title: Feasibility of a skills training approach to reduce substance dependence among individuals with schizophrenia.
abstract: A novel treatment for persons who have both schizophrenia and substance abuse was evaluated by incorporating cognitive-behavioral drug relapse prevention strategies into a skills training method originally developed to teach social and independent living skills to patients with schizophrenia. Thirty-four of 56 patients completed treatment and a three-month follow-up assessment. Participants learned substance abuse management skills and reported that they found the treatment relevant, useful, and satisfying, and their drug use decreased. Improvements were noted in medication adherence, psychiatric symptoms, and quality of life. This manual-driven therapy may play an important role in the treatment of substance abuse among patients with schizophrenia.
authors.affiliation: Department of Psychiatry (116A), West Los Angeles VA Medical Center, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA. andrew.shaner@med.va.gov
authors.forename: Andrew
authors.initials: A
authors.lastname: Shaner
authors.forename: Thad
authors.initials: T
authors.lastname: Eckman
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Roberts
authors.forename: Thomas
authors.initials: T
authors.lastname: Fuller
mesh_terms: D000328:Adult; D017831:Diagnosis, Dual (Psychiatry); D005240:Feasibility Studies; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D012559:Schizophrenia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D055502:Secondary Prevention; D020377:Self Efficacy; D019966:Substance-Related Disorders / Q000150:complications / Q000517:prevention & control*; D014728:Veterans / Q000193:education / Q000523:psychology*