Treatment of psychiatric impairment complicated by co-occurring substance use: impact on rehospitalization.
This study employs available clinical data to examine the impact of a structured ward-based extended treatment program for the co-occurring issues of psychiatric impairments and substance abuse as well as a short-term variant of that program for acute care settings. While individuals with these co-occurring difficulties are often considered to be relatively refractory to treatment with inevitably poorer outcomes, the data from this study indicate that significantly decreased rehospitalization rates were realized as a result of these interventions. The implications of our procedures for treatment in similar settings, as well as how treatment in such settings can be evaluated, are discussed.
Psychological Services, Western State Hospital, Stanton, VA 24402-2500, USA. ddonat@wsh.state.va.us
Dennis C
DC
Donat
John
J
Haverkamp
D015897:Comorbidity; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D012114:Residential Treatment; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation*