Review of Treatments for People with Severe Mental Illnesses and Co-Occurring Substance Use Disorders, A

Several interventions for people with co-occurring severe mental illnesses and substance use disorders have emerged since the early 1980s. This article reviews 26 controlled studies of psychosocial interventions published or reported in the last 10 years (1994-2003).

Though most studies have methodological weaknesses, the cumulative evidence from experimental and quasi-experimental research supports integrating outpatient mental health and substance abuse treatments into a single, cohesive package. Effective treatments are also individualized to address personal factors and stage of motivation, e.g., engaging people in services, helping them to develop motivation, and helping them to develop skills and supports for recovery.

Accumulating evidence from quasi-experimental studies also suggests that integrated residential treatment, especially long-term (one year or more) treatment, is helpful for individuals who do not respond to outpatient dual disorders interventions. Current research aims to refine and test individual components and combinations of integrated treatments (source:


Title: Review of Treatments for People with Severe Mental Illnesses and Co-Occurring Substance Use Disorders, A
Title #2: Psychiatric Rehabilitation Journal
Author(s): Robert E. Drake, Kim T. Mueser, Mary F. Brunette, & Gregory J. McHugo
Publication Year: 2004 (Spring)
Volume #: 27
Issue #: 4
Page(s): 360-375
Publisher City: Boston, MA
Publisher Name: Center for Psychiatric Rehabilitation, Boston University
Hyperlink to Resource/Publisher: click here
Hyperlink to OhioLink: click here
Hyperlink to Case Library: click here
This section applies only to products available from us. If an order form appears in the "Purchase Info" section above, ...
  • Print the form, complete it, mail or fax it to us.
  • Make checks payable to "Case Western Reserve University".
  • To pay by credit card, call our office.
  • If a free PDF is available, a link will appear above.
  • Our high-resolution PDFs (300 dpi) will print to a standard desktop printer
  • For best results, use a large-format color photocopier (try FedEx/Kinkos, Office Max/Copy Max).
  • Many local printers now have low-cost digital color printing, which will produce a high-quality output.
We invite and encourage you to add the hyperlink of this page to your website and to distribute it to anyone who might be interested.