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Roy M. Gabriel, PhD, Kelly Vander Ley, PhD, and Jennifer Lembach, BA. RMC Research Corporation, 522 SW 5th Avenue, Suite 1407, Portland, OR 97204, 503-223-8248, roy_gabriel@rmccorp.com
Substance abuse (SA) and mental health (MH) professionals are increasingly concerned with and facing the prospect of providing quality care for persons with co-occurring SA and MH disorders (COD). The current study contrasts three common approaches to COD treatment: fully, partially and minimally integrated models. Using the Global Appraisal of Individual Needs (GAIN), 280 clients enrolling in one of these three models were assessed at treatment entry and six and twelve months later. Retention rates exceeded 90% at the 6-month follow-up and 80% at the 12-month follow-up. The natural selection process of clients to participating treatment agencies yielded significant baseline differences in client characteristics. However, statistical analysis of change over time indicated that both SA and MH-related baseline differences dissipated over time and that clients participating in all three models evidenced statistically significant improvement in SA, MH, employment and criminal justice-related outcomes over the 12 month period. Predictive models of positive outcome were generally stronger and yielded a wider variety of significant influences when looking at substance abuse outcomes as opposed to mental health outcomes.
Learning Objectives:
Keywords: Substance Abuse Treatment, Mental Disorders
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.