| Titre : | Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders : a qualitative systematic review of randomised controlled trials. (2005) |
| Auteurs : | Maria DONALD ; J.O. DOWER ; KAVANAGH (David) : AUS. Department of Psychiatry. School of Medicine. University of Queensland. ; University of Queensland. School of Population Health. AUS |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 60, n° 6, 2005) |
| Pagination : | 1371-1383 |
| Langues: | Anglais |
| Mots-clés : | Toxicomanie ; Soins intégrés ; Etude comparée ; Psychopathologie ; Maladie associée ; Toxicomane ; Homme ; Essai comparatif ; Essai thérapeutique ; Qualité |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 33R0xY70. Diffusion soumise à autorisation]. The purpose of this paper is to conduct a qualitative review of randomised controlled trials in relation to the treatment of adults with co-occurring mental health and substance use disorder (MH/SUD). In particular, integrated approaches are compared with non-integrated approaches to treatment. Ten articles were identified for inclusion in the review. The findings are equivocal with regard to the superior efficacy of integrated approaches to treatment, although the many limitations of the studies need to be considered in our understanding of this finding. Clearly, this is an extremely challenging client group to engage and maintain in intervention research, and the complexity and variability of the problems render control particularly difficult. The lack of available evidence to support the superiority of integration is discussed in relation to these challenges. Much remains to be investigated with regard to integrated management and care for people with co-occurring and MH/SUD, particularly for specific combinations of dual diagnosis and giving consideration to the level of inter-relatedness between the disorders. |
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