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Organizational guidelines for dual disorders programs

C C Mercer1, K T Mueser, R E Drake

  • 1New Hampshire-Dartmouth Psychiatric Research Center, Concord 03301, USA.

The Psychiatric Quarterly
|July 31, 1998
PubMed
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Dual disorders, the combination of severe mental and substance use disorders, are increasingly recognized. This article provides guidelines for effective assessment and treatment strategies for these complex conditions.

Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Clinical Psychology

Background:

  • Dual disorders, encompassing severe mental and substance use disorders, were poorly recognized historically.
  • Increased prevalence and severe consequences have led to significant research and attention over the last two decades.
  • Substantial knowledge has accumulated regarding dual disorders and their treatment.

Purpose of the Study:

  • To provide evidence-based guidelines for the assessment and treatment of dual disorders.
  • To review current knowledge and recent research findings on dual disorders.
  • To offer recommendations for clinical interventions and program design.

Main Methods:

  • Review of current literature on dual disorders.
  • Analysis of recent research on assessment and treatment strategies.

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  • Synthesis of treatment principles and program components.

    • Main Results:

    • Accumulated knowledge provides numerous options for clinical interventions and program designs.
    • Established treatment principles and organizational recommendations for dual disorders programs.
    • Addressed controversial clinical issues and provided suggestions for their management.

    Conclusions:

    • Effective management of dual disorders requires integrated treatment approaches.
    • Guidelines are presented to aid clinicians and program designers in addressing dual disorders.
    • Continued research and adaptation to managed care environments are crucial for advancing care.