title: Integrated cognitive behaviour therapy for co-occurring substance misuse and major depression: lessons from a youth mental health service.
abstract: OBJECTIVE
  The aim of this paper is to describe a 20-week integrated cognitive behavioural therapy (CBT) program addressing co-occurring substance misuse and major depression in young people.
  
  
  METHODS
  Participants were aged between 15 and 25 years, met DSM-IV criteria for major depressive disorder and had at least weekly illicit drug use and/or weekly alcohol use exceeding the Australian national guidelines on alcohol.
  
  
  RESULTS
  Between December 2004 and January 2007, an integrated CBT program was offered to 60 young people with co-occurring depression and substance misuse who presented to a youth-specific mental health service. Young people attended for a median of 10.5 sessions.
  
  
  CONCLUSIONS
  We describe the components of a 20-week integrated CBT program for young people with co-occurring depression and comorbid substance misuse, as well as the challenges associated with providing such treatment. While integrated treatment approaches are recommended as best practice for this population, further evaluation is necessary to determine their effectiveness within routine clinical settings.
authors.affiliation: Orygen Youth Health, Melbourne, VIC, Australia.
authors.forename: Steve
authors.initials: S
authors.lastname: Carroll
authors.forename: Leanne
authors.initials: L
authors.lastname: Hides
authors.forename: Lisa
authors.initials: L
authors.lastname: Catania
authors.forename: Steve
authors.initials: S
authors.lastname: Mathias
authors.forename: Catherine
authors.initials: C
authors.lastname: Greenwood-Smith
authors.forename: Dan
authors.initials: D
authors.lastname: Lubman
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003865:Major Depressive Disorder / Q000150:complications / Q000628:therapy*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D010342:Patient Acceptance of Health Care; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*