title: Recovery challenges among dually diagnosed individuals.
abstract: Although there is a high prevalence of co-occurring mental and substance abuse disorders, and empirical evidence shows the need to integrate multiple treatment services for dually diagnosed persons, service integration is relatively recent and often poorly implemented. Moreover, service providers and clients often hold divergent views of what constitute appropriate and feasible treatment goals. This paper presents interview data from an urban sample of dually diagnosed members of self-help groups (N = 310) concerning the challenges confronting them in their recovery, and discusses the interrelations of these issues. The findings indicate that most clients struggle with emotional and socioeconomic issues, which bear significantly on their ability to handle adequately other aspects of recovery.
authors.affiliation: National Development and Research Institutes, Inc., 2 World Trade Center, New York, NY 10048, USA. alexandre.laudet@ndri.org
authors.forename: A B
authors.initials: AB
authors.lastname: Laudet
authors.forename: S
authors.initials: S
authors.lastname: Magura
authors.forename: H S
authors.initials: HS
authors.lastname: Vogel
authors.forename: E
authors.initials: E
authors.lastname: Knight
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D011446:Prospective Studies; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D014481:United States