Abstract
Early identification of patients with comorbid depression and their subsequent enrollment in an enhanced psychiatric case management (PCM) intervention were examined as an effective way to engage depressed substance abuse patients into psychiatric treatment. Depression was screened using the Global Appraisal of Individual Needs (GAIN) and a DSM-IV checklist. Patients positive on both evaluations were assigned to PCM (n = 10) or to no case management, or treatment as usual (TAU) (n = 10). An examination of outcomes at six weeks indicated that PCM services are feasible and appear to be effective in encouraging use of psychiatric referral by depressed substance abusers. (Am J Addict 2004;13:295–304)
Notes
From the Department of Psychiatry (Drs. Womack, Compton and Cottler and Mr. Horton) and Mathematics (Dr. Spitznagel), Washington University, St. Louis, Mo; and Chestnut Health Systems, Granite City and Bloomington, Ill (Drs. Dennis and McCormick and Mr. Fraser). All work on this project was completed while Dr. Compton and Mr. Horton were with Washington University. Dr. Compton is now with Entrenar Incorporated, St. Louis, Mo. Portions of this paper were presented a the CPDD 63rd Annual Scientific Meeting, Scottsdale, Ariz, June, 2001. Views expressed in this article do not necessarily represent the views of Entrenar Incorporated, the National Institute on Drug Abuse, the National Institutes of Health or the Department of Health and Human Services.