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A Review of Integrated Care for Concurrent Disorders: Cost Effectiveness and Clinical Outcomes
Abstract
Objective: The recognition of concurrent disorders (combined mental health and substance use disorders) has increased substantially over the last three decades, leading to greater numbers of people with these diagnoses and a subsequent greater financial burden on the health care system, yet establishing effective modes of management remains a challenge. Further, there is little evidence on which to base recommendations for a particular mode of health service delivery. This paper will further summarize the existing treatment models for a comprehensive overview. The objectives of this study are to determine whether existing service models are effective in treating combined mental health and substance use disorders and to examine whether an integrated model of service delivery should be recommended to policy makers. The following two research questions are the focus of this paper: (1) Are the existing service models effective at treating mental health and substance use disorders? (2) How are existing service models effective at treating mental health and substance use disorders? Methods: We used various databases to systematically review the effectiveness of service delivery models to treat concurrent disorders. Models were considered effective if they are found to be cost-effective and significantly improve clinical and social outcomes. Results: This systematic review revealed that integrated models of care are more effective than conventional, nonintegrated models. Integrated…
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“Despite the conceptual appeal of these models, the evidence of their efficacy is still limited 270 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [270]
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References 42 · Cited by 77
Research works printed but not linked: 5
- Banerjee S., 2002, Coexisting problems of mental disorder and substance misuse (dual diagnosis): An information manual
- Higgins, J. P. T. & Green, S. (Eds.). (2011). Cochrane h andbook for s ystematic r eviews of i nterventions (ver. 5.1.0). Retrieved from http://www.handbook.cochrane.org
- Institute of Medicine., 1996, Pathways of addiction
- 10.1080/175232812011.596160 · DOI
- Timko C., 2003, Journal of Behavioral Health Services and Research, 30, 145–160
Metadata
- Authors
- Karapareddy, V.
- Affiliations
- Vancouver Coastal Health (CA)
- Corresponding author
- Karapareddy, Venu
- Venue
- Journal of Dual Diagnosis
- Publisher
- Informa UK Limited
- Published
- 2019-01-02
- Volume
- 15
- Issue
- 1
- Pages
- 56-66
- ISSN
- 1550-4263 (ISSN-L)
- 1550-4271
- OpenAlex
- W2915282089
- Cited by
- 77
- References
- 42
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 16 · 2023: 13 · 2022: 12 · 2021: 8 · 2020: 8
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dual Diagnosis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- integrated care, dual diagnosis, concurrent disorders, mental illness, substance use disorders, cost-effectiveness, service delivery models, treatment effectiveness, clinical outcomes, health policy
- MeSH terms
- Mental Disorders, Cost-Benefit Analysis, Humans, Treatment Outcome, Delivery of Health Care, Integrated, Substance-Related Disorders
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- Karapareddy, V. (2019). A Review of Integrated Care for Concurrent Disorders: Cost Effectiveness and Clinical Outcomes. Journal of Dual Diagnosis. https://doi.org/10.1080/15504263.2018.1518553
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
