Health service systems and comorbidity: stepping up to the mark

Staiger, Petra K., Long, Caroline and Baker, Amanda 2010, Health service systems and comorbidity: stepping up to the mark, Mental health and substance use: dual diagnosis, vol. 3, no. 2, pp. 148-161, doi: 10.1080/17523281003733514.

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Title Health service systems and comorbidity: stepping up to the mark
Author(s) Staiger, Petra K.ORCID iD for Staiger, Petra K.
Long, Caroline
Baker, Amanda
Journal name Mental health and substance use: dual diagnosis
Volume number 3
Issue number 2
Start page 148
End page 161
Total pages 14
Publisher Routledge
Place of publication Oxon, England
Publication date 2010-06
ISSN 1752-3281
Keyword(s) co-occurring disorders
dual diagnosis
health policy
health service systems
integrated services
Summary Clients with co-occurring substance use and mental health disorders are not well served in traditional health care systems where specialist services offer segregated interventions and the client is left to negotiate required treatment across both systems. In recent years, policy change guiding the treatment of dual diagnosis in the United States, United Kingdom, Australia and elsewhere has triggered the development of diverse models of treatment, each of which function at different points on a continuum from serial to fully integrated care. This paper outlines key models and provides examples, while considering their potential for appropriately addressing the needs of this client group. Consideration is given to the benefits of an interaction between stepped care and the chosen model, as a means of enhancing care efficiency while retaining the focus on positive outcomes.
Language eng
DOI 10.1080/17523281003733514
Field of Research 111714 Mental Health
111709 Health Care Administration
170113 Social and Community Psychology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Taylor & Francis
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Document type: Journal Article
Collection: School of Psychology
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