A review of research on residential programs for people with severe mental illness and co-occurring substance use disorders
A review of research on residential programs for people with severe mental illness and co-occurring substance use disorders
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DOI：
10.1080/09595230412331324590
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发表时间：
2004-12-01
影响因子：
3.8
通讯作者：
Drake, RE
中科院分区：
文献类型：
--
作者：
Brunette, MF;Mueser, KT;Drake, RE
药物滥用障碍是患有严重精神疾病的患者中最常见且具有临床意义的共病，与治疗反应不佳、无家可归和其他不良后果相关。为患有双重疾病的客户提供的住宿计划整合了心理健康治疗、药物滥用干预、住房和其他支持。十项对照研究表明，更大程度地整合药物滥用和心理健康服务比较少整合更有效。由于研究受到方法论问题的限制，因此需要进一步研究来确定寄宿项目的有效性，描述重要的项目要素，建立提高寄宿项目参与度和保留率的方法，并明确哪些客户从此类服务中受益。
Substance use disorder is the most common and clinically significant co-morbidity among clients with severe mental illnesses, associated with poor treatment response, homelessness and other adverse outcomes. Residential programs for clients with dual disorders integrate mental health treatment, substance abuse interventions, housing and other supports. Ten controlled studies suggest that greater levels of integration of substance abuse and mental health services are more effective than less integration. Because the research is limited by methodological problems, further research is needed to establish the effectiveness of residential programs, to characterize important program elements, to establish methods to improve engagement into and retention in residential programs and to clarify which clients benefit from this type of service.