Dual diagnosis care for severe and persistent disorders. A comparison of three methods.
People with severe and persistent mental illnesses frequently suffer from addictive disorders as well. Managed care plans and at-risk providers who care for people with these conditions must understand, authorize, and provide evidence-based and cost-effective care. The authors of this article evaluated three specialized interventions for treating people with co-occurring severe mental illness and substance abuse. Treatment of both disorders was found to be essential. In addition, a behavioral skills training was found to improve outcomes and reduce total healthcare costs when compared with intensive case management and 12-Step recovery interventions. Supplemental supportive services further increase the overall value of care. Implications for managed care and at-risk providers are discussed.
Jerrell
J M
JM
University of South Carolina School of Medicine, USA.
Ridgely
M S
MS
D000436:Alcoholics Anonymous; D001521:Behavior Therapy; D019090:Case Management / Q000458:organization & administration; D002908:Chronic Disease; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000628:therapy*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D017063:Outcome Assessment, Health Care; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*; D014481:United States