title: A pilot study comparing severely and persistently mentally ill opiate-addicted patients in dual-diagnosis treatment with patients in methadone maintenance.
abstract: The authors describe a severely and persistently mentally ill (SPMI) opiate-addicted (OA) patient sample (n = 43) in a dual-diagnosis outpatient treatment program by demographic, clinical, and treatment characteristics and compare these with other dually diagnosed SPMI patients in the same treatment center (n = 297). Also, those SPMI/OA patients with physiological dependence (n = 20) were compared with a matched sample of OA patients in traditional methadone maintenance (n = 20). The authors then present a clinical evaluation of treatment course and outcome for the SPMI/OA patients (n = 43) and discuss implications from these pilot data.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
authors.forename: C
authors.initials: C
authors.lastname: Jaffe
authors.forename: K A
authors.initials: KA
authors.lastname: Comtois
authors.forename: D A
authors.initials: DA
authors.lastname: Calsyn
authors.forename: A J
authors.initials: AJ
authors.lastname: Saxon
mesh_terms: D000328:Adult; D015897:Comorbidity; D003710:Demography; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000188:drug therapy / Q000523:psychology*; D010865:Pilot Projects; D016896:Treatment Outcome
chemical_list: D009294:Narcotics; D008691:Methadone