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Integrated Treatment: The Model and European Experiences

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Co-occurring Addictive and Psychiatric Disorders

Abstract

Integrated treatment of dual disorder patients was introduced in response to the failures of both sequential and parallel treatment approaches. Integrated treatment aims at treating both disorders concurrently, by one provider or a team of providers who are trained and knowledgeable in both fields (psychiatry and addiction). Care is delivered in a consistent manner, using the same philosophy and approach. There are several integrated care models, but the most elaborate one is the model for Integrated Dual Disorder Treatment (IDDT). The IDDT model consists of more than 20 treatment and organisational components, which makes it comprehensive but difficult to implement. Outreach, motivation-based treatment group treatment and specific pharmacological treatment are some of these components. Over the last decades, integrated treatment has, in many European countries, become the preferred treatment model for dual disorder patients and National expertise centres and consortiums have been established to facilitate and help organisations with the implementation of integrated treatment.

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References

  • Baldacchino A, Greacen T, Hodges CL, Charzynska K, Sorsa M, Saias T, Clancy C, Lack C, Hyldager E, Merinder LB, Meder J, Henderson Z, Laijarvi H, Baeck-Moller K (2011) Nature, level and type of networking for individuals with dual diagnosis: a European perspective. Drugs Educ Prevent Pol 18(5):393–401

    Article  Google Scholar 

  • Bellack AS, Bennett ME, Gearon JS, Brown CH, Yang Y (2006) A randomized clinical trial of a new behavioral treatment for drug abuse in people with severe and persistent mental illness. Arch Gen Psychiatry 63:426–432

    Article  PubMed  Google Scholar 

  • Brunette M, Asher D, Whitley R, Lutz W, Wieder B, Jones A et al (2008) Implementation of integrated dual disorders treatment: a qualitative analysis of facilitators and barriers. Psychiatr Serv 59:989–995

    Article  PubMed  Google Scholar 

  • Carey KB, Leontieva L, Dimmock J, Maisto SA, Batki SL (2007) Adapting motivational interventions for comorbid schizophrenia and alcohol use disorders. Clin Psychol 14(1):39–57

    Google Scholar 

  • Chow MC, Wieman D, Cichocki B, Qvicklund H, Hiersteiner D (2012) Mission impossible: treating serious mental illness and substance use co-occurring disorder with integrated treatment: a meta-analysis. Ment Health Subst Use 6(2):150–168

    Article  Google Scholar 

  • Departement of Health United Kingdom (2002) Dual diagnosis—good practice guidance. Mental Health Policy Implementation Guide

    Google Scholar 

  • Dijkhuizen A, van Wamel A, Kikkert M (2013) Geïntegreerd behandelen. In: Dom G, Dijkhuizen A, van der Hoorn A et al (eds) Handboek Dubbele Diagnose. De Tijdstroom, Utrecht, pp 13–28

    Google Scholar 

  • Drake RE, Wallach MA (2000) Dual diagnosis: 15 years of progress. Psychiatr Serv 51(9):1126–1129

    Article  CAS  PubMed  Google Scholar 

  • Drake RE, Mueser KT, Brunette MF, McHugo GJ (2004) A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. J Psychiatr Rehabil 27(4):360–74

    Article  Google Scholar 

  • Drake RE, O’Neil EL, Wallach MA (2008) A systematic review of psychosocial research on psychosocial interventions for people with co-occuring severe mental and substance use disorders. J Subst Abuse Treat 34:123–138

    Article  PubMed  Google Scholar 

  • European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) (2004) Selected issue. In: EMCDDA 2004 Annual report on the state of the drugs problem in the European Union and Norway

    Google Scholar 

  • Flores P (2001) Addiction as an attachment disorder: Implications for group therapy. Int J Group Psychother 51(1):63–81

    Article  CAS  PubMed  Google Scholar 

  • Gorry A, Dodd T (2010) Dual Diagnosis National Programme Legacy Report. National Dual Diagnosis Programme

    Google Scholar 

  • Graham HL (2004) Cognitive-behavioural integrated treatment (C-BIT). A treatment manual for substance misuse in people with severe mental health problems. Wiley, Chichester

    Google Scholar 

  • Hughes L (2006) Closing the gap: a capability framework for working effectively with people with combined mental health and substance use problems (dual diagnosis). Centre for Clinical and Academic Workforce Innovation (CCAWI), Mansfield

    Google Scholar 

  • Lowe AL, Abou-Saleh MT (2004) The British experience of dual diagnosis in the national health service. Acta Neuropsychiatrica 16(1):41–46

