Improving treatment services for substance abusers with comorbid depression.
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.
Womack
Sharon
S
Department of Psychiatry, Washington University, St. Louis, MO, USA.
Compton
Wilson M
WM
Dennis
Michael
M
McCormick
Scott
S
Fraser
James
J
Horton
Joseph C
JC
Spitznagel
Edward L
EL
Cottler
Linda B
LB
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