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Treatment of psychiatric impairment complicated by co-occurring substance use: impact on rehospitalization.

This study employs available clinical data to examine the impact of a structured ward-based extended treatment program for the co-occurring issues of psychiatric impairments and substance abuse as well as a short-term variant of that program for acute care settings. While individuals with these co-occurring difficulties are often considered to be relatively refractory to treatment with inevitably poorer outcomes, the data from this study indicate that significantly decreased rehospitalization rates were realized as a result of these interventions. The implications of our procedures for treatment in similar settings, as well as how treatment in such settings can be evaluated, are discussed.