title: Extended inpatient treatment of a refractory heroin addict: a multidisciplinary approach to patients with a dual diagnosis.
abstract: Chemically dependent patients may also have a psychiatric problem (e.g., thought disorder, affective disturbance, character pathology). They may suffer as well from concomitant neurological deficits. Consequently, such patients are difficult to treat, and they tend to relapse after achieving sobriety in a short-term treatment program. Traditional chemical dependency programs thus may run the risk of oversimplifying the needs of these refractory patients. The authors present a clinical case to illustrate how an in-depth assessment and extended inpatient care by a multidisciplinary treatment team can achieve more lasting success with refractory dual-diagnosis patients.
authors.affiliation: Short-Term Diagnostic and Treatment Unit, Menninger Clinic, Topeka, KS 66601-0829.
authors.forename: L A
authors.initials: LA
authors.lastname: Levine
authors.forename: P N
authors.initials: PN
authors.lastname: Harper
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D006556:Heroin Dependence / Q000523:psychology / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D008134:Long-Term Care / Q000523:psychology; D008297:Male; D009483:Neuropsychological Tests; D010348:Patient Care Team