Journal of Addictive Behaviors,Therapy & RehabilitationISSN: 2324-9005

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Research Article, J Addict Behav Ther Rehabil Vol: 3 Issue: 3

A Manual-Guided Therapy for Co-Occurring Substance Use and Psychiatric Disorders Delivered by Community Addiction Counselors: Are Outcomes Different from Psychotherapy Delivered by Mental Health Professionals?

Chantal Lambert-Harris1*, Mark P. McGovern1,2, Elizabeth C. Saunders3, and Jessica E. Hoyt4
1Department of Psychiatry, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, New Hampshire 03766, USA
2Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, New Hampshire 03766, USA
3Dartmouth Psychiatric Research Center, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, New Hampshire 03766, USA
4The Dartmouth Institute for Health Policy & Clinical Practice, 46 Centerra Parkway, Lebanon, New Hampshire 03766, USA
Corresponding author : Chantal Lambert-Harris
Dartmouth Psychiatric Research Center, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, New Hampshire, 03766 USA
Tel: 603-271-5248; Fax: 603-271-5265
E-mail: [email protected]
Received June 27, 2014 Accepted September 05, 2014 Published September 09, 2014
Citation: Lambert-Harris C, McGovern MP, Saunders EC, Hoyt JE (2014) A Manual-Guided Therapy for Co-Occurring Substance Use and Psychiatric Disorders Delivered by Community Addiction Counselors: Are Outcomes Different from Psychotherapy Delivered by Mental Health Professionals?. J Addict Behav Ther Rehabil 3:3. doi:10.4172/2324-9005.1000127

Abstract

A Manual-Guided Therapy for Co-Occurring Substance Use and Psychiatric Disorders Delivered by Community Addiction Counselors: Are Outcomes Different from Psychotherapy Delivered by Mental Health Professionals?

Objective: Co-occurring substance use and psychiatric disorders are common in the general population and even more prevalent in clinical settings. Co-occurring disorders complicate treatment, and are associated with negative outcomes. Broad spectrum and implementation-friendly therapies may be both practical for providers and accessible to many patients with co-occurring disorders in routine addiction care settings. Methods: Within a randomized controlled trial design, 46 patients in methadone maintenance treatment, and with diagnosed cooccurring disorders, were assigned to either a manual-guided integrated therapy (Integrating Combined Therapies; ICT) delivered by onsite addiction counselors or to a non-manualized therapyas-usual (TAU), delivered by onsite mental health professionals. Participants in both study arms were also receiving methadone. Primary outcomes of substance use and psychiatric symptom severity, and therapy retention, were assessed from baseline to 3-, 6-, and 9-months.

Keywords: Co-occurring disorders, integrated treatment, behavioral therapies, methadone maintenance

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