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Translating Evidence-Based Practice for Managing Comorbid Substance Use and Mental Illness Using a Multimodal
Eva Louie1, Vicki Giannopoulos1, Andrew Baillie2
1a Discipline of Addiction Medicine , National Health and Medical Research Council (NHMRC) Centre for Excellence in Mental Health and Substance Use, The University of Sydney , New South Wales , Australia.
The Pathways to Comorbidity Care (PCC) program trains clinicians in integrated care for co-occurring mental health and substance use disorders. This approach aims to improve treatment outcomes for vulnerable clients in public drug and alcohol services.
Area of Science:
- Addiction Medicine
- Psychiatry
- Implementation Science
Background:
- Comorbid mental health and substance use disorders are common in treatment settings.
- These co-occurring conditions often lead to worse treatment outcomes.
- Integrated care models are needed to address this challenge.
Purpose of the Study:
- To describe the Pathways to Comorbidity Care (PCC) training program.
- To outline the use of implementation science to address barriers to integrated care.
- To facilitate improved identification and management of comorbid conditions.
Main Methods:
- PCC is a multimodal training program.
- Training includes didactic seminars, workshops (e.g., motivational interviewing, cognitive behavioral therapy), clinical consultation, and an online portal.
- Implementation science principles were used to assess and overcome barriers.
Main Results:
- The PCC program incorporates diverse training components.
- An online portal provides resources like manuals, guidelines, and webinars.
- The evaluation of PCC implementation is described.
Conclusions:
- Public drug and alcohol services must be equipped to treat comorbid mental health conditions.
- The PCC multimodal training package applies implementation science.
- This program is anticipated to facilitate effective, integrated care for clients with co-occurring disorders.
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