title: Outpatient treatment of the mentally ill chemical abuser: an overview of problems and treatment strategies.
abstract: Patients who suffer from the effects of mental illness as well as chemical dependency have fared poorly in traditional mental health and substance abuse treatment. Presenting themselves in increasing numbers at both types of settings, they create challenges for clinicians. This article defines the scope of the problem and reviews treatment philosophies for the development of new approaches to care. Social workers can play a leadership role in integrating treatment theory and developing new clinical models in response to the challenges this patient population presents.
authors.affiliation: Substance Abuse Treatment Services, Long Island Jewish Medical Center, Glen Oaks, NY 11004.
authors.forename: K R
authors.initials: KR
authors.lastname: Amann
authors.forename: M
authors.initials: M
authors.lastname: Harris
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000628:therapy; D000553:Ambulatory Care; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000628:therapy*; D008875:Middle Aged; D008962:Models, Theoretical; D010044:Outpatient Clinics, Hospital; D012947:Social Work / Q000458:organization & administration; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications* / Q000628:therapy*