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- Title
Co-occurring Mental Disorders in Substance Abuse Treatment: the Current Health Care Situation in Germany.
- Authors
Dauber, Hanna; Braun, Barbara; Pfeiffer-Gerschel, Tim; Kraus, Ludwig; Pogarell, Oliver
- Abstract
Aim of this study was to investigate the current health care situation for patients with co-occurring mental disorders in addiction treatment. Therefore, data from the German Substance Abuse Treatment System (<italic>N</italic> = 194,406) was analysed with regard to the prevalence of comorbid mental disorders, treatment characteristics and outcomes of patients with comorbid psychiatric diagnosis. In outpatient setting, the prevalence of comorbid diagnoses was considerably lower (4.6%) than in inpatient setting (50.7%), but mood and anxiety disorders were the most prevalent additional diagnoses in both settings. In the treatment of patients with these comorbid disorders, we found higher rates of complementary internal and external (psychiatric) treatment, more co-operations and referrals after treatment, and positive treatment process outcomes. Findings indicate that the knowledge of an additional diagnosis influences the health care provision of affected patients and can therefore be seen as the essential precondition for providing adequate and comprehensive treatment. This highlights the importance of a sufficient consideration and diagnostic assessment of mental disorders in addiction treatment to further improve the health care situation of comorbid patients.
- Subjects
SUBSTANCE-induced disorders; SUBSTANCE abuse &; psychology; SUBSTANCE abuse treatment; PATHOLOGICAL psychology; TREATMENT of addictions
- Publication
International Journal of Mental Health & Addiction, 2018, Vol 16, Issue 1, p66
- ISSN
1557-1874
- Publication type
Article
- DOI
10.1007/s11469-017-9784-5