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Drug Courts pp 141-165 | Cite as

Co-Occurring Substance Abuse and Mental Health Disorders

  • Edward L. Hendrickson
  • Bert Pepper

Abstract

Co-occurring substance abuse and mental illness is a condition that is also called dual diagnosis. This subject is reviewed from the following standpoints:
  1. 1.

    Historical context.

     
  2. 2.

    Prevalence of co-occurring disorders.

     
  3. 3.

    Assessment and classification.

     
  4. 4.

    Development of a comprehensive treatment plan.

     
  5. 5.

    Standardized treatment intervention.

     
  6. 6.

    Common treatment themes.

     
  7. 7.

    Community corrections issues.

     
  8. 8.

    An integrated model.

     
  9. 9.

    Staff training.

     

Keywords

Substance Abuse Mental Illness Personality Disorder Psychiatric Symptom Criminal Justice System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Pepper B. Dual Disorders: Substance Abuse and Mental Illness. New York: The Information Exchange, Inc.; 2001.Google Scholar
  2. 2.
    Kuhn T. The structure of scientific revolutions. Chicago: University of Chicago Press; 1962.Google Scholar
  3. 3.
    Powell BJ, Penick EC, Othmer E, Bingham SF, Rice AS. Prevalence of additional psychiatric syndromes among male alcoholics. J Clin Psychiatry 1982;43:404–407.PubMedGoogle Scholar
  4. 4.
    Ross H, Glaser F, Germanson T. The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry 1988;45:1023–1031.PubMedGoogle Scholar
  5. 5.
    Nace EP. Substance use disorders and personality disorders: comorbidity. Psychiatr Hosp 1989;20:65–69.Google Scholar
  6. 6.
    Regier DA, Farmer ME, Raem DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK. Comorbidity of mental disorders with alcohol and other drug abuse. JAMA 1990;246:2511–2518.CrossRefGoogle Scholar
  7. 7.
    Kessler RC, Nelson CB, McGonagle KA, Edlund MJ, Frank RG, Leaf PJ. The epidemiology of co-occurring addictive and mental disorders: implications for prevention and service utilization. Am J Orthopsychiatry 1994;66:17–31.CrossRefGoogle Scholar
  8. 8.
    Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005;62:617–627.PubMedCrossRefGoogle Scholar
  9. 9.
    Kelly JF, Finney J, Moos R. Substance abuse disorder patients who are mandated to treatment: characteristics, treatment process, and 1-and 5-year outcomes. J Subst Abuse Treat 2005;28(3):312–323.CrossRefGoogle Scholar
  10. 10.
    Onken LS, Blaine J, Genser S, Horton AM, eds. Treatment of Drug-Dependent People With Comorbid Mental Disorders. NIDA Research Monograph 172, NIH Publication No. 97-4172. Rockville, MD: National Institute on Drug Abuse; 1997.Google Scholar
  11. 11.
    American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text rev. Washington, DC: American Psychiatric Association; 2000.Google Scholar
  12. 12.
    Stein L, Test M. Alternatives to mental hospital treatment. Arch Gen Psychiatry 1980;37:392–397.PubMedGoogle Scholar
  13. 13.
    Substance Abuse and Mental Health Services Administration. Improving Services for People at Risk of, or With, Co-Occurring Substance-Related and Mental Health Disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration; 1998.Google Scholar
  14. 14.
    Simpson DD, Sells SB. Effectiveness of treatment for drug abuse: an overview of the DARO research program. Adv Alcohol Subst Abuse 1982;2:7–29.Google Scholar
  15. 15.
    Hubbard RL, Marsden ME, Rachal JV, Harwood HJ, Cavanaugh ER, Ginsburg HM. Drug Abuse Treatment: A National Study of Effectiveness. Chapel Hill: University of North Carolina Press; 1989.Google Scholar
  16. 16.
    Hubbard RL, Craddock SG, Flynn PM, Anderson J, Etherridge RM. Overview of 1-year follow-up outcomes in the drug abuse treatment outcome study (DATOS). Psychol Addict Behav 1997;11:261–278.CrossRefGoogle Scholar
  17. 17.
    Hendrickson E, Schmal M. Dual Diagnosis Treatment: An 18-Year Perspective. Paper presented at the MISA conference, sponsored by MCP-Hahnemann University. Philadelphia: Hahnemann University; 2000.Google Scholar
  18. 18.
    McHugo GJ, Drake RE, Burton HL, Ackerson TH. A scale for assessing the stage of substance abuse treatment in persons with severe mental illness. J Nerv Ment Dis 1995;183:762–767.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Edward L. Hendrickson
    • 1
  • Bert Pepper
    • 2
  1. 1.Adjunct FacultyVirginia Technical UniversityAlexandriaUSA
  2. 2.New York University College of MedicineNew YorkUSA

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