Trends in Acute Mental Health Care: Comparing Psychiatric and Substance Abuse Treatment Programs

Overview

Journal J Behav Health Serv Res

Publisher Springer

Specialty Health Services

Date 2003 Apr 25

PMID 12710369

Citations 9

Authors

Christine Timko

Michelle Lesar

Noel J Calvi

Rudolf H Moos

Affiliations

Soon will be listed here.

Abstract

This study compared psychiatric and substance abuse acute care programs, within both inpatient and residential modalities of care, on organization and staffing, clinical management practices and policies, and services and activities. A total of 412 (95% of those eligible) Department of Veterans Affairs' programs were surveyed nationwide. Some 40% to 50% of patients in psychiatric and substance abuse programs, in both inpatient and residential venues of care, had dual diagnoses. Even though psychiatric programs had a sicker patient population, they provided fewer services, including basic components of integrated programs, than substance abuse programs did. Findings also showed that there is a strong emphasis on the use of clinical practice guidelines, performance monitoring, and obtaining client satisfaction and outcome data in mental health programs. The author's suggest how psychiatric programs might better meet the needs of acutely ill and dually diagnosed patients (e.g., by incorporating former patients as role models and mutual help groups, as substance abuse programs do; and by having policies that balance patient choice with program demand).

Citing Articles

Use of health care services by patients with co-occurring severe mental illness and substance use disorders.

Kedote M, Brousselle A, Champagne F Ment Health Subst Use. 2016; 1(3):216-227.

PMID: 27239226 PMC: 4882163. DOI: 10.1080/17523280802274886.

Dual Diagnosis Capability in Mental Health and Substance Use Disorder Treatment Programs.

Padwa H, Larkins S, Crevecoeur-Macphail D, Grella C J Dual Diagn. 2013; 9(2):179-186.

PMID: 23687469 PMC: 3655772. DOI: 10.1080/15504263.2013.778441.

Stability of Outcomes Following Residential Drug Treatment For Patients with Co-occurring Disorders.

Grella C, Shi Y J Dual Diagn. 2011; 7(1-2):103-112.

PMID: 21804769 PMC: 3146302. DOI: 10.1080/15504263.2011.566067.

Examining the effect of the Life Enhancement Treatment for Substance Use (LETS ACT) on residential substance abuse treatment retention.

Magidson J, Gorka S, MacPherson L, Hopko D, Blanco C, Lejuez C Addict Behav. 2011; 36(6):615-623.

PMID: 21310539 PMC: 3070865. DOI: 10.1016/j.addbeh.2011.01.016.

Developing an integrated treatment for substance use and depression using cognitive-behavioral therapy.

Chan Osilla K, Hepner K, Munoz R, Woo S, Watkins K J Subst Abuse Treat. 2009; 37(4):412-20.

PMID: 19540701 PMC: 2855309. DOI: 10.1016/j.jsat.2009.04.006.

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