Chronic care management for substance dependence in primary care among patients with co-occurring disorders.

ABSTRACT:

Objective

Co-occurring mental and substance use disorders are associated with worse outcomes than a single disorder alone. In this exploratory subgroup analysis of a randomized trial, the authors hypothesized that providing chronic care management (CCM) for substance dependence in a primary care setting would have a beneficial effect among persons with substance dependence and major depressive disorder or posttraumatic stress disorder (PTSD).

Methods

Adults (N=563) with alcohol dependence, drug dependence, or both were assigned to CCM or usual primary care. CCM was provided by a nurse care manager, social worker, internist, and psychiatrist. Clinical outcomes (any use of opioids or stimulants or heavy drinking and severity of depressive and anxiety symptoms) and treatment ut

SUBMITTER: Park TW 

PROVIDER: S-EPMC4282827 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature