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The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 2/2007

01-04-2007 | Regular Article

The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services

Authors: Larry Davidson, PhD, William White, MA

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2007

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Abstract

Despite a range of long-standing historical, political, ideological, professional, structural, and practical barriers, there has been, and continues to be, a clear consensus that integration between mental health and addiction services is sorely needed and long overdue. This paper focuses on one dimension of the challenge of integration from among the several – the conceptual – and proposes the construct of recovery as an organizing principle for bridging the divide between the two domains. After reviewing briefly the parallel history of the two traditions and their shared need for transformation to a recovery orientation, the authors offer an integrated model of recovery for persons with co-occurring disorders. They then derive from this model the underlying values, guiding principles, key strategies, and essential ingredients of recovery-oriented systems of care that comprise a common approach across both addictions and mental illness, offering a strengths-based solution to achieving integration where pathology-focused approaches have failed.
Literature
1.
Drake RE, Mueser KT, Brunette MF, et al. A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric Rehabilitation Journal. 2004;27(4):360–374.PubMedCrossRef
2.
Caton CLM. The new chronic patient and the system of community care. Hospital and Community Psychiatry. 1981;32:475–478.PubMed
3.
Pepper B, Krishner MC, Ryglewicz H. The young adult chronic patient: overview of a population. Hospital and Community Psychiatry. 1981;32:463–469.PubMed
4.
Schwartz SR, Goldfinger SM. The new chronic patient: clinical characteristics of an emerging subgroup. Hospital and Community Psychiatry. 1981;32:470–474.PubMed
5.
Bachrach LL. The context of care for the chronic mental patient with substance abuse problems. Psychiatric Quarterly. 1986;58:3–14.PubMed
6.
Carey KB. Emerging treatment guidelines for mentally ill chemical abusers. Hospital and Community Psychiatry. 1989;40:341–349.PubMed
7.
Dickey B, Azeni H. Persons with dual diagnoses of substance abuse and major mental illness: their excess costs of psychiatric care. American Journal of Public Health. 1996;86:973–977.PubMedCrossRef
8.
Drake RE, Mercer-McFadden C, Mueser KT, et al. Review of integrated mental health and substance abuse treatment for patients with dual disorders. Schizophrenia Bulletin. 1998;24:589–608.PubMed
9.
Drake RE, Museser KT, eds. Dual Diagnosis of Major Mental Illness and Substance Abuse, Volume 2: Recent Research and Clinical Implications. San Francisco: Jossey-Bass; 1996.
10.
Drake RE, Wallach MA. Dual diagnosis: 15 years of progress. Psychiatric Services. 2000;51:1126–1129.PubMedCrossRef
11.
Kofoed L, Kania J, Walsh T, et al. Outpatient treatment of patients with substance abuse and co-existing psychiatric disorders. American Journal of Psychiatry. 1986;143:867–872.PubMed
12.
Minkoff K. An integrated treatment model for dual diagnosis of psychosis and addiction. Hospital and Community Psychiatry. 1989;40:1031–1036.PubMed
13.
Minkoff K, Drake RE, eds. Dual Diagnosis of Major Mental Illness and Substance Disorder. San Francisco: Jossey-Bass; 1991.
14.
Ridgely SM, Goldman HH, Willenbring M. Barriers to the care of persons with dual diagnoses: organizational and financing issues. Schizophrenia Bulletin. 1990;16:123–132.PubMed
15.
Thacker W, Tremaine L. Systems issues in serving the mentally ill substance abuser. Hospital and Community Psychiatry. 1989;40:1046–1049.PubMed
16.
Torrey WC, Drake RE, Cohen M, et al. The challenge of implementing integrated dual disorders treatment services. Community Mental Health Journal. 2002;38:507–521.PubMedCrossRef
17.
Mueser KT, Bellack A, Blanchard J. Comorbidity of schizophrenia and substance abuse. Journal of Consulting and Clinical Psychology. 1997;60:845–856.CrossRef
18.
Fenton WS. Comorbid conditions in schizophrenia. Current Opinion in Psychiatry. 2001;14:17–23.CrossRef
19.
Deutsch A. The Mentally Ill in America: A History of their Care and Treatment from Colonial Times. New York: Columbia University Press; 1937.
20.
LaFond JQ, Durham ML. Back to the Asylyum: The Future of Mental Health Law and Policy in the United States. New York: Oxford University Press; 1992.
21.
Lamb HR, Weinberger LE. Persons with severe mental illness in jails and prisons: a review. Psychiatric Services. 1998;49:483–492.PubMed
22.
Torrey EF, Steiber J, Ezekiel J, et al. Criminalizing the Mentally Ill: The Abuse of Jails as Mental Hospitals. Washington D.C.: Public Citizen’s Health Research Group and the National Alliance for the Mentally Ill; 1992.
