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You have found 363 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.
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STUDY 2004 PDF file 166Kb
Dual diagnosis add-on to mental health services improves outcomes
A unique British study has found that treatment-resistant schizophrenic patients benefit from additional integrated substance use/mental health therapy, which may also save costs by reducing the need for inpatient care.
REVIEW 2008 HTM file
Psychosocial interventions for people with both severe mental illness and substance misuse
Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.
REVIEW 2009 HTM file
Integrated psychological treatment for substance use and co-morbid anxiety or depression vs. treatment for substance use alone: a systematic review of the published literature
Most patients at drug and alcohol services suffer depression and/or anxiety, far too many and usually not severely enough to engage mental health services. Faced with this huge problem, should services offer special mental health therapies, or is substance-focused treatment sufficient?
REVIEW 2006 PDF file 174Kb
Antidepressants curb depression but add little to strong 'talking therapies'
A trio of reviews of trials of antidepressants in the treatment of depressed alcohol or drug dependent patients have clarified that they do help the severely depressed, but also that they add little to psychosocial approaches such as cognitive-behavioural therapy.
STUDY 2006 PDF file 113Kb
Recently attempting suicide one of the strongest indicators for residential treatment
In this US study most patients benefited to roughly the same degree from residential and non-residential programmes, but those who had recently attempted suicide responded dramatically better to residential programmes, doing even better than the other patients.
STUDY 2006 PDF file 159Kb
Integrated care for dual diagnosis patients betters parallel provision
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.
STUDY 2009 HTM file
Randomized controlled trial of cognitive-behavioural therapy for coexisting depression and alcohol problems: short-term outcome
Australian study provides the first evidence that integrated treatment may be superior to alcohol- or depression-focused treatment for depressed heavy drinkers, but the lack of extra benefit in respect of depression and gender differences suggests a more complicated picture.
STUDY 2009 HTM file
Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD
Seeking Safety is a prominent therapy for the common combination of substance dependence and post-traumatic stress disorder, yet in this study of imprisoned women in the USA it did not significantly augment outcomes from the prison's own substance use treatment. Asking 'Why not?' generates interesting explanations.
DOCUMENT 2016 HTM file
Coexisting severe mental illness and substance misuse: community health and social care services
NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.
DOCUMENT 2011 HTM file
Psychosis with coexisting substance misuse: assessment and management in adults and young people
Psychosis plus harmful substance use is a toxic mixture which worsens the prospects of recovery from mental illness. How should it be dealt with, and what are the respective roles of mental health and substance use services? This UK guideline developed by an expert group has some of the answers.
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