Co-occurring mental and substance use disorders: promising approaches and research issues.
This paper surveys the mental health and drug user treatment literature, identifying promising approaches and research issues in the treatment of co-occurring mental illness and substance use disorders. The prevalence and classification of co-occurring disorders are briefly reviewed, and selected treatment models currently in use are described. Three models are cited as representing particularly promising approaches--comprehensive integrated treatment, assertive community treatment, and the modified therapeutic community--and best practices are summarized. This paper proposes a research agenda focused on relevant emerging treatment issues.
Sacks
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Center for the Integration of Research and Practice at National Development and Research Institutes, Inc., New York, New York 10048, USA. s-jsacks@ix.netcom.com
D003156:Community Mental Health Services; D015897:Comorbidity; D003191:Comprehensive Health Care; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013808:Therapeutic Community