title: Outpatient vs. inpatient treatment for the chronically mentally ill with substance use disorders.
abstract: Treatment decisions about complex patients with both substance use disorders and chronic mental illness cannot be reduced to an inpatient vs. outpatient dichotomy. Treatment progresses through a series of stages, in each of which we must make decisions about treatment settings and approaches. I discuss treatment decisions within the framework of a staged treatment model, reviewing decisions to be made during stabilization, engagement, persuasion, active (or primary) treatment, and relapse prevention (or aftercare).
authors.affiliation: Department of Psychiatry, University of South Dakota School of Medicine, Sioux Falls.
authors.forename: L
authors.initials: L
authors.lastname: Kofoed
mesh_terms: D000553:Ambulatory Care; D002908:Chronic Disease; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*