Differences between white and ethnic client psychosocial functioning, psychiatric and substance abuse symptomatology, and service utilization costs from a longitudinal clinical trial examining the relative cost effectiveness of three specialized interventions for dual disorders are compared within the study sample and to the existing literature.
Ethnic clients comprised 30% of the treated sample, had lower psychosocial functioning scores (rated and set-reported), and received less supportive treatment services during the first 6 months of the intervention program ; however, their overall outcomes were equivalent to those of white clients at 6 months.
There were no functioning or symptom outcome differences across the three treatment groups, but the 12-step group had the highest intensive and supportive service costs over time, and also the greatest reductions in intensive service costs after 6 months.
Clinical issues are described and the clinical implications for more effectively serving dually diagnosed ethnic clients are outlined.
Mots-clés Pascal : Toxicomanie, Alcoolisme, Association morbide, Trouble psychiatrique, Traitement, Ethnie, Etude comparative, Utilisation, Service santé, Santé mentale, Homme, Sevrage toxique
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Concomitant disease, Mental disorder, Treatment, Ethnic group, Comparative study, Use, Health service, Mental health, Human, Detoxification
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0225112
Code Inist : 002B18I15. Création : 11/09/1998.