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- Title
Brief integrated outpatient dual-diagnosis treatment reduces psychiatric hospitalizations.
- Authors
Granholm, Eric; Anthenelli, Robert; Monteiro, Rita; Sevcik, John; Stoler, Marilyn
- Abstract
A retrospective pilot study was conducted to determine whether a relatively brief integrated outpatient treatment for patients with dual disorders reduced inpatient hospital service utilization. Outpatients (n=44) with substance dependence and either comorbid schizophrenia, major depressive disorder, or bipolar disorder were studied. A multidisciplinary team provided relatively brief (up to 24 weeks), integrated, dual-diagnosis outpatient treatment. A significant 60% reduction in the number of psychiatric hospitalization days was found for the year after treatment as compared to the year before. Patients with schizophrenia showed the greatest reduction (74%) in hospitalization days. Thus, even brief integrated outpatient dual-diagnosis treatment can reduce inpatient psychiatric hospitalizations.
- Subjects
CALIFORNIA; DUAL diagnosis patients; OUTPATIENT medical care; HOSPITAL care; SUBSTANCE abuse; PEOPLE with schizophrenia; DIAGNOSIS of alcoholism; DIAGNOSIS of mental depression; DIAGNOSIS of schizophrenia; SUBSTANCE abuse diagnosis; DIAGNOSIS of bipolar disorder; REHABILITATION of people with alcoholism; COMBINED modality therapy; COMPARATIVE studies; MENTAL depression; DRUGS of abuse; DUAL diagnosis; GROUP psychotherapy; HEALTH care teams; LENGTH of stay in hospitals; BIPOLAR disorder; RESEARCH methodology; UTILIZATION review (Medical care); MEDICAL cooperation; RESEARCH; SCHIZOPHRENIA; VETERANS' hospitals; SUBSTANCE abuse treatment; COMORBIDITY; TREATMENT programs; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; PATIENT readmissions
- Publication
American Journal on Addictions, 2003, Vol 12, Issue 4, p306
- ISSN
1055-0496
- Publication type
journal article
- DOI
10.1111/j.1521-0391.2003.tb00545.x