Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders: a qualitative systematic review of randomised controlled trials


Autoria(s): Donald, M; Dower, J; Kavanagh, D
Contribuinte(s)

E. Annandale

Data(s)

01/01/2005

Resumo

The purpose of this paper is to conduct a qualitative review of randomised controlled trials in relation to the treatment of adults with co-occurring mental health and substance use disorder (MH/SUD). In particular, integrated approaches are compared with non-integrated approaches to treatment. Ten articles were identified for inclusion in the review. The findings are equivocal with regard to the superior efficacy of integrated approaches to treatment, although the many limitations of the studies need to be considered in our understanding of this finding. Clearly, this is an extremely challenging client group to engage and maintain in intervention research, and the complexity and variability of the problems render control particularly difficult. The lack of available evidence to support the superiority of integration is discussed in relation to these challenges. Much remains to be investigated with regard to integrated management and care for people with co-occurring and MH/SUD, particularly for specific combinations of dual diagnosis and giving consideration to the level of inter-relatedness between the disorders. (C) 2004 Elsevier Ltd. All rights reserved.

Identificador

http://espace.library.uq.edu.au/view/UQ:76377

Idioma(s)

eng

Publicador

Pergamon-Elsevier Science Ltd

Palavras-Chave #Public, Environmental & Occupational Health #Social Sciences, Biomedical #Integrated Care #Comorbidity #Mental Illness #Substance Use Disorders #Systematic Qualitative Review #Randomised Controlled Trials #Dual Diagnosis #Behavior-therapy #Clinical-trial #Illness #Schizophrenia #Population #Prevalence #Violence #Alcohol #People #C1 #321208 Primary Health Care #730399 Health and support services not elsewhere classified #380100 Psychology #321021 Psychiatry
Tipo

Journal Article