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Psychiatric care management for chronic addictive disorders: conceptual framework
1Veterans Administration Medical Center and University of Minnesota, Minneapolis, Minn., USA. vhaminwillem@med.va.gov
The American Journal on Addictions
|October 3, 2001
Summary
Treating coexisting mental and addictive disorders is challenging due to system limitations. Care management offers a practical approach for any practitioner to manage these complex conditions effectively.
Area of Science:
- Psychiatry
- Clinical Psychology
- Addiction Medicine
Background:
- Coexisting mental and addictive disorders present significant treatment challenges.
- Current service systems are often ill-equipped to manage patients with both conditions.
- Clinicians frequently report insufficient skills to address both addictive and mental illnesses.
Purpose of the Study:
- To describe care management as a clinical approach for coexisting disorders.
- To present care management as a method applicable by any practitioner.
- To highlight care management's role in complementing rehabilitation and completing the continuum of care.
Main Methods:
- This article describes the principles and application of care management.
- It focuses on a practical clinical approach rather than specialized programs.
- The approach is designed for broad applicability across different practitioners.
Main Results:
- Care management is presented as a flexible and adaptable clinical strategy.
- It addresses the limitations of specialized programs for dual-disordered patients.
- The approach aims to improve treatment accessibility and integration.
Conclusions:
- Care management offers a viable solution for practitioners treating coexisting mental and addictive disorders.
- This approach can enhance the treatment of patients with complex needs.
- It supports a more integrated and comprehensive continuum of care for dual diagnoses.