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Prevalence of Nonpsychotic Mental Disorders Does Not Affect Treatment Outcome in a Homeless Cocaine-Dependent Sample
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This study presents the prevalence and treatment outcome of DUAL diagnoses (psychoactive substance use disorders [PSUD] plus other nonpsychotic mental disorders) among a population of homeless persons participating in a behavioral day treatment and contingency management drug abuse treatment program. Cocaine and alcohol disorders were most prevalent overall, and over half of participants had two or more psychoactive substance use disorders. DUAL participants had significantly more alcohol disorders than PSUD's. The most prevalent mental disorders, other than substance abuse, for the total and DUAL samples were mood and anxiety. The DUAL group had more severe problems than the PSUD group at baseline in alcohol, medical condition, employment/support, and psychiatric status areas. Both groups showed treatment improvements at 6-month follow-up, with the DUAL group showing greater mean change than he PSUD group. These findings are discussed in terms of effect of dual diagnoses on treatment outcome and study limitations related to a retrospective design and select sample of nonpsychotic mental disorders. (Authors)
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A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services