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Published in: International Journal of Mental Health and Addiction 5/2012

01-10-2012

A Comparison of Treatment Outcomes for Individuals with Substance Use Disorder Alone and Individuals with Probable Dual Diagnosis

Authors: Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Published in: International Journal of Mental Health and Addiction | Issue 5/2012

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Abstract

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements were reported in the areas of: symptom distress and recovery from symptoms. This was despite greater scope for improvement in individuals with DD. Duration of treatment and access to post treatment services were also assessed. Understanding factors effecting treatment outcomes is imperative for the implementation of effective, evidence based treatment programs.
Literature
go back to reference Alterman, A. I., Bovasso, G. B., Cacciola, J. S., & McDermott, P. A. (2001). A comparison of the predictive validity of four sets of baseline ASI summary indices. Psychology of Addictive Behaviours, 15(2), 159–162.CrossRef Alterman, A. I., Bovasso, G. B., Cacciola, J. S., & McDermott, P. A. (2001). A comparison of the predictive validity of four sets of baseline ASI summary indices. Psychology of Addictive Behaviours, 15(2), 159–162.CrossRef
go back to reference Alterman, A. I., Cacciola, J. S., Habing, B., & Lynch, K. G. (2007). Addiction severity index recent and lifetime summary indexes based on nonparametric item response theory methods. Psychological Assessment, 19(1), 119–132.PubMedCrossRef Alterman, A. I., Cacciola, J. S., Habing, B., & Lynch, K. G. (2007). Addiction severity index recent and lifetime summary indexes based on nonparametric item response theory methods. Psychological Assessment, 19(1), 119–132.PubMedCrossRef
go back to reference Bartels, S. J., & Drake, R. E. (1996). A pilot study of residential treatment for dual diagnoses. The Journal of Nervous and Mental Disease, 184(6), 379–381.PubMedCrossRef Bartels, S. J., & Drake, R. E. (1996). A pilot study of residential treatment for dual diagnoses. The Journal of Nervous and Mental Disease, 184(6), 379–381.PubMedCrossRef
go back to reference Boden, M. T., & Moos, R. (2009). Dually diagnosed patients’ responses to substance use disorder treatment. Journal of Substance Abuse Treatment, 37(4), 335–345.PubMedCrossRef Boden, M. T., & Moos, R. (2009). Dually diagnosed patients’ responses to substance use disorder treatment. Journal of Substance Abuse Treatment, 37(4), 335–345.PubMedCrossRef
go back to reference Boganschutz, M. P. (2005). Specialized 12-step programs and 12-step facilitation for the dually diagnosed. Community Mental Health Journal, 41(1), 7–20.CrossRef Boganschutz, M. P. (2005). Specialized 12-step programs and 12-step facilitation for the dually diagnosed. Community Mental Health Journal, 41(1), 7–20.CrossRef
go back to reference Bogenschutz, M. P., & Atkin, S. J. (2000). 12 step participation and attitudes toward 12-step meetings in dual diagnosis patients. Alcoholism Treatment Quarterly, 18(4), 31–45.CrossRef Bogenschutz, M. P., & Atkin, S. J. (2000). 12 step participation and attitudes toward 12-step meetings in dual diagnosis patients. Alcoholism Treatment Quarterly, 18(4), 31–45.CrossRef
go back to reference Bogenschutz, M. P., Geppert, C. M. A., & George, J. (2006). The role of twelve-step approaches in dual diagnosis treatment and recovery. The American Journal on Addictions, 15(1), 50–60.PubMedCrossRef Bogenschutz, M. P., Geppert, C. M. A., & George, J. (2006). The role of twelve-step approaches in dual diagnosis treatment and recovery. The American Journal on Addictions, 15(1), 50–60.PubMedCrossRef
go back to reference Breiner, M. J., Stritzke, W. G. K., & Lang, A. R. (1999). Approaching avoidance: A step essential to the understanding of craving. Alcohol Research & Health, 23(3), 197–207. Breiner, M. J., Stritzke, W. G. K., & Lang, A. R. (1999). Approaching avoidance: A step essential to the understanding of craving. Alcohol Research & Health, 23(3), 197–207.
