Osher F C, Kofoed L L
West Central Community Mental Health Services, Hanover, New Hampshire.
Hosp Community Psychiatry. 1989 Oct;40(10):1025-30. doi: 10.1176/ps.40.10.1025.
The treatment of individuals with coexisting psychoactive substance abuse and severe psychiatric disorders requires an integration of principles from the mental health and chemical dependency fields. The authors outline a conceptual model for treating dually diagnosed patients that consists of four treatment phases--engagement, persuasion, active (or primary) treatment, and relapse prevention. The components of these phases include case management, group therapy, psychopharmacology, toxicologic screening, detoxification, family involvement, and participation in self-help groups. Due to the high morbidity and mortality associated with dual diagnoses, the authors encourage the development, implementation, and scientific evaluation of integrated treatment models targeted toward this population.
对同时存在精神活性物质滥用和严重精神障碍的个体进行治疗，需要整合心理健康和化学成瘾领域的原则。作者概述了一个针对双重诊断患者的治疗概念模型，该模型包括四个治疗阶段——参与、劝服、积极（或主要）治疗以及预防复发。这些阶段的组成部分包括病例管理、团体治疗、精神药理学、毒理学筛查、戒毒、家庭参与以及参加自助团体。鉴于双重诊断所伴随的高发病率和高死亡率，作者鼓励针对这一人群开发、实施和进行综合治疗模型的科学评估。
