Interventions for co-occurring addictive and other mental disorders (AMDs)


Autoria(s): Kavanagh, David J.; Connolly, Jennifer M.
Data(s)

01/10/2009

Resumo

While research on the management of co-occurring addictive and mental disorders (AMDs) has grown substantially in recent years, we still have little guidance on specific strategies. Consideration of epidemiological research and ethical principles can supplement existing clinical trials in providing a way forward. High frequencies of co-occurring disorders, equity of access for affected individuals and potential clashes between services in priorities and procedures, suggest that a stepped model of care by a single service may often be required. Typically, problems are multiple rather than dual, with potential for mutual influence, suggesting a need for interventions that are sensitive to and encompass complex co-occurring problems. Motivational problems are endemic, initial gains are often partial and unstable, and relapses potentially have serious consequences, suggesting a need for long-term, assertive follow-up. Principles such as these provide a solid framework for designing both services and interventions. However, there is a continuing need for controlled trials that unpack effective components of interventions, and increase their impact.

Identificador

http://eprints.qut.edu.au/28571/

Publicador

Elsevier Ltd.

Relação

DOI:10.1016/j.addbeh.2009.03.005

Kavanagh, David J. & Connolly, Jennifer M. (2009) Interventions for co-occurring addictive and other mental disorders (AMDs). Addictive Behaviours, 34(10), pp. 838-845.

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Psychology & Counselling

Palavras-Chave #170100 PSYCHOLOGY #Comorbidity #Mental disorders #Substance-related disorders #Treatment #Mental health services
Tipo

Journal Article