go back to reference Brown, S. A., Vik, P. W., Patterson, T. L., Grant, I., & Schuckit, M. A. (1995). Stress, vulnerability and adult alcohol relapse. Journal of Studies on Alcohol and Drugs, 56(5), 538–545. Brown, S. A., Vik, P. W., Patterson, T. L., Grant, I., & Schuckit, M. A. (1995). Stress, vulnerability and adult alcohol relapse. Journal of Studies on Alcohol and Drugs, 56(5), 538–545.
go back to reference Cacciola, J. S., Alterman, A. I., McKay, J. R., & Rutherford, M. J. (2001). Psychiatric comorbidity in patients with substance use disorders: Do not forget axis II disorders. Psychiatric Annals, 31(5), 321–332. Cacciola, J. S., Alterman, A. I., McKay, J. R., & Rutherford, M. J. (2001). Psychiatric comorbidity in patients with substance use disorders: Do not forget axis II disorders. Psychiatric Annals, 31(5), 321–332.
go back to reference Cacciola, J. S., Koppenhaver, J. M., McKay, J. R., & Alterman, A. (1999). Test-retest reliability of the lifetime items on the addiction severity index. Psychological Assessment, 11(1), 86–93.CrossRef Cacciola, J. S., Koppenhaver, J. M., McKay, J. R., & Alterman, A. (1999). Test-retest reliability of the lifetime items on the addiction severity index. Psychological Assessment, 11(1), 86–93.CrossRef
go back to reference Cacciola, J. S., Pecoraro, A., & Alterman, A. I. (2008). Development of ASI psychiatric severity cut-off scores to identify co-occurring psychiatric disorders. International Journal of Mental Health and Addiction, 6(1), 77–92.CrossRef Cacciola, J. S., Pecoraro, A., & Alterman, A. I. (2008). Development of ASI psychiatric severity cut-off scores to identify co-occurring psychiatric disorders. International Journal of Mental Health and Addiction, 6(1), 77–92.CrossRef
go back to reference Calsyn, D. A., Saxon, A. J., Bush, K. R., Howell, D. N., Baer, J. S., Sloan, K. L., & Kivlahan, D. R. (2004). The addiction severity index medical and psychiatric composite scores measure similar domains as the SF-36 in substance-dependent veterans: Concurrent and discriminant validity. Drug and Alcohol Dependence, 76(2), 165–171.PubMedCrossRef Calsyn, D. A., Saxon, A. J., Bush, K. R., Howell, D. N., Baer, J. S., Sloan, K. L., & Kivlahan, D. R. (2004). The addiction severity index medical and psychiatric composite scores measure similar domains as the SF-36 in substance-dependent veterans: Concurrent and discriminant validity. Drug and Alcohol Dependence, 76(2), 165–171.PubMedCrossRef
go back to reference Carroll, S. (1993). Spirituality and purpose in life in alcoholism recovery. Journal of Studies on Alcohol, 54(3), 297–301.PubMed Carroll, S. (1993). Spirituality and purpose in life in alcoholism recovery. Journal of Studies on Alcohol, 54(3), 297–301.PubMed
go back to reference Chung, S., Domino, M. E., & Morrissey, J. P. (2009). Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders. Community Mental Health Journal, 45(5), 375–384.PubMedCrossRef Chung, S., Domino, M. E., & Morrissey, J. P. (2009). Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders. Community Mental Health Journal, 45(5), 375–384.PubMedCrossRef
go back to reference Corrigan, P. W., Salzer, M., Ralph, R. O., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30(4), 1035–1042.PubMedCrossRef Corrigan, P. W., Salzer, M., Ralph, R. O., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30(4), 1035–1042.PubMedCrossRef
go back to reference Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334.CrossRef Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334.CrossRef
go back to reference Currie, S. R., el-Guebaly, N., Coulson, R., Hodgins, D., & Mansley, C. (2004). Factor validation of the addiction severity index scale structure in persons with concurrent disorders. Psychological Assessment, 16(3), 326–329.PubMedCrossRef Currie, S. R., el-Guebaly, N., Coulson, R., Hodgins, D., & Mansley, C. (2004). Factor validation of the addiction severity index scale structure in persons with concurrent disorders. Psychological Assessment, 16(3), 326–329.PubMedCrossRef
