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Titolo:
Implementing dual diagnosis services for clients with severe mental illness
Autore:
Drake, RE; Essock, SM; Shaner, A; Carey, RB; Minkoff, K; Kola, L; Lynde, D; Osher, FC; Clark, RE; Rickards, L;
Indirizzi:
New Hampshire Dartmouth Psychiat Res Ctr, Lebanon, NH 03766 USA New Hampshire Dartmouth Psychiat Res Ctr Lebanon NH USA 03766 H 03766 USA Mt Sinai Sch Med, New York, NY USA Mt Sinai Sch Med New York NY USAMt Sinai Sch Med, New York, NY USA Univ Calif Los Angeles, Sch Med, Los Angeles, CA 90024 USA Univ Calif Los Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA Syracuse Univ, Syracuse, NY 13244 USA Syracuse Univ Syracuse NY USA 13244Syracuse Univ, Syracuse, NY 13244 USA Case Western Reserve Univ, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA West Inst, Concord, NH USA West Inst Concord NH USAWest Inst, Concord, NH USA Univ Maryland, Sch Med, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 nd, Sch Med, Baltimore, MD 21201 USA Ctr Mental Hlth Serv, Rockville, MD USA Ctr Mental Hlth Serv Rockville MDUSA ental Hlth Serv, Rockville, MD USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 4, volume: 52, anno: 2001,
pagine: 469 - 476
SICI:
1075-2730(200104)52:4<469:IDDSFC>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
ASSERTIVE COMMUNITY TREATMENT; SUBSTANCE USE DISORDERS; INTEGRATED TREATMENT; ABUSE DISORDERS; CHRONIC-PATIENT; CASE-MANAGEMENT; TREATMENT MODEL; YOUNG-ADULTS; ILL PATIENTS; SCHIZOPHRENIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
87
Recensione:
Indirizzi per estratti:
Indirizzo: Drake, RE New Hampshire Dartmouth Psychiat Res Ctr, 2 Whipple Pl, Lebanon,NH 03766 USA New Hampshire Dartmouth Psychiat Res Ctr 2 Whipple Pl LebanonNH USA 03766
Citazione:
R.E. Drake et al., "Implementing dual diagnosis services for clients with severe mental illness", PSYCH SERV, 52(4), 2001, pp. 469-476

Abstract

After 20 years of development and research, dual diagnosis services for clients with severe mental illness are emerging as an evidence-based practice. Effective dual diagnosis programs combine mental health and substance abuse interventions that are tailored for the complex needs of clients with comorbid disorders. The authors describe the critical components of effectiveprograms, which include a comprehensive, long-term, staged approach to recovery; assertive outreach; motivational interventions; provision of help toclients in acquiring skills and supports to manage both illnesses and to pursue functional goals; and cultural sensitivity and competence. Many statemental health syst-erns are implementing dual diagnosis services, but high-quality services are rare. The authors provide an overview of the numerousbarriers to implementation and describe implementation strategies to overcome the barriers. Current approaches to implementing dual diagnosis programs involve organizational and financing changes at the policy level, clarityof program mission with structural changes to support dual diagnosis services, training and supervision for clinicians, and dissemination of accurateinformation to consumers and families to support understanding, demand, and advocacy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 08:00:13