One-year follow-up of dual diagnosis patients attending a 4-month integrated inpatient treatment.
The purpose of this study was to assess a 4-month inpatient treatment program based on integrated models for patients with substance use and psychiatric disorders (dual diagnosis patients). On admission and at the 1-year follow-up, a consecutive sample of 118 dual diagnosis patients who entered the program were assessed by interview. Eighty-four patients (70.6%) completed the 1-year follow-up interview, reporting less frequent substance use, less severe psychiatric symptoms, a lower rehospitalization rate, and better housing conditions than on admission. Patients diagnosed with a comorbid personality disorder had a better improvement in the frequency of drinking and were less likely to be rehospitalized than patients with schizophrenia or depression. The results suggest that the integrated inpatient program may be a promising treatment approach for dual diagnosis patients. The results await replication in controlled studies that need to include an assessment of outpatient treatment following inpatient programs.
Moggi
Franz
F
University Hospital of Clinical Psychiatry Berne, Switzerland. moggi@puk.unibe.ch
Brodbeck
Jeanette
J
Költzsch
Kerstin
K
Hirsbrunner
Hans-Peter
HP
Bachmann
Kurt Marc
KM
D000328:Adult; D019033:Delivery of Health Care, Integrated; D017831:Diagnosis, Dual (Psychiatry) / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*; D013557:Switzerland; D013997:Time Factors; D016896:Treatment Outcome