Addiction and Mental Health

Paper Summary:

In this article, the writer first notes that addiction and mental health problems have historically and traditionally been treated separately, however, there is a recent trend toward treating dual disordered clients with a more integrated approach. The writer reviews relevant theory and research on integrated treatment methods and provides a critical analysis of the literature. Based on this review, the writer then synthesizes the major findings and makes practical suggestions for the design of programs to treat this population. Finally, this work identifies and discusses the desired therapist characteristics and skills for working with the dual disorder.

Outline:
Introduction
Statement of the Problem
Methodology
Significance of the Study
Literature Review
Summary of Literature Review
Findings of the Study
Recommendations for Research

From the Paper:

" The dual disorder integrated treatment approach is one that focuses on treating both the mental illness or disorder of the individual while at the same time treating substance abuse and addiction disorders. This is a treatment program that both the psychiatric clinician and the substance abuse treatment clinician are able to feel at ease with. This program is one in which the individual is allowed to ease into the dual treatment and even allows treatment to begin for those with mental illness without high-pressure being exerted on their admitting to substance abuse problems and is a treatment program that focuses on engaging the individual in their treatment of both disorders. Prior to the integrate treatment program, which is evidence based being implemented, Medicaid did not pay for rehab treatment however, in the focus upon treatment for recovery initiatives recently, these programs have been approved for Medicaid payment and are slowly being implemented in the United States."

Sample of Sources Used:

• Amaro, H; et al (2007) Effects of integrated trauma treatment on outcomes in a racially/ethnically diverse sample of women in urban community-based substance abuse treatment. J Urban Health. 2007 Jul;84(4):508-22
• An Outline for the Draft Report of the Subcommittee on Co-occurring Substance Abuse and Mental Disorders (2002) December 2, 2002. Online available at: http://www.mentalhealthcommission.gov/subcommittee/Co_Occurring_Outline.doc
• Co-Occurring Disorders: Integrated Dual Disorders Treatment - Implementation Resources Kit 2003. Evidence-Based Practices. Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Mental Health Services (CMHS) and a grant from The Robert Wood Johnson Foundation (RWJF), and support from the West Family Foundation.
• Davidson, L. and White, W. (2007) The concept of recovery as an organizing principle for integrating mental health and addiction services. J Behav Health Serv Res. 2007 Apr;34 (2):109-20. Epub 2007 Mar 10.
• McGovern, MP, et al (2006) Addiction Treatment Services and Co-Occurring Disorders: Prevalence Estimates, Treatment Practices and Barriers.J Subst Abuse Treat. 2006 Oct;31(3):267-75. Epub 2006 Jul 24.

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