go back to reference Drake, R. E., Essock, S. M., Shaner, A., Carey, K. B., Minkoff, K., Kola, L., & Rickards, L. (2001). Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services, 52(4), 469–476.PubMedCrossRef Drake, R. E., Essock, S. M., Shaner, A., Carey, K. B., Minkoff, K., Kola, L., & Rickards, L. (2001). Implementing dual diagnosis services for clients with severe mental illness. Psychiatric Services, 52(4), 469–476.PubMedCrossRef
go back to reference Enstrom, C. (2010). Social workers ability to assess how clients experience investigation sessions- with and without the ASI. Journal of Social Work, 9(3), 309–321.CrossRef Enstrom, C. (2010). Social workers ability to assess how clients experience investigation sessions- with and without the ASI. Journal of Social Work, 9(3), 309–321.CrossRef
go back to reference Galanter, M. (2007). Spirituality and recovery in 12-step programs: An empirical model. Journal of Substance Abuse Treatment, 33(3), 265–272.PubMedCrossRef Galanter, M. (2007). Spirituality and recovery in 12-step programs: An empirical model. Journal of Substance Abuse Treatment, 33(3), 265–272.PubMedCrossRef
go back to reference Gerstein, D. R., & Johnson, R. A. (2001). Nonresponse and selection bias in treatment follow-up studies. Substance Use and Misuse, 36(12), 1749–51. 1753–59.CrossRef Gerstein, D. R., & Johnson, R. A. (2001). Nonresponse and selection bias in treatment follow-up studies. Substance Use and Misuse, 36(12), 1749–51. 1753–59.CrossRef
go back to reference Grana, J. L., Munoz, J. J., & Navas, E. (2009). Normal and pathological personality characteristics in subtypes of drug addicts undergoing treatment. Personality and Individual Differences, 46(4), 418–423.CrossRef Grana, J. L., Munoz, J. J., & Navas, E. (2009). Normal and pathological personality characteristics in subtypes of drug addicts undergoing treatment. Personality and Individual Differences, 46(4), 418–423.CrossRef
go back to reference Grella, C. E., Hser, Y. I., Joshi, V., & Anglin, M. D. (1999). Patient histories, retention, and outcome models for younger and older adults in DATOS. Drug and Alcohol Dependence, 57(2), 151–166.PubMedCrossRef Grella, C. E., Hser, Y. I., Joshi, V., & Anglin, M. D. (1999). Patient histories, retention, and outcome models for younger and older adults in DATOS. Drug and Alcohol Dependence, 57(2), 151–166.PubMedCrossRef
go back to reference Griffin, M. L., Kolodziej, M. E., & Weiss, R. D. (2009). Measuring principle substance of abuse in comorbid patients for clinical research. Addictive Behaviours, 34(10), 826–829.CrossRef Griffin, M. L., Kolodziej, M. E., & Weiss, R. D. (2009). Measuring principle substance of abuse in comorbid patients for clinical research. Addictive Behaviours, 34(10), 826–829.CrossRef
go back to reference Hall, W., Degenhardt, L., & Teesson, M. (2009). Understanding comorbidity between substance use, anxiety and affective disorders: Broadening the research base. Addictive Behaviours, 34(10), 795–799.CrossRef Hall, W., Degenhardt, L., & Teesson, M. (2009). Understanding comorbidity between substance use, anxiety and affective disorders: Broadening the research base. Addictive Behaviours, 34(10), 795–799.CrossRef
go back to reference Havassy, B. E., Alvidrez, J., & Owen, K. K. (2004). Comparisons of patients with comorbid psychiatric and substance use disorders: Implications for treatment and service delivery. The American Journal of Psychiatry, 161(1), 139–145.PubMedCrossRef Havassy, B. E., Alvidrez, J., & Owen, K. K. (2004). Comparisons of patients with comorbid psychiatric and substance use disorders: Implications for treatment and service delivery. The American Journal of Psychiatry, 161(1), 139–145.PubMedCrossRef
