title: Ethnic differences in the treatment of dual mental and substance disorders. A preliminary analysis.
abstract: Differences between white and ethnic client psychosocial functioning, psychiatric and substance abuse symptomatology, and service utilization costs from a longitudinal clinical trial examining the relative cost effectiveness of three specialized interventions for dual disorders are compared within the study sample and to the existing literature. Ethnic clients comprised 30% of the treated sample, had lower psychosocial functioning scores (rated and self-reported), and received less supportive treatment services during the first 6 months of the intervention program; however, their overall outcomes were equivalent to those of white clients at 6 months. There were no functioning or symptom outcome differences across the three treatment groups, but the 12-step group had the highest intensive and supportive service costs over time, and also the greatest reductions in intensive service costs after 6 months. Clinical issues are described and the clinical implications for more effectively serving dually diagnosed ethnic clients are outlined.
authors.affiliation: Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, Columbia 29203, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Jerrell
authors.forename: J L
authors.initials: JL
authors.lastname: Wilson
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000191:economics; D019090:Case Management / Q000191:economics; D003362:Cost-Benefit Analysis; D017831:Diagnosis, Dual (Psychiatry); D005006:Ethnicity / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000191:economics; D011618:Psychotic Disorders / Q000208:ethnology / Q000534:rehabilitation*; D012559:Schizophrenia / Q000208:ethnology / Q000534:rehabilitation*; D012657:Self-Help Groups / Q000191:economics; D019966:Substance-Related Disorders / Q000208:ethnology / Q000534:rehabilitation*; D044465:White People / Q000523:psychology