Psychiatric Services
- Volume 40
- Number 10
- October 1989
Article
Publication date: 01 October 1989
Pages1019–1025Patients with both mental illness and substance abuse pose a major clinical challenge to mental health and substance abuse clinicians. The literature seems to support the hypothesis that mental illness and substance abuse occur together more frequently ...
https://doi.org/10.1176/ps.40.10.1019Publication date: 01 October 1989
Pages1025–1030The treatment of individuals with coexisting psychoactive substance abuse and severe psychiatric disorders requires an integration of principles from the mental health and chemical dependency fields. The authors outline a conceptual model for treating ...
https://doi.org/10.1176/ps.40.10.1025Publication date: 01 October 1989
Pages1031–1036A model that integrates the treatment of patients with a dual diagnosis of psychosis and addiction has been developed on a general hospital psychiatric unit. The model emphasizes the parallels between the standard biopsychosocial illness-and-...
https://doi.org/10.1176/ps.40.10.1031Publication date: 01 October 1989
Pages1037–1040The prevalence of substance abuse was investigated in 100 young chronic patients consecutively admitted to a long-term private psychiatric hospital. Data were obtainedfrom diagnostic research interviews with each subject at admission. Half of the subjects ...
https://doi.org/10.1176/ps.40.10.1037Publication date: 01 October 1989
Pages1041–1046Substance abuse was examined in a group of 187 chronic mentally ill patients living in the community. According to ratings by aftercare clinicians, approximately one-third of the sample ahused alcohol, street drugs, or both during the six months before ...
https://doi.org/10.1176/ps.40.10.1041Publication date: 01 October 1989
Pages1046–1049State service delivery systems have had limited success in meeting the needs of persons with major mental illness and substance abuse problems. Systems issues that create barriers to effective services include rigid program boundaries, inadequate ...
https://doi.org/10.1176/ps.40.10.1046Publication date: 01 October 1989
Pages1049–1056Although "psychosomatic meducine" and "consultation-liaison psychiatry" are imprecise terms, they continue to be useful in describing, respectively, theoretical constructs of the relationship between psychiatry and the rest of medicine and the day-to-day ...
https://doi.org/10.1176/ps.40.10.1049Publication date: 01 October 1989
Pages1057–1061General medical hospitals and freestanding psychiatric hospitals usually function independently. The authors review the relative strengths and weaknesses of the two settings and suggest a plan for a rational coordination of services. In an efficient ...
https://doi.org/10.1176/ps.40.10.1057Publication date: 01 October 1989
Pages1065–1067We have presented a treatment model that integrates experience in addressing the symptoms and disabilities of major mental illness with an effective approach to substance abuse. The model is still evolving, but we have found that approaching treatment in ...
https://doi.org/10.1176/ps.40.10.1065Publication date: 01 October 1989
Pages1067–1069The results of this study are consistent with those of an earlier study that reported shorter lengths of stay among patients with substance abuse disorders than among other psychiatric patients (7). Furthermore, our results suggest the association between ...
https://doi.org/10.1176/ps.40.10.1067Past Issues
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