go back to reference Hayes, R. A., Andrews, N., Baron-Jeffrey, M., Conley, C., Gridley, K., Norman, R., & Wright, G. (2003). Service enhancement to a dual-diagnosis population: Mental illness/substance abuse (MISA). Quality Management in Health Care, 12(3), 133–150.PubMed Hayes, R. A., Andrews, N., Baron-Jeffrey, M., Conley, C., Gridley, K., Norman, R., & Wright, G. (2003). Service enhancement to a dual-diagnosis population: Mental illness/substance abuse (MISA). Quality Management in Health Care, 12(3), 133–150.PubMed
go back to reference Herman, S. E., Frank, K. A., Mowbray, C. T., Ribisl, K. M., & Davidson, W. S. (2000). Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders. The Journal of Behavioral Health Services and Research, 27(3), 286–302.CrossRef Herman, S. E., Frank, K. A., Mowbray, C. T., Ribisl, K. M., & Davidson, W. S. (2000). Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders. The Journal of Behavioral Health Services and Research, 27(3), 286–302.CrossRef
go back to reference Hipwell, A. E., Singh, K., & Clark, A. (2000). Substance misuse among clients with severe and enduring mental illness: Service utilisation and implications for clinical management. Journal of Mental Health, 9(1), 37–50.CrossRef Hipwell, A. E., Singh, K., & Clark, A. (2000). Substance misuse among clients with severe and enduring mental illness: Service utilisation and implications for clinical management. Journal of Mental Health, 9(1), 37–50.CrossRef
go back to reference Hodgins, D. C., & el-Guebaly, N. (1992). More data on the addiction severity index: Reliability and validity with the mentally ill substance abuser. The Journal of Nervous and Mental Disease, 180(3), 197–201.PubMedCrossRef Hodgins, D. C., & el-Guebaly, N. (1992). More data on the addiction severity index: Reliability and validity with the mentally ill substance abuser. The Journal of Nervous and Mental Disease, 180(3), 197–201.PubMedCrossRef
go back to reference Howland, R. H., Rush, A. J., Wisniewski, S. R., Trivedi, M. H., Warden, D., Fava, M., Davis, L. L., Balasubramani, G. K., McGrath, P. J., & Berman, S. R. (2009). Concurrent anxiety and substance use disorder among outpatients with major depression: Clinical features and effect on treatment outcome. Drug and Alcohol Dependence, 99(1), 248–260.PubMedCrossRef Howland, R. H., Rush, A. J., Wisniewski, S. R., Trivedi, M. H., Warden, D., Fava, M., Davis, L. L., Balasubramani, G. K., McGrath, P. J., & Berman, S. R. (2009). Concurrent anxiety and substance use disorder among outpatients with major depression: Clinical features and effect on treatment outcome. Drug and Alcohol Dependence, 99(1), 248–260.PubMedCrossRef
go back to reference Kandel, D. B., Huang, F., & Davies, M. (2001). Comorbidity between patterns of substance use dependence and psychiatric syndromes. Drug and Alcohol Dependence, 64(2), 233–241.PubMedCrossRef Kandel, D. B., Huang, F., & Davies, M. (2001). Comorbidity between patterns of substance use dependence and psychiatric syndromes. Drug and Alcohol Dependence, 64(2), 233–241.PubMedCrossRef
go back to reference Kennedy, S. (1999). Responsivity: The other classification principle. Corrections Today, 61(1), 48–74. Kennedy, S. (1999). Responsivity: The other classification principle. Corrections Today, 61(1), 48–74.
go back to reference Kennedy, S. (2000). Treatment responsivity: Reducing recidivism by enhancing treatment effectiveness. Forum of Corrections Research, 12, 19–23. Kennedy, S. (2000). Treatment responsivity: Reducing recidivism by enhancing treatment effectiveness. Forum of Corrections Research, 12, 19–23.
