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Issues and outcomes in integrated treatment programs for dual disorders
J M Jerrell1, J L Wilson, D C Hiller
1University of South Carolina School of Medicine, Department of Neuropsychiatry and Behavioral Science, Columbia 29203, USA. jerrell.jeni@sc.edu
The Journal of Behavioral Health Services & Research
|August 10, 2000
Summary
Integrated treatment for dual disorders improved community functioning for consumers. While costs shifted, overall care expenses increased by one-third in the first year.
Area of Science:
- Psychiatry
- Addiction Medicine
- Health Services Research
Background:
- Dual disorders (co-occurring mental health and substance use disorders) present significant treatment challenges.
- Integrated service delivery models aim to address barriers faced by dually diagnosed individuals.
Purpose of the Study:
- To evaluate the outcomes of an integrated, dual disorder treatment program.
- To identify barriers and facilitators in delivering services to dually diagnosed consumers.
Main Methods:
- A 12-month integrated, dual disorder treatment program was implemented across two sites.
- Multidimensional indicators were used to assess treatment outcomes.
- Program implementation issues were documented.
Main Results:
- Consumers in the integrated program showed improved community functioning after 12 months.
- A cost shift occurred from mental health to drug and alcohol services.
- Total care costs increased by approximately one-third by the end of the first year.
Conclusions:
- Integrated treatment programs can enhance community functioning for individuals with dual disorders.
- Effective program implementation requires addressing specific barriers.
- Clinical management strategies are crucial for optimizing integrated care for this population.
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