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Co-occurring Mental Disorders in Substance Abuse Treatment: the Current Health Care Situation in Germany
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). IFT Institut für Therapieforschung, Germany.
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2018 (English)In: International Journal of Mental Health and Addiction, ISSN 1557-1874, E-ISSN 1557-1882, Vol. 16, no 1, p. 66-80Article in journal (Refereed) Published
Abstract [en]

Aim of this study was to investigate the current health care situation for patients with co-occurring mental disorders in addiction treatment. Therefore, data from the German Substance Abuse Treatment System (N = 194,406) was analysed with regard to the prevalence of comorbid mental disorders, treatment characteristics and outcomes of patients with comorbid psychiatric diagnosis. In outpatient setting, the prevalence of comorbid diagnoses was considerably lower (4.6%) than in inpatient setting (50.7%), but mood and anxiety disorders were the most prevalent additional diagnoses in both settings. In the treatment of patients with these comorbid disorders, we found higher rates of complementary internal and external (psychiatric) treatment, more co-operations and referrals after treatment, and positive treatment process outcomes. Findings indicate that the knowledge of an additional diagnosis influences the health care provision of affected patients and can therefore be seen as the essential precondition for providing adequate and comprehensive treatment. This highlights the importance of a sufficient consideration and diagnostic assessment of mental disorders in addiction treatment to further improve the health care situation of comorbid patients.

Place, publisher, year, edition, pages
2018. Vol. 16, no 1, p. 66-80
Keywords [en]
Substance use disorder, Mental disorders, Comorbidity, Treatment, Health care
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:su:diva-151822DOI: 10.1007/s11469-017-9784-5ISI: 000425309400005OAI: oai:DiVA.org:su-151822DiVA, id: diva2:1175720
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-03-05Bibliographically approved

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CiteExportLink to record
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  • apa
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  • de-DE
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