go back to reference Kessler, R. C. (2004). Impact of substance abuse on the diagnosis, course and treatment of mood disorders: The epidemiology of dual diagnosis. Biological Psychiatry, 56, 730–737.PubMedCrossRef Kessler, R. C. (2004). Impact of substance abuse on the diagnosis, course and treatment of mood disorders: The epidemiology of dual diagnosis. Biological Psychiatry, 56, 730–737.PubMedCrossRef
go back to reference Krupski, A., Campbell, K., Joesch, J. M., Lucenko, B. A., & Roy-Byrne, P. (2009). Impact of access to recovery services on alcohol/drug treatment outcomes. Journal of Substance Abuse Treatment, 37(4), 435–442.PubMedCrossRef Krupski, A., Campbell, K., Joesch, J. M., Lucenko, B. A., & Roy-Byrne, P. (2009). Impact of access to recovery services on alcohol/drug treatment outcomes. Journal of Substance Abuse Treatment, 37(4), 435–442.PubMedCrossRef
go back to reference Libby, A. M., Orton, H. D., Stover, S. K., & Riggs, P. D. (2005). What came first, major depression or substance use disorder? Clinical characteristics and substance use comparing teens in a treatment cohort. Addictive Behaviours, 30(9), 1649–1662.CrossRef Libby, A. M., Orton, H. D., Stover, S. K., & Riggs, P. D. (2005). What came first, major depression or substance use disorder? Clinical characteristics and substance use comparing teens in a treatment cohort. Addictive Behaviours, 30(9), 1649–1662.CrossRef
go back to reference Love, A., James, D., & Willner, P. (1998). A comparison of two alcohol craving questionnaires. Addiction, 93(7), 1091–1102.PubMedCrossRef Love, A., James, D., & Willner, P. (1998). A comparison of two alcohol craving questionnaires. Addiction, 93(7), 1091–1102.PubMedCrossRef
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.
go back to reference Magura, S., Cleland, C., Vogel, H. S., Knight, E. L., & Laudet, A. B. (2007). Effects of ‘dual diagnosis’ mutual aid on self-efficacy for recovery and quality of life. Administration and Policy in Mental Health Services Research, 34(1), 1–12.CrossRef Magura, S., Cleland, C., Vogel, H. S., Knight, E. L., & Laudet, A. B. (2007). Effects of ‘dual diagnosis’ mutual aid on self-efficacy for recovery and quality of life. Administration and Policy in Mental Health Services Research, 34(1), 1–12.CrossRef
go back to reference Mason, S. J., Deane, F. P., Kelly, P. J., & Crowe, T. P. (2009). Do spiritually and religiosity help in the management of cravings in substance abuse treatment? Substance Use & Misuse, 44(13), 1926–1940.CrossRef Mason, S. J., Deane, F. P., Kelly, P. J., & Crowe, T. P. (2009). Do spiritually and religiosity help in the management of cravings in substance abuse treatment? Substance Use & Misuse, 44(13), 1926–1940.CrossRef
go back to reference McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, R., Grissom, G., & Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199–213.PubMedCrossRef McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, R., Grissom, G., & Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199–213.PubMedCrossRef
go back to reference Mental Health Council of Australia [MHCA]. (2010). Mental Health Fact Sheet: Statistics on Mental Health in Australia. Retrieved from http://www.mhca. org.au/documents/AboutMentalHealth/FactsonMentalHealth.pdf Mental Health Council of Australia [MHCA]. (2010). Mental Health Fact Sheet: Statistics on Mental Health in Australia. Retrieved from http://​www.​mhca. org.au/documents/AboutMentalHealth/FactsonMentalHealth.pdf
go back to reference Mills KL, Deady M, Proudfoot H, Sannibale C, Teesson M, Mattick R, Burns L (2010). Guidelines on the Management of Co-Occurring Alcohol and Other Drug and Mental Health Conditions in Alcohol and Other Drug Treatment Settings. University of New South Wales: National Drug and Alcohol Research Centre. Retrieved from http://ndarc.med.unsw.edu.au/ NDARCWeb.nsf/page/Comorbidity+Guidelines Mills KL, Deady M, Proudfoot H, Sannibale C, Teesson M, Mattick R, Burns L (2010). Guidelines on the Management of Co-Occurring Alcohol and Other Drug and Mental Health Conditions in Alcohol and Other Drug Treatment Settings. University of New South Wales: National Drug and Alcohol Research Centre. Retrieved from http://​ndarc.​med.​unsw.​edu.​au/​ NDARCWeb.nsf/page/Comorbidity+Guidelines
go back to reference Moos, R. F., Finney, J. W., Federman, E. B., & Suchinsky, R. (2000). Speciality mental health care improves patients’ outcomes: Findings from a nationwide program to monitor the quality of care for patients with substance use disorders. Journal of Studies of Alcohol and Drug Treatment, 61(5), 704–717. Moos, R. F., Finney, J. W., Federman, E. B., & Suchinsky, R. (2000). Speciality mental health care improves patients’ outcomes: Findings from a nationwide program to monitor the quality of care for patients with substance use disorders. Journal of Studies of Alcohol and Drug Treatment, 61(5), 704–717.
