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Serving the dually diagnosed homeless: program development and interventions.

L E Blankertz1, R A Cnaan

  • 1Matrix Research Institute, Philadelphia, PA 19144.

Journal of Mental Health Administration
|July 1, 1993
PubMed
Summary

This study details a hybridized program for dually diagnosed individuals (severe mental illness and substance abuse). Effective interventions include engagement, structure, positive reinforcement, and self-esteem building for multiply impaired patients.

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Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Clinical Psychology

Background:

  • Dual diagnosis, encompassing severe mental illness and substance abuse, presents complex challenges in treatment.
  • Multiply impaired individuals often require specialized, integrated care approaches for effective management.

Purpose of the Study:

  • To present characteristics of the dually diagnosed population.
  • To describe a hybridized program and interventions empirically proven effective for this group.
  • To highlight the impact of these interventions on staff management and funding acquisition.

Main Methods:

  • Based on a three-year federally funded demonstration project.
  • Employs a hybridized program model.
  • Focuses on specific, empirically validated interventions.

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Main Results:

  • Engagement, care and nurturing, structure, limit setting, and responsibility development were effective.
  • Positive reinforcement and self-esteem building significantly impacted patient outcomes.
  • Interventions demonstrated positive effects on staff management and securing funding.

Conclusions:

  • A hybridized program with specific interventions is effective for dually diagnosed individuals.
  • Key interventions foster patient progress and improve program sustainability.
  • Findings offer valuable insights for managing complex patient populations and supporting treatment programs.