THERAPY FOR DRUG ABUSERS WITH PSYCHIATRIC COMORBIDITY

在精神健康的精神分裂症患者中， 治疗设置和临床结果不佳，包括 住院率、自杀企图、急诊率上升， 无家可归和暴力行为的时期。 个人 与这种科摩罗对传统药物滥用的反应很差， 精神治疗 存在着巨大的临床和研究需求 开发创新和定义明确的行为疗法， 解决精神病和药物滥用问题的人口 问题 这项赠款重新申请建议开发和试点测试我们的双 诊断复发预防（DDRP）心理治疗方法 可卡因滥用者的治疗 这已经很有希望了 认知-行为方法整合和修改了传统的 药物滥用复吸预防和精神科社会技能培训 （包括精神症状和药物治疗）。 这项赠款建议的具体目标是： 1. 制定DDRP治疗师培训手册和患者工作手册; 2. 开发能力和依从性评级量表; 3. 制定并实施教学培训计划;以及 4. 开展DDRP治疗、培训和评级的试点研究 鳞片 在为期三年的第一阶段行为心理治疗研究结束时， 我们希望有方法和试验数据来支持第二阶段 功效试验

Cocaine abuse is common among schizophrenic patients in mental health treatment settings and results in poor clinical outcomes including increased hospitalizations, suicide attempts, emergency room visits, periods of homelessness, and episodes of violent behavior. Individuals with this comorbidity respond poorly to traditional drug abuse and psychiatric treatments. There exists a great clinical and research need to develop innovative and well defined behavioral therapies for this population which address both the psychiatric and substance abuse problems. This grant re-application proposes to develop and pilot test our Dual Diagnosis Relapse Prevention (DDRP) psychotherapy approach in the treatment of schizophrenic cocaine abusers. This already promising cognitive-behavioral approach integrates and modifies traditional substance abuse relapse prevention and psychiatric social skills training (including psychiatric symptom and medication management). The specific aims of this grant proposal are to: 1. Develop a DDRP Therapist Training Manual & Patient Workbook; 2. Develop Competence & Adherence Rating scales; 3. Develop and conduct a Didactic Training Program; and 4. Perform a Pilot Study of the DDRP Treatment, Training, and Rating Scales. At the end of this three year Stage One behavioral psychotherapy study, we anticipate to have the methods and pilot data to support a Stage Two efficacy trial.