Treatment for Individuals With Severe Mental Illness Who Use Illicit Drugs While Maintained on Methadone: Mindfulness and Modification Therapy
| Autor: | Nancy Burns, Peggilee Wupperman, Cameron P. Pugach, Emily R. Edwards |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Mindfulness Substance-Related Disorders medicine.medical_treatment MEDLINE Group psychotherapy 03 medical and health sciences Underserved Population 0302 clinical medicine Behavior Therapy Surveys and Questionnaires mental disorders medicine Opiate Substitution Treatment Humans Psychiatry business.industry Illicit Drugs Mental Disorders Middle Aged Mental illness medicine.disease Treatment engagement 030227 psychiatry Analgesics Opioid Psychiatry and Mental health Treatment Outcome Opioid Female business 030217 neurology & neurosurgery Methadone medicine.drug Follow-Up Studies |
| Zdroj: | The Journal of nervous and mental disease. 207(12) |
| ISSN: | 1539-736X |
| Popis: | Substantial research has noted the serious consequences of 1) co-occurring severe mental illness (SMI) and substance use disorders, and 2) use of illicit drugs while maintained on methadone for opioid dependence. However, treatment needs of individuals who meet both of the above criteria remain largely unmet. This pilot study investigated the feasibility and acceptability of a 12-week, transdiagnostic group therapy (mindfulness and modification therapy [MMT]) tailored for opioid-dependent individuals (N = 6) with SMI and illicit drug use. Retention was 83%. At posttreatment and 2-month follow-up, participants rated the treatment as highly helpful (9 of 10; 8.67 of 10, respectively), reported routinely practicing the guided-mindfulness exercises, and reported high confidence that they would continue to practice. Assessments revealed clinically meaningful decreases in reported days of illicit drug use at posttreatment and follow-up, with large effect sizes. Preliminary evidence suggests that MMT may be a feasible and acceptable therapy that may improve treatment engagement in this underserved population. |
| Databáze: | OpenAIRE |
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