Journal ArticleDOI
Integrated treatment of co-occurring mental illness and addiction: clinical intervention, program, and system perspectives.
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TLDR
There is strong evidence to support the efficacy and effectiveness of integrated treatment in this population of patients, and clinical intervention, program, and system components of integratedreatment and specific clinical interventions for this population are reviewed.Abstract:
Individuals with mental illness and addiction comprise at least half of the patients in most mental health treatment systems. This combination results in increased risk for frequent psychiatric relapses, poor medication compliance, violence, suicide, legal problems, and high utilization of the emergency room or inpatient services. Traditional mental health and addiction treatments have not adequately addressed these co-occurring disorders due to clinical interventions, programs, and system flaws that have not addressed the individual's needs. Integrated treatment requires both an understanding of mental illness and addiction and the means to integrate and modify the traditional treatment approaches in both the mental health and addiction treatment fields. There is strong evidence to support the efficacy and effectiveness of integrated treatment in this population. All mental health clinicians should become experienced and skilled in the core psychotherapy approaches to treating substance use disorders, including motivational enhancement therapy, relapse prevention (cognitive-behavioral therapy), and 12-step facilitation. In addition, integrated treatment includes integrating medications for both addiction and mental illness with the behavioral therapies and other psychosocial interventions. This article reviews the clinical intervention, program, and system components of integrated treatment and specific clinical interventions for this population.read more
Citations
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Journal ArticleDOI
Integrated Treatment of Substance Use and Psychiatric Disorders
Thomas M. Kelly,Dennis C. Daley +1 more
TL;DR: This article focuses on a review of the risks for developing comorbid disorders and the combinations of treatments that appear to be most effective for clients with particular comor bid disorders.
Journal ArticleDOI
Improving the Care of Individuals with Schizophrenia and Substance Use Disorders: Consensus Recommendations
Douglas M. Ziedonis,David A. Smelson,Richard N. Rosenthal,Steven L. Batki,Alan I. Green,Renata J. Henry,Ivan D. Montoya,Joseph Parks,Roger D. Weiss +8 more
TL;DR: "Integrated treatment" is the new standard for evidence-based treatment for this population and recommendations are given to help clinicians implement such integrated treatment, and programmatic and systemic changes needed to overcome treatment barriers and promote the best outcomes for this patient population are reviewed.
Journal ArticleDOI
Addressing tobacco use disorder in smokers in early remission from alcohol dependence: The case for integrating smoking cessation services in substance use disorder treatment programs
David Kalman,Sun Kim,Gregory J. DiGirolamo,David A. Smelson,David A. Smelson,Douglas M. Ziedonis +5 more
TL;DR: This paper focuses on the impact and treatment implications of tobacco dependence among treatment-seeking alcoholics through a review of five areas of research and offers recommendations for research with an emphasis on clinical research for enhancing smoking cessation outcomes.
Journal ArticleDOI
Critical Time Intervention for Reentry From Prison for Persons With Mental Illness
TL;DR: CTI is described as a promising model to provide support for reentry from prison for people with mental illness and challenges remain in adapting it to specific correctional facilities, justice systems, and community contexts.
Journal Article
Bridging the gap between mental and physical health: a multidisciplinary approach.
TL;DR: A transformation of the existing mental health care system toward a system that utilizes a coordinated, multi-disciplinary, holistic approach not only may effectively bridge the existing gap between mental and physical health, but also may ultimately save lives.
References
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Self-efficacy: Toward a unifying theory of behavioral change☆☆☆
TL;DR: In this article, the authors present an integrative theoretical framework to explain and predict psychological changes achieved by different modes of treatment, including enactive, vicarious, exhortative, and emotive sources.
Journal ArticleDOI
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