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Health service systems and comorbidity: stepping up to the mark

journal contribution
posted on 2010-06-01, 00:00 authored by Petra StaigerPetra Staiger, Caroline Long, A Baker
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.

History

Journal

Mental health and substance use: dual diagnosis

Volume

3

Issue

2

Pagination

148 - 161

Publisher

Routledge

Location

Oxon, England

ISSN

1752-3281

eISSN

1752-3273

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2010, Taylor & Francis

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