Towards a new model of care: integrating mental health, substance use, and somatic care

Geert, Dom; Moggi, Franz (2015). Towards a new model of care: integrating mental health, substance use, and somatic care. In: Geert, Dom; Moggi, Franz (eds.) Co-Occurring Addictive and Psychiatric Disorders. A Practice-Based Handbook from a European Perspective (pp. 375-389). Heidelberg: Springer 10.1007/978-3-642-45375-5_25

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Although research and clinical interventions for patients with dual disorders have been described since as early as the 1980s, the day-to-day treatment of these patients remains problematic and challenging in many countries. Throughout this book, many approaches and possible pathways have been outlined. Based upon these experiences, some key points can be extracted in order to guide to future developments. (1) New diagnostic approaches are warranted when dealing with patients who have multiple problems, given the limitations of the current categorical systems. (2) Greater emphasis should be placed on secondary prevention and early intervention for children and adolescents at an increased risk of later-life dual disorders. (3) Mental, addiction, and somatic care systems can be integrated, adopting a patient-focused approach to care delivery. (4) Recovery should be taken into consideration when defining treatment intervention and outcome goals. (5) It is important to reduce societal risk factors, such as poverty and early childhood adversity. (6) More resources are needed to provide adequate mental health care in the various countries. The development of European guidance initiatives would provide benefits in many of these areas, making it possible to ensure a more harmonized standard of care for patients with dual disorders.

Item Type:

Book Section (Book Chapter)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Management
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Psychotherapy
04 Faculty of Medicine > University Psychiatric Services

UniBE Contributor:

Moggi, Franz and Moggi, Franz

Subjects:

100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health

ISBN:

978-3-642-45374-8

Publisher:

Springer

Language:

English

Submitter:

Franz Moggi

Date Deposited:

19 May 2015 16:34

Last Modified:

17 May 2016 16:00

Publisher DOI:

10.1007/978-3-642-45375-5_25

Uncontrolled Keywords:

Comorbidity, Addiction, Psychiatric Disorders, Somatic Disorders, Health Care, Treatment

BORIS DOI:

10.7892/boris.66150

URI:

https://boris.unibe.ch/id/eprint/66150

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