Center for Health Policy and Research (CHPR) Publications

Title

Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: a clinical trial

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research; Clinical and Population Health Research

Date

5-20-1998

Document Type

Article

Medical Subject Headings

Adult; *Community Mental Health Services; Comorbidity; *Deinstitutionalization; Delivery of Health Care, Integrated; Diagnosis, Dual (Psychiatry); Female; Humans; Male; Middle Aged; New Hampshire; Outcome and Process Assessment (Health Care); Patient Readmission; Psychotic Disorders; Quality of Life; Substance-Related Disorders; Treatment Outcome

Disciplines

Health Services Administration | Health Services Research | Public Health

Abstract

Integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach was compared to that within a standard case management approach for 223 patients with dual disorders over three years. ACT patients showed greater improvements on some measures of substance abuse and quality of life, but the groups were equivalent on most measures, including stable community days, hospital days, psychiatric symptoms, and remission of substance use disorder.

Rights and Permissions

Citation: Am J Orthopsychiatry. 1998 Apr;68(2):201-15.

Related Resources

Link to Article in PubMed