| Comparative effectiveness of three approaches to serving people with severe mental illness and substance abuse disorders. | |
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MedLine Citation:
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PMID: 7561818 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study examines the rationale for and relative effectiveness of three intervention models for treating people with severe mental illness and substance abuse disorders: Twelve Step recovery, behavioral skills training, and intensive case management. Using clinical trial methods, 132 dually diagnosed clients were assigned to three service approaches. Changes in client psychosocial outcomes, and psychiatric and substance abuse symptomatology were tracked over a 24-month period. Differential effectiveness was evident, with clients in the behavioral skills group demonstrating the most positive and significant differences in psychosocial functioning and symptomatology, compared with the Twelve Step recovery approach. However, the case management intervention also resulted in several positive and important differences compared with the Twelve Step recovery approach. We also found significant changes over time, not only at 6 months but increasingly positive changes in psychosocial functioning at 12 and 18 months as well. These results underscore the need for clinical trials to further examine the relative cost effectiveness of treatment approaches for dually disordered clients and to incorporate means of assessing subgroup differences so that the interventions being tested can be further refined and targeted to a broad set of needs among the dually diagnosed. |
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Authors:
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J M Jerrell; M S Ridgely |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Journal of nervous and mental disease Volume: 183 ISSN: 0022-3018 ISO Abbreviation: J. Nerv. Ment. Dis. Publication Date: 1995 Sep |
Date Detail:
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Created Date: 1995-10-26 Completed Date: 1995-10-26 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0375402 Medline TA: J Nerv Ment Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 566-76 Citation Subset: AIM; IM |
Affiliation:
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Department of Neuropsychiatry and Behavioral Sciences, University of South Carolina School of Medicine, Columbia, South Carolina 29203, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Case Management Diagnosis, Dual (Psychiatry) Humans Male Mental Disorders / complications*, diagnosis Mental Health Services / organization & administration*, standards* Substance-Related Disorders / complications*, diagnosis |
| Grant Support | |
ID/Acronym/Agency:
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R01-MH46331/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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