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A Randomized Clinical Trial of a New Behavioral Treatment for Drug Abuse in People With Severe and Persistent Mental Illness
Abstract
CONTEXT: Drug abuse by people with severe mental disorder is a significant public health problem for which there is no empirically validated treatment. OBJECTIVE: To evaluate the efficacy of a new behavioral treatment for drug abuse in this population: Behavioral Treatment for Substance Abuse in Severe and Persistent Mental Illness (BTSAS). DESIGN: Participants were randomly assigned to 6 months of treatment in either BTSAS or a manualized control condition: Supportive Treatment for Addiction Recovery (STAR). SETTING: Treatment was conducted in community-based outpatient clinics and a Veterans Affairs medical center in Baltimore, Md. PARTICIPANTS: Participants were 129 stabilized outpatients meeting DSM criteria for drug dependence (cocaine, heroin, or cannabis) and serious mental illness: 39.5% met DSM-IV criteria for schizophrenia or schizoaffective disorder; 55.8%, for major affective disorders; and the remainder met criteria for severe and persistent mental illness and other Axis I disorders. INTERVENTIONS: Both treatments were administered by trained health care professionals in small groups, twice a week for 6 months. The BTSAS program is a social learning intervention that includes motivational interviewing, a urinalysis contingency, and social skills training. The control condition, STAR, is a supportive group discussion treatment. Main Outcome Measure The primary outcome measure was urinalysis results from twice-weekly treatment sessions. RESULTS: The BTSAS program was significantly more effective than STAR in percentage of clean urine test results, survival in treatment, and attendance at sessions. The BTSAS program also had significant effects on important community-functioning variables, including hospitalization; money available for living expenses; and quality of life. CONCLUSIONS: The BTSAS program is an efficacious treatment. Further work needs to be done to increase the proportion of eligible patients who are able to become engaged in treatment.
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Cites
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596
Ensuring balanced distribution of prognostic factors in treatment outcome research.
Stout, R. L., Wirtz, P. W., Carbonari, J. P., & Del Boca, F. K. (1994) · Journal of Studies on Alcohol, Supplement · doi:10.15288/jsas.1994.s12.70 · Cited by 461
Drake, R. E., Mueser, K. T., Brunette, M. F., & McHugo, G. J. (2004) · Psychiatric Rehabilitation Journal · doi:10.2975/27.2004.360.374 · Cited by 459
Cited by
The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements
Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., Lehman, A., Tenhula, W. N., Calmes, C., Pasillas, R. M., et al. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbp115 · Cited by 774
Self-citationEfficacy of the third wave of behavioral therapies: A systematic review and meta- analysis
Öst, L.-G. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.12.005 · Cited by 727
Drake, R. E., O'Neal, E. L., & Wallach, M. A. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.01.011 · Cited by 447
Integrated treatment of substance use and psychiatric disorders
Kelly, T. M., & Daley, D. C. (2013) · Social Work in Public Health · doi:10.1080/19371918.2013.774673 · Cited by 378
Psychosocial interventions for cannabis use disorder
Gates, P. J., Sabioni, P., Copeland, J., Le Foll, B., & Gowing, L. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005336.pub4 · Cited by 282
Torrens, M., Rossi, P. C., Martinez-Riera, R., Martinez-Sanvisens, D., & Bulbena, A. (2012) · Substance Use & Misuse · doi:10.3109/10826084.2012.663296 · Cited by 122
Treatment of Dual Diagnosis Disorders
Murthy, P., & Chand, P. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e328351a3e0 · Cited by 115
Britton, P. C., Patrick, H., Wenzel, A., & Williams, G. C. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.06.004 · Cited by 111
Psychosocial interventions for people with both severe mental illness and substance misuse
Hunt, G. E., Siegfried, N., Morley, K., Brooke-Sumner, C., & Cleary, M. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001088.pub4 · Cited by 105
Goldner, E. M., Lusted, A., Roerecke, M., Rehm, J., & Fischer, B. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.11.022 · Cited by 102
Urbanoski, K. A., Rush, B. R., Wild, T. C., Bassani, D. G., & Castel, S. (2007) · Psychiatric Services · doi:10.1176/appi.ps.58.7.962 · Cited by 95
Tidemalm, D., Waern, M., Stefansson, C.-G., Elofsson, S., & Runeson, B. (2008) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-4-23 · Cited by 68
Barrowclough, C., Haddock, G., Beardmore, R., Conrod, P., Craig, T., Davies, L., Dunn, G., Lewis, S., Moring, J., Tarrier, N., et al. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.03.007 · Cited by 51
McKee, S. A. (2017) · Canadian Psychology / Psychologie canadienne · doi:10.1037/cap0000093 · Cited by 49
Mindfulness in severe and persistent mental illness: a systematic review
Potes, A., Souza, G., Nikolitch, K., Penheiro, R., Moussa, Y., Jarvis, E., Looper, K., & Rej, S. (2018) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651501.2018.1433857 · Cited by 37
Beaulieu, S., Saury, S., Sareen, J., Tremblay, J., Schütz, C. G., McIntyre, R. S., & Schaffer, A. (2012) · Annals of Clinical Psychiatry · doi:10.1177/104012371202400105 · Cited by 38
Psychosocial interventions for stimulant use disorder
Minozzi, S., Saulle, R., Amato, L., Traccis, F., & Agabio, R. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011866.pub3 · Cited by 32
Psychological interventions for co-occurring depression and substance use disorders
Hides, L., Quinn, C., Stoyanov, S., Kavanagh, D., & Baker, A. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009501.pub2 · Cited by 32
Partners in Recovery program evaluation: changes in unmet needs and recovery
Hancock, N., Scanlan, J. N., Gillespie, J. A., Smith-Merry, J., & Yen, I. (2018) · Australian Health Review · doi:10.1071/ah17004 · Cited by 23
Interventions for co-occurring addictive and other mental disorders (AMDs)
Kavanagh, D. J., & Connolly, J. M. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.03.005 · Cited by 22
Donohue, B. C., Romero, V., Herdzik, K., Lapota, H., Abdel Al, R., Allen, D. N., Azrin, N. H., & Van Hasselt, V. B. (2010) · Clinical Case Studies · doi:10.1177/1534650109351928 · Cited by 18
Implications of research on comorbidity for the nature and management of substance misuse
Mueser, K. T., Kavanagh, D. J., & Brunette, M. F. (2007) · Translation of Addictions Science Into Practice · doi:10.1016/b978-008044927-2/50063-8 · Cited by 14
Outcomes and challenges of motivational interviewing in dual diagnosis treatment—A systematic review
Bastos Maia, M., Martins, P. M., & Figueiredo-Braga, M. (2025) · Journal of Dual Diagnosis · doi:10.1080/15504263.2024.2434218 · Cited by 3
Metadata
- Authors
- Bellack, A. S., Bennett, M. E., Gearon, J. S., Brown, C. H., & Yang, Y.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2006-04-01
- Volume
- 63
- Issue
- 4
- Pages
- 426
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2103962401
- Cited by
- 285
- References
- 3
- FWCI
- 14.61
- Type
- journal article
- Language
- en
- Open access
- closed
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