement on co-occurring addictive and psychiatric disorders. Journal of Addictive Diseases. 2001;20:121–123
  3. Bird DC, Dempsey P, Hartley D. Addressing mental health workforce needs in underserved rural areas: Accomplishments and challenges. Portland, ME: University of Southern Maine; 2001;
  4. Burnam MA, Watkins KE. Substance abuse with mental disorders: Specialized public systems and integrated care. Health Affairs. 2006;25:648–659
  5. Center for Substance Abuse Treatment . Changing the conversation: Improving substance abuse treatment, the National Treatment Improvement Plan. DHHS Publication No. (SMA) 00-3479 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2000;
  6. Center for Substance Abuse Treatment . Substance abuse treatment for persons with co-occurring disorders. Treatment Improvement Protocol (TIP) Series 42. DHHS Publication No. (SMA) 05-3922 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005;
  7. Dickey B, Normand ST, Drake R, Weiss RD, Azeni H, Hanson A. Limiting inpatient substance use treatment: What are the consequences?. Medical Care Research and Review. 2003;60:332–346
  8. Drake RE, Mueser KT, Brunette MF, McHugo GJ. A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric Rehabilitation Journal. 2004;27:360–373
  9. Drake RW, Essock SM, Shaner A, Carey KB, Minkoff K, Kola L, et al. Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services. 2001;52:469–476
  10. Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, et al. Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry. 2004;61:807
  11. Green-Hennessy S. Factors associated with receipt of behavioral health services among persons with substance dependence. Psychiatric Services. 2002;53:1592–1598
  12. Harris KM, Edlund MJ. Use of mental health care and substance abuse treatment among adults with co-occurring disorders. Psychiatric Services. 2005;56:954–959
  13. Holzer CE, Goldsmith HF, Ciarlo JA. The availability of health and mental health providers by population density. Journal of the Washington Academy of Sciences. 2000;86:25–33
  14. Kessler RC, Berglund P, Delmer O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62:593–602
  15. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62:617–627
  16. In:  Manderscheid RW,  Henderson MJ editor. Mental health, United States, 2002. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services; 2004;DHHS Publication No. (SMA) 04-3938
  17. Mark T, McKusick T, King D, Harwood E, Genuardi H. National expenditures for mental health, alcohol, and other drug abuse treatment. Rockville, MD: Substance Abuse and Mental Health Services Administration; 1998;
  18. Mark TL, Coffey RM, McKusick DR, Harwood H, King E, Bouchery E, et al. National estimates of expenditures for mental health services and substance abuse treatment, 1991–2001. DHHS Publication No. (SMA) 05-3999 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005;
  19. National Comorbidity Survey–Replication . Retrieved August 4, 2006, from http://www.nimh.nih.gov/healthinformation/qanda_ncs-r.cfm2001–2003;
  20. National Institute of Mental Health . Questions and answers about the National Comorbidity Survey Replication. Retrieved August 5, 2006, from http://www.nimh.nih.gov/healthinformation/qanda_ncs-r.cfm#q92005;
  21. New Freedom Commission on Mental Health . Achieving the promise: Transforming mental health care in America. Final report. DHHS Publication No. (SMA) 03-3832 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2003;
  22. O'Brien CP, Charney DS, Lewis L, Cornish JW, Post RM, Woody GE. Priority actions to improve the care of persons with co-occurring substance abuse and other mental disorders: A call to action. Biological Psychiatry. 2004;56:703–713
  23. Office of Applied Studies . Results from the 2004 National Survey on Drug Use and Health: National findings. DHHS Publication No. (SMA) 05-4062, NSDUH Series H-28) Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005;Retrieved October 19, 2006, from http://www.oas.samhsa.gov/p0000016.htm#2k4
  24. Office of Applied Studies . The New Drug Abuse Warning Network Report: Emergency department visits involving patients with co-occurring disorders, Issue 15. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2006;Retrieved October 19, 2006, from http://dawninfo.SAMHSA.gov/files/TNDR05CoOccurringDisorders.htm
  25. Office of Applied Studies . Results from the 2005 National Survey on Drug Use and Health: National findings. DHHS Publication No. (SMA) 06-4194, NSDUH Series H-30 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2006;
  26. Office of Applied Studies, Substance Abuse and Mental Health Services Administration. (2006) Unpublished analysis of NSDUH data as requested by Dr. H. Westley Clark.
  27. Smith SM, Stinson FS, Dawson DA, Goldstein RB, Huang B, Grant BF. Race/ethnic differences in the prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine. 2006;36:987–998
  28. Substance Abuse and Mental Health Services Administration. (1993). Final notice establishing definitions for (1) children with a serious emotional disturbance, and (2) adults with a serious mental illness. Federal Register, 58, 29,422–29,425.
  29. Substance Abuse and Mental Health Services Administration . State incentive grants for treatment of persons with co-occurring substance related and mental disorders (SM 04-012) (initial announcement). Rockville, MD: Substance Abuse and Mental Health Services Administration; 2004;
  30. Substance Abuse and Mental Health Services Administration . Transforming mental health care in America. Federal action agenda: First steps. DHHS Publication No. (SMA) 05-4060 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005;
  31. Substance Abuse and Mental Health Services Administration . National outcome measures (NOMs) for co-occurring disorders. Retrieved October 15, 2006, from http://www.oas.samhsa.gov/NOMsCoOccur2k6.pdf2006;
  32. Timko C, Dixon K, Moos RH. Treatment for dual diagnosis patients in the psychiatric and substance abuse systems. Mental Health Services Research. 2005;7:229–242
  33. US Department of Health and Human Services . Report to Congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2002;
  34. Virginia G-R, Christine EG. Addictions services treatment services and service delivery models for dually diagnosed clients: Variations across mental health and substance abuse providers. Community Mental Health Journal. 2005;41:251
  35. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler R. Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62:629–640
  36. Watkins K, Burnam A, Kung F, Paddock S. A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services. 2001;52:1062–1068
  37. Wu L, Ringwalt C, Williams CE. Use of substance abuse treatment services by persons with mental health and substance use problems. Psychiatric Services. 2003;54:353–369
  38. Ziedonis, D. M. (2004). Integrated treatment of co-occurring mental illness and addiction: Clinical intervention, program, and system perspectives. CNS Spectrums, 9, 892–904, 925.
  39. Zweben JE. Severely and persistently mentally ill substance abusers: Clinical and policy issues. Journal of Psychoactive Drugs. 2000;32:383–2000

 The views, opinions, and content of this article are those of the authors and do not necessarily reflect the views, opinions, and policies of the US Department of Health and Human Services or the Substance Abuse and Mental Health Services Administration.

PII: S0740-5472(07)00092-X

doi: 10.1016/j.jsat.2006.12.032

Journal of Substance Abuse Treatment
Volume 34, Issue 1 , Pages 3-13 , January 2008