The 130th Annual Meeting of APHA

4090.0: Tuesday, November 12, 2002 - Board 9

Abstract #47720

Models of integrated substance abuse and mental health treatment: Evaluation of three treatment approaches to providing effective treatment to people with co-occurring disorders

Kelly J. Brown, PhD1, Katherine E. Laws, BA1, John Fitzgerald, MS2, and Roy M. Gabriel, PhD1. (1) RMC Research Corporation, 522 S.W. Fifth Avenue, Suite 1407, Portland, OR 97204-2131, 503 223-8248,, (2) OHSU Behavioral Health Clinic, 621 SW Alder Street, Suite 520, Portland, OR 97205-3620

Project SPIRIT (Seeking Pathways Into Receiving Integrated Treatment) is an evaluation study funded by the Center for Substance Abuse Treatment (CSAT). The study is designed to document and demonstrate the effectiveness of integrated treatment approaches for treating persons with a co-occurring substance abuse and mental health problem. This presentation will describe and compare 3 different treatment approaches. Drawing upon data collected from provider surveys, provider interviews, client focus groups, and document reviews the study categorized participating agencies as being an integrated treatment program, a COD track program offering group sessions for dually diagnosed clients, or a non-specialized program with no mental health services. The presentation will provide information from the treatment staffs’ perspective about the type of clients they serve and their beliefs as to what is effective treatment; what treatment techniques and modalities they employ; and what factors they believe are most responsible for positive client outcomes. In general, data indicate that there are more similarities than differences in the education levels of staff among the treatment models. In contrast, larger differences between treatment models can be seen in staff perceptions’ of effective treatment techniques. For example, agencies that represented the COD track program and the non-specialized program endorsed self-help groups as an effective treatment intervention whereas staff representing the integrated program did not rate these groups as effective. The greatest contrast reported by staff between the 3 different treatment models is the reported use of objective measures to identify and diagnose substance abuse and mental health problems.

Learning Objectives:

  • At the end of this session, participants will

    Keywords: Drug Abuse Treatment, Mental Health Care

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Improving Treatment Services to At-Risk Populations Poster Session

    The 130th Annual Meeting of APHA