Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: a clinical trial.
Integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach was compared to that within a standard case management approach for 223 patients with dual disorders over three years. ACT patients showed greater improvements on some measures of substance abuse and quality of life, but the groups were equivalent on most measures, including stable community days, hospital days, psychiatric symptoms, and remission of substance use disorder.
Drake
R E
RE
Department of Psychiatry, Dartmouth Medical School, Lebanon, N.H., USA. Robert.E.Drake@Dartmouth.edu
McHugo
G J
GJ
Clark
R E
RE
Teague
G B
GB
Xie
H
H
Miles
K
K
Ackerson
T H
TH
D000328:Adult; D003156:Community Mental Health Services; D015897:Comorbidity; D003688:Deinstitutionalization; D019033:Delivery of Health Care, Integrated; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009513:New Hampshire; D010043:Outcome and Process Assessment, Health Care; D010359:Patient Readmission; D011618:Psychotic Disorders / Q000534:rehabilitation*; D011788:Quality of Life; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D016896:Treatment Outcome