go back to reference Mortlock, K. S., Deane, F. P., & Crowe, T. P. (2011). Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings. Journal of Substance Abuse Treatment, 40, 397–404.PubMedCrossRef Mortlock, K. S., Deane, F. P., & Crowe, T. P. (2011). Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings. Journal of Substance Abuse Treatment, 40, 397–404.PubMedCrossRef
go back to reference Mueser, K. T., Glynn, S. M., Cather, C., Zarate, R., Fox, L., Feldman, J., & Clark, R. E. (2009). Family intervention for co-occurring substance use and severe psychiatric disorders: Participant characteristics and correlates of initial engagement and more extended exposure in a randomized control trial. Addictive Behaviours, 34(10), 867–877.CrossRef Mueser, K. T., Glynn, S. M., Cather, C., Zarate, R., Fox, L., Feldman, J., & Clark, R. E. (2009). Family intervention for co-occurring substance use and severe psychiatric disorders: Participant characteristics and correlates of initial engagement and more extended exposure in a randomized control trial. Addictive Behaviours, 34(10), 867–877.CrossRef
go back to reference Murugesan, G., Amey, C. G., Deane, F. P., Jeffrey, R., Kelly, B., & Stain, H. (2007). Inpatient psychosocial rehabilitation in rural NSW: Assessment of clinically significant change for people with severe mental illness. The Australian and New Zealand Journal of Psychiatry, 41(4), 343–350.PubMedCrossRef Murugesan, G., Amey, C. G., Deane, F. P., Jeffrey, R., Kelly, B., & Stain, H. (2007). Inpatient psychosocial rehabilitation in rural NSW: Assessment of clinically significant change for people with severe mental illness. The Australian and New Zealand Journal of Psychiatry, 41(4), 343–350.PubMedCrossRef
go back to reference O’Brien, C., Charney, D., Lewis, L., Cornish, J., Post, R., Woody, G., & Weisner, C. (2004). Priority actions to improve the care of persons with co-occurring substance abuse and other mental disorders: A call to action. Biological Psychiatry, 56(10), 703–713.PubMedCrossRef O’Brien, C., Charney, D., Lewis, L., Cornish, J., Post, R., Woody, G., & Weisner, C. (2004). Priority actions to improve the care of persons with co-occurring substance abuse and other mental disorders: A call to action. Biological Psychiatry, 56(10), 703–713.PubMedCrossRef
go back to reference Osilla, K. C., Hepner, K. A., Murioz, R. F., Woo, S., & Watkins, K. (2009). Developing an integrated treatment for substance use and depression using cognitive-behavioural therapy. Journal of Substance Abuse Treatment, 37(4), 412–420.PubMedCrossRef Osilla, K. C., Hepner, K. A., Murioz, R. F., Woo, S., & Watkins, K. (2009). Developing an integrated treatment for substance use and depression using cognitive-behavioural therapy. Journal of Substance Abuse Treatment, 37(4), 412–420.PubMedCrossRef
go back to reference Oudejans, S. C. C., Schippers, G. M., Merkx, M. J. M., Schramade, M. H., Koeter, M. W. J., & van de Brink, W. (2009). Feasibility and validity of low-budget telephonic follow-up interviews in routine outcome monitoring of substance abuse treatment. Addiction Methods and Techniques, 104(7), 1138–1146.CrossRef Oudejans, S. C. C., Schippers, G. M., Merkx, M. J. M., Schramade, M. H., Koeter, M. W. J., & van de Brink, W. (2009). Feasibility and validity of low-budget telephonic follow-up interviews in routine outcome monitoring of substance abuse treatment. Addiction Methods and Techniques, 104(7), 1138–1146.CrossRef
