Abstract
We evaluated an intensive, integrated treatment program for men with serious mental illness and co-occurring substance use disorder, which incorporated several evidence-based interventions. Independent researchers rated transcripts from quality improvement interviews to examine recovery in five key domains: housing, education/employment, family relationships, mental health, and substance use. The final sample comprised 82 participants; 60 (73.2%) had left the treatment program, and 22 (26.8%) remained engaged in services of varying intensity. Mean length of stay was 18.2 months (SD = 20.1). A large proportion of participants recovered on each domain (ranging from n = 40, 48.8% on education/employment to n = 55, 67.1% on substance use). Those who remained in treatment for at least a year (n = 37, 45.1%), compared with those who left earlier (n = 45, 54.9%), were significantly more likely to be in recovery in each of the five domains. Men with long-term dual disorders can achieve clinical and functional recovery when they receive intensive, integrated, evidence-based interventions for at least 1 year.
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Acknowledgments
We wish to thank the staff at WestBridge for their hard work on data aggregation and verification, particularly Sarah White, who also took great care in going through records to locate missing data and helping to verify information when in question.
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Acquilano co-designed the study; had primary responsibility for validating, managing, and analyzing the data; contributed to interpreting findings; and led the writing of the manuscript. Noel was involved in data validation and analyses, and contributed to the interpretation of findings and writing the manuscript. Gamache conducted the quality improvement initiative at the treatment program and contributed to writing the manuscript. Drake co-designed the study and contributed to the interpretation of findings and writing the manuscript. Hendrick assisted with interpretation of results and writing the manuscript. Gamache, Hendrick, and other program staff had no role in data analyses or reporting of results.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.
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Authors Acquilano, Noel, and Drake declare that they have no conflict of interest. Author Hendrick is employed by WestBridge, Inc.; Author Gamache was employed by Westbridge, Inc. while the study was being conducted.
Informed Consent
Because we analyzed de-identified data that were already collected as part of the treatment program’s quality improvement efforts, the institutional review board waived the requirement for informed consent and deemed that this study was exempt from further review.
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Acquilano, S.C., Noel, V.A., Gamache, J. et al. Outcomes of a Residential and Community-Based Co-occurring Disorders Treatment Program. Int J Ment Health Addiction 19, 1615–1624 (2021). https://doi.org/10.1007/s11469-020-00251-x
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DOI: https://doi.org/10.1007/s11469-020-00251-x