title: Clinical characteristics and service utilization patterns of clients with schizophrenia-spectrum disorders in public residential detoxification settings.
abstract: Little is known about the treatment needs of clients found in residential detoxification programs who have comorbid schizophrenia-spectrum and substance use disorders. This study (N = 166) compares the service use patterns of comorbid detoxification clients with schizophrenia-spectrum disorders (CDT-S) to two other client groups: (1) comorbid detoxification clients with other mental health disorders (CDT-O), and (2) comorbid clients in residential mental health facilities with schizophrenia-spectrum disorders (CMH-S). Results show that CDT-S clients were much less likely to receive subsequent mental health treatment than CMH-S clients. Findings indicate that detoxification programs may be important settings in which to identify clients with schizophrenia who have unmet mental health treatment needs.
authors.affiliation: Department of Psychiatry, University of California, San Francisco, CA 94143-0852-TRCR, USA. alvid@itsa.ucsf.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Alvidrez
authors.forename: Barbara E
authors.initials: BE
authors.lastname: Havassy
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000592:standards / Q000706:statistics & numerical data*; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D011635:Public Health Administration / Q000592:standards*; D012112:Residential Facilities / Q000592:standards / Q000706:statistics & numerical data; D012495:San Francisco; D012559:Schizophrenia / Q000150:complications / Q000628:therapy*; D016320:Substance Abuse Treatment Centers / Q000592:standards / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*