Morse G A
Health Prog. 1989 Sep;70(7):52-5.
Those in mental health services face a new, exciting clinical challenge for inpatient treatment: the dual-diagnosis mental health patient. The term refers to the presence of emotional disturbance and chemical dependency in the same patient. Only recently have hospitals begun to consolidate psychiatric and addiction treatment services into special units. Such a consolidation occurred in the creation of the Penrose Adolescent Treatment Services (PATS) unit at Penrose Hospital, Colorado Springs, CO. From the beginning, PATS was planned as a "dual-capability" treatment center to treat chemical dependency and psychiatric conditions in separate, distinct tracks in the same milieu. A third track was to focus on the needs of the dual diagnosis patient. Each youth was placed in a "primary" track of psychiatry or chemical dependency, with the dual-diagnosis patients borrowing the necessary services from the opposite track. To maintain the integrity of the preexisting psychiatric and chemical dependency programs, the unit adopted a case management model.
双重诊断的心理健康患者。该术语指的是同一患者同时存在情绪障碍和药物依赖的情况。直到最近，医院才开始将精神病治疗和成瘾治疗服务整合到特殊科室。科罗拉多州斯普林斯市彭罗斯医院设立的彭罗斯青少年治疗服务（PATS）科室就是这样一种整合的体现。从一开始，PATS就被规划为一个“具备双重能力”的治疗中心，在同一环境中，通过不同且独立的路径来治疗药物依赖和精神疾病。第三条路径则专注于双重诊断患者的需求。每个青少年被安排进入精神病学或药物依赖的“主要”治疗路径，双重诊断患者从相反的路径借用所需服务。为了保持原有精神病治疗和药物依赖治疗项目的完整性，该科室采用了病例管理模式。
