title: Treatment for mental illness and substance abuse in a public psychiatric hospital. Successful strategies and challenging problems.
abstract: Although the literature on dual diagnosis has grown considerably over the last several years, report describing inpatient treatment models are less common. We describe some of the major treatment concerns in the dural diagnosis literature, such as using 12-step self-help programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), dealing with different stages of treatment, and developing a program with integrated substance abuse and psychiatric treatment. The practical application of these treatment issues is featured by showing how they are incorporated into an innovative inpatient dual diagnosis treatment program at a public psychiatric hospital. Finally, the treatment program is described in detail regarding administrative issues, staff training, daily treatment schedules, and patient demographics.
authors.affiliation: Wayne State University, Detroit, Michigan, USA.
authors.forename: C T
authors.initials: CT
authors.lastname: Mowbray
authors.forename: M
authors.initials: M
authors.lastname: Solomon
authors.forename: K M
authors.initials: KM
authors.lastname: Ribisl
authors.forename: M A
authors.initials: MA
authors.lastname: Ebejer
authors.forename: N
authors.initials: N
authors.lastname: Deiz
authors.forename: W
authors.initials: W
authors.lastname: Brown
authors.forename: H
authors.initials: H
authors.lastname: Bandla
authors.forename: D A
authors.initials: DA
authors.lastname: Luke
authors.forename: W S
authors.initials: WS
authors.lastname: Davidson
authors.forename: S
authors.initials: S
authors.lastname: Herman
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006778:Hospitals, Psychiatric; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D008824:Michigan / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data; D015397:Program Evaluation; D012657:Self-Help Groups; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome