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Brief Integrated Outpatient Dual‐diagnosis Treatment Reduces Psychiatric Hospitalizations
Author(s) -
Granholm Eric,
Anthenelli Robert,
Monteiro Rita,
Sevcik John,
Stoler Marilyn
Publication year - 2003
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.2003.tb00545.x
Subject(s) - dual diagnosis , medicine , schizophrenia (object oriented programming) , bipolar disorder , multidisciplinary team , psychiatry , multidisciplinary approach , retrospective cohort study , psychiatric hospital , emergency medicine , substance abuse , lithium (medication) , social science , nursing , sociology
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.