The study conducted by Drake, O'Neal, & Wallach (2008) provided a detailed analysis of co-occurring substance abuse along with severe mental illnesses which were explained through Psychosocial interventions. The initial process of the study was to identify 22 experimental and 23 was the experimental studies where a total of n=45 was obtained in order to conduct a psychosocial dual diagnosis is intervention on the basis of multiple search strategies. Contingency management, group counseling and residential dual diagnosis treatment were used as different interventions in order to show the impact of the rehab treatment and various observations related to case management, increasing treatment participation and community tenure were made in order to provide a detailed understanding of inferences drawn.
Most of the studies related to treatment of substance abusers revolve around heterogeneity of interventions that include measures, outcomes, methods and participants. There is a close discussion of the core cream severe mental illness along with substance misuse that is highlighted as heterogeneous evidence base that provides the input about use of combination of interventions while treating substance abuse cases and observing their impact. There are a series of recommendations for future research in this article that revolve around methodological standardization, longitudinal perspectives, sequenced interventions, interventions for subgroups and stages and the changing realities of treatment systems. Overall, there is a major discussion on how substance abusers may have a co-occurring mental illness, which may also required treatment along with the other interventions that are in place in order to resolve the initial issue.
On the other hand White (2012) provides a very interesting paradigm for addiction treatment very provides a detailed understanding of measurement of both early recovery initiation and stabilization and the prevalence of long-term recovery maintenance. There is a very subjective discussion about the key constructs of substance abuse impact on recovery, abstinence, remission and the various cycles that include subclinical, asymptomatic, controlled and moderate usage. The recovery rate is discussed in this article to be dependent upon clinically and culturally diverse populations that may also be segregated on the basis of methodology, follow-up periods and follow-up rates. There is also significant difference that has been observed with respect to the use or abuse of alcohol and other drugs which reflect a certain diversification in the treatment methodology as well.
Medical attention is discussed to be followed by diversion portrayals of the clinical populations and therefore the treatment during rehab is also considered to impact the normal life or social existence which is directly related to the fact that various patients have to come back for treatment after a specific period of time due to lack of segregation on the basis of type of abuse, type of population, clinical intervention and follow-up periods and rates. Hence, the article provided the importance of understanding the long-term impact in terms of treatment for substance abusers and to reflect that through normal life observations made within and outside rehab process in order to achieve the right treatment methodology based on specific requirements of the patients and various other factors that have been discussed as a part of the study.
Drake, R., O'Neal, E., & Wallach, M. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. Journal of Substance Abuse Treatment Volume 34, Issue 1 , 123-138.
White, L. W. (2012). Recovery Remission from Substance Use Disorders. Chicago: Philadelphia Department of Behavioral Health and Intellectual disAbility Services.