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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

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  • Donald, Maria
  • Dower, Jo
  • Kavanagh, David

Abstract

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.

Suggested Citation

  • Donald, Maria & Dower, Jo & Kavanagh, David, 2005. "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," Social Science & Medicine, Elsevier, vol. 60(6), pages 1371-1383, March.
  • Handle: RePEc:eee:socmed:v:60:y:2005:i:6:p:1371-1383
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    1. Rosenberg, S.D. & Goodman, L.A. & Osher, F.C. & Swartz, M.S. & Essock, S.M. & Butterfield, M.I. & Constantine, N.T. & Wolford, G.L. & Salyers, M.P., 2001. "Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 31-37.
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    Cited by:

    1. Brousselle, Astrid & Lamothe, Lise & Mercier, Celine & Perreault, Michel, 2007. "Beyond the limitations of best practices: How logic analysis helped reinterpret dual diagnosis guidelines," Evaluation and Program Planning, Elsevier, vol. 30(1), pages 94-104, February.
    2. Embrett, Mark G. & Randall, G.E., 2014. "Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 147-155.

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