23.
White W, Boyle M, Loveland D. Addiction as chronic disease: from rhetoric to clinical application. Alcoholism Treatment Quarterly. 2002;3–4:107–130.CrossRef
24.
Department of Health and Human Services. Achieving the Promise: Transforming Mental Health Care in America. Rockville: Substance Abuse and Mental Health Services Administration; 2003.
25.
Department of Health and Human Services. Transforming Mental Health Care in America. Federal Action Agenda: First Steps. Rockville: Substance Abuse and Mental Health Services Administration; 2005.
26.
Turner JC, TenHoor WJ. The NIMH community support program: pilot approach to a needed social reform. Schizophrenia Bulletin. 1978;4(3):319–349.
27.
Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville: Substance Abuse and Mental Health Services Administration; 1999.
28.
White W. Let’s Go Make Some History: Chronicles of the New Addiction Recovery Advocacy Movement (Papers of William L. White). Washington, D.C.: Johnson Institute and Faces and Voices of Recovery; in press.
29.
Chamberlin J. Speaking for ourselves: an overview of the Ex-Psychiatric Inmates’ Movement. Psychosocial Rehabilitation Journal. 1984;2:56–63.
30.
Dennis ML, Scott CK, Funk R. An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders. Evaluation and Program Planning. 2003;26(3):339–352.CrossRef
31.
McKay JR. Is there a case for extended interventions for alcohol and drug use disorders? Addiction. 2005;100(11):1594–1610.PubMedCrossRef
32.
McLellan AT, Lewis DC, O’Brien CP, et al. Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. Journal of the American Medical Association. 2000;284(13):1689–1695.PubMedCrossRef
33.
Institute of Medicine. Improving the Quality of Health Care for Mental and Substance-Use Conditions. Washington, D.C.: The National Academies Press; 2006.
34.
Davidson L, Staeheli MR, Leary F. Concepts of recovery in mental illness: competing or complimentary? Current Opinion in Psychiatry. 2005;18:664–667.PubMedCrossRef
35.
Davidson L. Living Outside Mental Illness: Qualitative Studies of Recovery in Schizophrenia. New York: New York University Press; 2003.
36.
Davidson L, O’Connell M, Tondora J, et al. Recovery in serious mental illness: a new wine or just a new bottle? Professional Psychology: Research and Practice. 2005;36(5):480–487.CrossRef
37.
Davidson L, O’Connell MJ, Tondora J, et al. The top ten concerns about recovery encountered in mental health system transformation. Psychiatric Services. 2006;57(5):640–645.PubMedCrossRef
38.
Davidson L, Stayner DA, Nickou C, et al. “Simply to be let in”: inclusion as a basis for recovery from mental illness. Psychiatric Rehabilitation Journal. 2001;24:375–388.PubMed
39.
White W. Recovery: its history and renaissance as an organizing construct. Alcoholism Treatment Quarterly. 2005;23(1):3–15.CrossRef
40.
White W, Boyle M, Loveland D. Recovery from addiction and recovery from mental illness: shared and contrasting lessons. In: Ralph R, Corrigan P, eds. Recovery and Mental Illness: Consumer Visions and Research Paradigms. Washington, D.C.: American Psychological Association; 2004:233–258.
41.
White W, Kurtz E. The varieties of recovery experience. International Journal of Self Help and Self Care. 2006;3(1–2):21–61.
42.
White W, Kurtz E, Sanders M. Recovery Management. Chicago, IL: Great Lakes Addiction Technology Transfer Center; 2006.
43.
Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal. 1993;16(4):11–23.
44.
Deegan PE. Recovery: the lived experience of rehabilitation. Psychosocial Rehabilitation Journal. 1988;11(4):11–19.
45.
Deegan PE. The Independent Living Movement and people with psychiatric disabilities: taking back control over our own lives. Psychosocial Rehabilitation Journal. 1992;15:3–19.
46.
Jacobson N, Curtis L. Recovery as policy in mental health services: strategies emerging from the states. Psychiatric Rehabilitation Journal. 2000;23:333–341.
47.
Jacobson N, Greenley D. What is recovery? A conceptual model and explication. Psychiatric Services. 2001;52(4):482–485.PubMedCrossRef
48.
Mead S, Copeland ME. What recovery means to us: consumers’ perspectives. Community Mental Health Journal. 2000;36(3):315–328.PubMedCrossRef
49.
Ralph R, Corrigan P, eds. Recovery in Mental Illness: Broadening our Understanding of Wellness. Washington, D.C.: American Psychological Association; 2004.
50.
Davidson L, Andres-Hyman R, Tondora J, et al. From “double trouble” to “dual recovery”: integrating models of recovery in addiction and mental health. Dual Diagnosis. In press.
Metadata
Title
The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services
Authors
Larry Davidson, PhD
William White, MA
Publication date
01-04-2007
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2007
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-007-9053-7

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