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Recommendations for Integrated Systems and Services for People With Co-occurring Mental Health and Substance Use
Kenneth Minkoff1, Nancy H Covell1
1ZiaPartners, Tucson, Arizona (Minkoff); Department of Psychiatry, Harvard Medical School, Boston (Minkoff); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and Center for Practice Innovations, Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York City (Covell).
Abstract:
People with co-occurring mental and substance use disorders experience poor outcomes and incur high costs in multiple domains. Efforts to develop and disseminate evidence-based integrated programs for people with such co-occurring disorders began to wane in the past decade as efforts shifted toward integrating primary health care. Several recent trends underscore the need to refocus efforts on providing integrated care for people with both mental and substance use disorders. The authors summarize what is known about integrated care for people with these co-occurring disorders and recommend advancing implementation and research on integration and improving outcomes with existing resources.
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