Am J Psychiatry 1986; 143:867-872
Copyright © 1986 by American Psychiatric Association
Outpatient treatment of patients with substance abuse and coexisting psychiatric disorders
L Kofoed, J Kania, T Walsh and RM Atkinson
Thirty-two patients with coexisting substance abuse and other psychiatric
disorders were treated in a unique outpatient pilot program that used
techniques drawn from both psychiatric and substance abuse treatment.
Eleven patients remained in treatment for 3 or more months, and seven
completed a year or more of treatment. Severity of associated psychiatric
illness did not affect retention in treatment. Drug-abusing patients and
those with personality disorders dropped out quickly; patients with a
history of reliable outpatient treatment involvement tended to remain in
treatment. Treatment retention was associated with reduced hospital
utilization. The authors suggest guidelines for management of patients with
coexisting substance abuse and other psychiatric disorders.
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