go back to reference Power, K., & Demartin, R. (2004). Co-occurring disorders and achieving recovery: The substance abuse and mental health services administration perspective. Biological Psychiatry, 56(10), 721–722.PubMedCrossRef Power, K., & Demartin, R. (2004). Co-occurring disorders and achieving recovery: The substance abuse and mental health services administration perspective. Biological Psychiatry, 56(10), 721–722.PubMedCrossRef
go back to reference Pristach, C. A., & Smith, C. M. (1999). Attitudes towards alcoholics anonymous by dually diagnosed psychiatric inpatients. Journal of Addictive Disease, 18(3), 69–76.CrossRef Pristach, C. A., & Smith, C. M. (1999). Attitudes towards alcoholics anonymous by dually diagnosed psychiatric inpatients. Journal of Addictive Disease, 18(3), 69–76.CrossRef
go back to reference RachBeisel, J., Scott, J., & Dixon, L. (1999). Co-occurring severe mental illness and substance use disorders: A review of recent research. Psychiatric Services, 50, 1427–1434.PubMed RachBeisel, J., Scott, J., & Dixon, L. (1999). Co-occurring severe mental illness and substance use disorders: A review of recent research. Psychiatric Services, 50, 1427–1434.PubMed
go back to reference Reelick, N. F., & Wierdsma, A. I. (2006). The addiction severity index as a predictor of the use of mental health care. Psychology of Addictive Behaviours, 20(2), 214–218.CrossRef Reelick, N. F., & Wierdsma, A. I. (2006). The addiction severity index as a predictor of the use of mental health care. Psychology of Addictive Behaviours, 20(2), 214–218.CrossRef
go back to reference Robertson, E. C. (1992). The challenge of dual diagnosis- Project muse, today’s research tomorrow’s inspiration. Journal of Health Care for the Poor and Underserved, 3(1), 198–207.PubMedCrossRef Robertson, E. C. (1992). The challenge of dual diagnosis- Project muse, today’s research tomorrow’s inspiration. Journal of Health Care for the Poor and Underserved, 3(1), 198–207.PubMedCrossRef
go back to reference Rosen, C. S., Henson, B. R., Finney, J. W., & Moos, R. H. (2002). Consistency of self-administered and interview-based addiction severity index composite scores. Addiction, 95(3), 419–425.CrossRef Rosen, C. S., Henson, B. R., Finney, J. W., & Moos, R. H. (2002). Consistency of self-administered and interview-based addiction severity index composite scores. Addiction, 95(3), 419–425.CrossRef
go back to reference Scheier, M. F., Wrosch, C., Baum, A., Cohen, S., Martire, L. M., Matthews, K. A., & Zdaniuk, B. (2006). The life engagement test: Assessing purpose in life. Journal of Behavioural Medicine, 29(3), 291–298.CrossRef Scheier, M. F., Wrosch, C., Baum, A., Cohen, S., Martire, L. M., Matthews, K. A., & Zdaniuk, B. (2006). The life engagement test: Assessing purpose in life. Journal of Behavioural Medicine, 29(3), 291–298.CrossRef
go back to reference Schulte, S. J., Meier, P. S., Stirling, J., & Berry, M. (2010). Unrecognised dual diagnosis-A risk factor for dropout of addiction treatment. Mental Health and Substance Use: Dual Diagnosis, 3(2), 94–109.CrossRef Schulte, S. J., Meier, P. S., Stirling, J., & Berry, M. (2010). Unrecognised dual diagnosis-A risk factor for dropout of addiction treatment. Mental Health and Substance Use: Dual Diagnosis, 3(2), 94–109.CrossRef
go back to reference Slaymaker, V. J., & Owen, P. (2008). Alcohol and other drug dependence severity among older adults in treatment: Measuring characteristics and outcomes. Alcoholism Treatment Quarterly, 26(3), 259–272.CrossRef Slaymaker, V. J., & Owen, P. (2008). Alcohol and other drug dependence severity among older adults in treatment: Measuring characteristics and outcomes. Alcoholism Treatment Quarterly, 26(3), 259–272.CrossRef