    Article  Google Scholar 

  • Mueser KT, Noordsy DL, Drake RE, Fox L (2003) Integrated treatment for dual disorders: a guide to effective practice. Guilford, New York

    Google Scholar 

  • National Institute for Health and Clinical Excellence NICE (2011) Psychosis with coexisting substance misuse (CG120), Clinical guidelines. NICE, London

    Google Scholar 

  • Osher FC, Kofoed L (1989) Treatment of patients with psychiatric and psychoactive substance abuse disorders. Hosp Community Psychiatry 40:1025–1030

    CAS  PubMed  Google Scholar 

  • Prochaska JO, DiClemente CC (1983) Stages and processes of self-change in smoking: toward an integrative model of change. J Consult Clin Psychol 5:390–395

    Article  Google Scholar 

  • Prochaska JO, DiClemente CC, Norcross JC (1992) In search of how people change. Am Psychol 47:1102–1114

    Article  CAS  PubMed  Google Scholar 

  • Ridgely MS, Osher FC, Goldman HH, Talbott JA (1987) Executive summary: chronic mentally ill young adults with substance abuse problems: a review of research, treatment, and training issues. Mental Health Services Research Center, University of Maryland School of Medicine, Baltimore

    Google Scholar 

  • Roberts LJ, Shaner A, Eckman TA (1999) Overcoming addictions. Skills training for people with schizophrenia. W.W. Norton and Co., New York

    Google Scholar 

  • Tenhula WN, Bennett ME, Strong Kinnaman JE (2009) Behavioral treatment of substance abuse in schizophrenia. J Clin Psychol 65(8):831–841

    Article  PubMed  Google Scholar 

  • Torrey WC, Drake RE, Dixon L et al (2001) Implementing evidence-based practices for persons with severe mental illnesses. Psychiatr Serv 52:45–50

    Article  CAS  PubMed  Google Scholar 

  • van Giffen M, Stolker JJ, van Rooijen S (2012) Implementatie van geïntegreerde behandeling volgens motivationele principes. In: Dom G, Dijkhuizen A, van der Hoorn A et al (eds) Handboek Dubbele Diagnose. De Tijdstroom, Utrecht, pp 95–109

    Google Scholar 

  • van Wamel A, Kroon H, van Rooijen S (2009) Systematic implementation of integrated dual disorder treatment in the Netherlands. Ment Health Subst Use 2:101–110

    Article  Google Scholar 

  • Ontwikkelcentrum Kwaliteit en Innovatie van Zorg (2003) Dubbele diagnose, dubbele hulp. Richtlijnen voor diagnostiek en behandeling. Rapport project Dubbele Diagnose door Verslavingszorg Parnassia, psycho-medisch centrum Den Haag

    Google Scholar 

  • Ziedonis DM, Smelson D, Rosenthal RN, Batki SL, Green AI, Henry RJ et al (2005) Improving the care of individuals with schizophrenia and substance use disorders: consensus recommendations. J Psychiatr Pract 11:315–339

    Article  PubMed Central  PubMed  Google Scholar 

  • Ziedonis D, Yanos PT, Silverstein M (2007) Relapse prevention for schizophrenia. In: Witkiewitz KA, Marlatt GA (eds) Therapist’s guide to evidence-based relapse prevention. Academic, London

    Google Scholar 

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Authors and Affiliations

  1. Program Reintegration, Trimbos Institute—Netherlands Institute for Mental Health and Addiction, Utrecht, The Netherlands

    Anneke van Wamel, Sonja van Rooijen & Hans Kroon

Authors
  1. Anneke van Wamel
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  2. Sonja van Rooijen
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  3. Hans Kroon
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Corresponding author

Correspondence to Anneke van Wamel .

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Editors and Affiliations

  1. Collaborative Psychiatric Research Institute, Antwerp University PC Alexian Brothers Boechout, Boechout, Belgium

    Geert Dom

  2. Clinical Psychological Service and Department, University Hospital of Psychiatry & University of Bern, Bern, Switzerland

    Franz Moggi

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© 2015 Springer-Verlag Berlin Heidelberg

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van Wamel, A., van Rooijen, S., Kroon, H. (2015). Integrated Treatment: The Model and European Experiences. In: Dom, G., Moggi, F. (eds) Co-occurring Addictive and Psychiatric Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45375-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-45375-5_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45374-8

  • Online ISBN: 978-3-642-45375-5

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