ABSTRACT
Many people with addictions report that support from peer groups fosters recovery. For people with co-occurring mental illnesses, dual-diagnosis peer support groups are considered helpful, but they are often unavailable. Recently, Dual Diagnosis Anonymous peer support groups have spread widely throughout Oregon as a complement to integrated dual diagnosis treatments. This column describes Dual Diagnosis Anonymous and its rapid implementation in Oregon.
Subject(s)
Alcoholism/therapy , Diagnosis, Dual (Psychiatry) , Self-Help Groups , Substance-Related Disorders/therapy , Alcoholism/psychology , Humans , Oregon , Self-Help Groups/organization & administration , Substance-Related Disorders/psychologyABSTRACT
The role of state mental health authorities (SMHA) is critical to implementing and sustaining evidence-based practices. This paper describes the seven major tasks of SMHA's that comprise that role and provides examples from states which have been actively pursuing evidence-based practices.
Subject(s)
Administrative Personnel , Evidence-Based Medicine , Mental Health Services/organization & administration , Quality Assurance, Health Care/organization & administration , State Government , Treatment Outcome , Humans , Quality Assurance, Health Care/economics , Quality Assurance, Health Care/methods , Role , United StatesABSTRACT
The purpose of this study was to identify changes in case management within public sector mental health, following the implementation of managed care. Case managers in the State of Oregon completed surveys in 1992 and 2000 regarding aspects of case management. Results showed that current case managers are more experienced and expect longer tenure than previously. Caseload sizes have increased. Meanwhile, case managers' activities and functions have not changed across time periods. The results suggest that mental health personnel have changed in the past decade, though the practice of case management has remained largely the same.
