Evidence-supported psychosocial treatment for dual disorder patients

Moggi, Franz; Öjehagen, Agneta (2015). Evidence-supported psychosocial treatment for dual disorder patients. In: Dom, Geert; Moggi, Franz (eds.) Co-Occurring Addictive and Psychiatric Disorders. A Practice-Based Handbook from a European Perspective (pp. 261-277). Heidelberg: Springer 10.1007/978-3-642-45375-5_18

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Results on the effectiveness of psychosocial treatments for patients with comorbid psychiatric and substance use disorders (dual disorders) will be discussed based on relevant meta-analyses and comprehensive reviews. Findings pertaining to severe (e.g., schizophrenia) and mild to moderate (e.g., anxiety disorders) dual disorders will be presented. The heterogeneity in patient characteristics, treatments, settings, and measured outcomes within the studies hinders the extraction of simple conclusions regarding how to effectively integrate psychiatric and addiction-oriented services into one psychosocial treatment. However, promising treatment strategies and interventions include integrative programs that comprise motivational interviewing; disorder-specific cognitive-behavioral interventions; substance use reduction interventions such as relapse prevention or contingency management; and/or family interventions. Such programs are generally superior to control groups (e.g., waiting list, treatment as usual) and are sometimes superior to other active treatments (e.g., skills training) in outcomes of substance use, psychiatric disorders, and social functioning.

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