go back to reference Timko, C., Sutkowj, A., & Moos, R. (2010). Patients with dual diagnosis or substance use disorders only: 12-Step group participation and 1-year outcomes. Substance Use & Misuse, 45(4), 613–627.CrossRef Timko, C., Sutkowj, A., & Moos, R. (2010). Patients with dual diagnosis or substance use disorders only: 12-Step group participation and 1-year outcomes. Substance Use & Misuse, 45(4), 613–627.CrossRef
go back to reference Villena, A. L. D., & Chelsea, C. A. (2010). Challenges and struggles: Lived experiences of individuals with co-occurring disorders. Archives of Psychiatric Nursing, 24(2), 76–88.PubMedCrossRef Villena, A. L. D., & Chelsea, C. A. (2010). Challenges and struggles: Lived experiences of individuals with co-occurring disorders. Archives of Psychiatric Nursing, 24(2), 76–88.PubMedCrossRef
go back to reference Vogel, H. S., Knight, E., Laudet, A. B., & Magura, S. (1998). Double trouble in recovery: Self help for people with dual diagnosis. Psychiatric Rehabilitation Journal, 21(4), 356–364.PubMed Vogel, H. S., Knight, E., Laudet, A. B., & Magura, S. (1998). Double trouble in recovery: Self help for people with dual diagnosis. Psychiatric Rehabilitation Journal, 21(4), 356–364.PubMed
go back to reference Volkow, N. D. (2004). The reality of comorbidity: Depression and drug abuse. Biological Psychiatry, 56(10), 714–717.PubMedCrossRef Volkow, N. D. (2004). The reality of comorbidity: Depression and drug abuse. Biological Psychiatry, 56(10), 714–717.PubMedCrossRef
go back to reference Walker, M. A. (2009). Program characteristics and the length of time clients are in substance abuse treatment. The Journal of Behavioural Health Services and Research, 36(6), 330–343.CrossRef Walker, M. A. (2009). Program characteristics and the length of time clients are in substance abuse treatment. The Journal of Behavioural Health Services and Research, 36(6), 330–343.CrossRef
go back to reference Willard-Long, M., Cassidy, B. A., Sucher, M., & Stoehr, J. D. (2006). Prevention of relapse in the recovery of Arizona health care providers. Journal of Addictive Diseases, 25(1), 65–73.CrossRef Willard-Long, M., Cassidy, B. A., Sucher, M., & Stoehr, J. D. (2006). Prevention of relapse in the recovery of Arizona health care providers. Journal of Addictive Diseases, 25(1), 65–73.CrossRef
go back to reference Zanis, D. A., McLellan, A. T., & Corse, S. (1997). Is the Addiction Severity Index a reliable and valid assessment instrument among clients with severe and persistent mental illness and substance abuse disorders? Community Mental Health Journal, 33(3), 213–227.PubMedCrossRef Zanis, D. A., McLellan, A. T., & Corse, S. (1997). Is the Addiction Severity Index a reliable and valid assessment instrument among clients with severe and persistent mental illness and substance abuse disorders? Community Mental Health Journal, 33(3), 213–227.PubMedCrossRef
Metadata
Title
A Comparison of Treatment Outcomes for Individuals with Substance Use Disorder Alone and Individuals with Probable Dual Diagnosis
Authors
Elizabeth K. Cridland
Frank P. Deane
Ching-I Hsu
Peter J. Kelly
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
International Journal of Mental Health and Addiction / Issue 5/2012
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-011-9364-z

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