Health Affairs, 25, no. 3 (2006): 648-658 doi: 10.1377/hlthaff.25.3.648 © 2006 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

This Article Figures Only Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Burnam, M. A. Articles by Watkins, K. E. Search for Related Content PubMed PubMed Citation Articles by Burnam, M. A. Articles by Watkins, K. E. Related Collections Access To Care Health Reform Insurance Coverage Managed Care - Mental Health Medicaid Mental Health/Substance Abuse Chronic Care State/Local Issues Consumer Issues

Specialization & Integration

Substance Abuse With Mental Disorders: Specialized Public Systems And Integrated Care

Separate public financing and regulation of substance (SA) abuse treatment distinct from mental health (MH) treatment preserves a focus on the special needs of those with substance abuse but creates challenges to providing appropriate care for the large number of people with co-occurring conditions. This paper reviews recent efforts to overcome these challenges through clinical and systems approaches that better integrate care. Although much progress has been made for some subgroups of people with co-occurring disorders, further efforts to develop and sustain clinically integrated service delivery approaches within separate systems, particularly in SA treatment settings, are needed.

                      What's this?

This article has been cited by other articles:

				R. M. Coffey, K. R. Levit, C. A. Kassed, A. T. McLellan, M. Chalk, T. M. Brady, and R. Vandivort-Warren Evidence for Substance Abuse Services and Policy Research: A Systematic Review of National Databases Eval Rev, April 1, 2009; 33(2): 103 - 137. [Abstract] [PDF]

				B. E. Havassy, J. Alvidrez, and A. A. Mericle Disparities in Use of Mental Health and Substance Abuse Services by Persons With Co-occurring Disorders Psychiatr Serv, February 1, 2009; 60(2): 217 - 223. [Abstract] [Full Text] [PDF]

				R. M. Coffey, J. A. Buck, C. A. Kassed, J. Dilonardo, C. Forhan, W. D. Marder, and R. Vandivort-Warren Transforming Mental Health and Substance Abuse Data Systems in the United States Psychiatr Serv, November 1, 2008; 59(11): 1257 - 1263. [Abstract] [Full Text] [PDF]

				D. J. Dausey, H. A. Pincus, J. M. Herrell, and L. Rickards State Mental Health Policy: States' Early Experience in Improving Systems-Level Care for Persons With Co-occurring Disorders Psychiatr Serv, July 1, 2007; 58(7): 903 - 905. [Abstract] [Full Text] [PDF]