Developing Integrated Treatment Model for the Dually Diagnosed: A Prospective Study
Wayne, Andre J.
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Research shows confounding factors in diagnosing and treating dually diagnosed individuals. Despite studies having shown that treatment of underlying psychiatric disorders does not alter the use of alcohol and drug, some researchers have found an approach that integrates counseling and substance abuse treatment that has shown promise in treating the dually diagnosed individual. This study proposes to implement an experimental design that allows us to examine the effectiveness of integrative programs as opposed to traditional programs of substance abuse treatment or psychiatric treatment. Seventy-five dually diagnosed adult males will participate in this one-year study. The results of this study will test the hypothesis that a successful treatment plan for the dually diagnosed should include an integrated approach to treating mental illness and substance abuse. Available data indicate treatment programs that do not include an integrated approach often are ineffective when treating the dually diagnosed. This study predicts that an integrated treatment approach will be more effective in treating the dually diagnosed than either the traditional programs of substance abuse treatment or psychiatric treatment as indicated by overall reduction in the number of psychiatric hospitalizations, avoidance of alcohol and/or drug relapse and community integration.