Grella C E
UCLA Drug Abuse Research Center, Neuropsychiatric Institute, University of California, Los Angeles, USA.
J Psychoactive Drugs. 1996 Oct-Dec;28(4):319-43. doi: 10.1080/02791072.1996.10472614.
Women with a psychiatric disorder who also abuse alcohol or other drugs have historically encountered barriers to integrated treatment for both disorders. Substance abuse treatment services and mental illness treatment services are usually organized independently of each other and few are designed to meet the needs of pregnant and parenting women. This chapter reviews the developmental histories of treatment systems for psychiatric and substance abuse disorders; the structural barriers that impede the delivery of services to individuals with co-occurring psychiatric and substance abuse disorders; the prevalence of dual disorders; issues related to diagnosis and assessment, types of diagnoses and addictions; treatment issues specific to women who are pregnant or parenting; models of service delivery; and initiatives directed at changing treatment systems.
患有精神疾病且同时滥用酒精或其他药物的女性，在历史上一直面临着针对这两种疾病进行综合治疗的障碍。药物滥用治疗服务和精神疾病治疗服务通常是相互独立组织的，很少有服务是为满足怀孕和育有子女的女性的需求而设计的。本章回顾了精神疾病和药物滥用障碍治疗系统的发展历程；阻碍为同时患有精神疾病和药物滥用障碍的个体提供服务的结构性障碍；双重障碍的患病率；与诊断和评估、诊断类型及成瘾相关的问题；针对怀孕或育有子女的女性的特殊治疗问题；服务提供模式；以及旨在改变治疗系统的举措。
