Substance Misuse Treatments

Paper Summary:

This trial investigates the models that are often used in the treatment of substance abuse in individuals that also have serious mental health conditions. The paper analyzes if dual diagnoses are common and how treatment is different from treating a singular diagnosis. It then compares the advantages and disadvantages of using the Integrated Treatment Model versus the Standard Treatment Model and the degree and incidence of substance misuse that is reduced with the use of both models.

Table of Contents:
Full Title Of Trial
The Need For A Trial
What Is The Problem/Question To Be Addressed?
What Are The Principal Research Questions To Be Addressed?
Why Is A Trial Needed Now?
How Will The Results Of This Trial Be Used?
Background Information
Implications for Treatment
Integrated Treatment Model
Standard Treatment Model
The Proposed Trial
What Is The Proposed Trial Design?
What Are The Planned Trial Interventions?
What Are The Proposed Practical Arrangements For Allocating Participants?
What Are The Proposed Methods For Protecting Against Other Sources Of Bias?
What Are The Planned Inclusion/Exclusion Criteria?
What Is The Proposed Duration Of Treatment Period?
What Is The Proposed Frequency And Duration Of Follow Up?
What Are The Proposed Outcome Measures?
What Is The Proposed Sample Size?
What Is The Likely Rate Of Loss To Follow-Up?
How Many Centers Will Be Involved?
Are There Any Planned Subgroup Analyses?
Will The Trial Address Any Economic Issues?
What Is The Estimated Research Cost Of The Trial?
Will There Be NHS Cost Implications For This Trial?
Over What Period Is Funding Requested?
Trial Management
Participating Centers
Application History
Ethical Issues
Future Work

From the Paper:

" Lastly the standard treatment model acknowledges that significant others play a role in recovery. The institute asserts that during the initial stages of treatment family members complete a detailed questionnaire concerning the client's alcohol and/or drug use and the ensuing consequences (Owen, 2003). In addition counselors may have other meetings with family members during the assessment phase to gain more information about the client (Owen, 2003). In addition the families may be invited to participate in a separate family program where they will be taught more about the nature of addiction (Owen, 2003). There may also be a family conference that takes place near the end of treatment during which the counselor, the client, and the client's family discuss any concerning issues and review goals as they relate to discharging the client (Owen, 2003). The majority of families will also have to seek aftercare and may attend Al-Anon (Owen, 2003)."

Sample of Sources Used:

• Barrowclough C, Haddock G, Tarrier N, et al. Cognitive-behavioral intervention for clients with severe mental illness who have a substance misuse problem. Psychiatric Rehabilitation Skills 2000; 4:216-233.
• Bellack AS, DiClemente CC. Treating substance abuse among patients with schizophrenia. Psychiatric Services 1999; 50:75-80.
• Brady, K. T., Sonne, S. C., and Roberts, J. M., Sertraline treatment of comorbid posttraumatic stress disorder and alcohol dependence, J. Clin. Psychiatry 56:502-505 (1995).
• Carey KB. Substance use reduction in the context of outpatient psychiatric treatment: a collaborative, motivational, harm reduction approach. Community Mental Health Journal 1996; 32:291-306
• Drake, R. E., McHugo, G. J., and Noordsy, D. L., Treatment of alcoholism among schizophrenic outpatients: Four-year outcomes, Am. J. Psychiatry 150:328-329 (1993).

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• Dissertation or Thesis # 145611 : "New Directions for Cognitive Behavioral Therapy"

APA Citation:

MLA Citation: