title: Improving treatment services for substance abusers with comorbid depression.
abstract: Early identification of patients with comorbid depression and their subsequent enrollment in an enhanced psychiatric case management (PCM) intervention were examined as an effective way to engage depressed substance abuse patients into psychiatric treatment. Depression was screened using the Global Appraisal of Individual Needs (GAIN) and a DSM-IV checklist. Patients positive on both evaluations were assigned to PCM (n = 10) or to no case management, or treatment as usual (TAU) (n = 10). An examination of outcomes at six weeks indicated that PCM services are feasible and appear to be effective in encouraging use of psychiatric referral by depressed substance abusers.
authors.affiliation: Department of Psychiatry, Washington University, St. Louis, MO, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Womack
authors.forename: Wilson M
authors.initials: WM
authors.lastname: Compton
authors.forename: Michael
authors.initials: M
authors.lastname: Dennis
authors.forename: Scott
authors.initials: S
authors.lastname: McCormick
authors.forename: James
authors.initials: J
authors.lastname: Fraser
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Horton
authors.forename: Edward L
authors.initials: EL
authors.lastname: Spitznagel
authors.forename: Linda B
authors.initials: LB
authors.lastname: Cottler
mesh_terms: D000328:Adult; D019090:Case Management; D003863:Depression / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome