Integrating Treatment for Co-Occurring Mental Health Conditions

26 de agosto de 20211min37

Given the high co-occurrence between alcohol use disorder (AUD) and mental health conditions (MHCs),1 and the increased morbidity associated with the presence of co-occurring disorders,2 it is important to identify the co-occurring disorders and to address both disorders in treatment to improve treatment outcome. Treatment that addresses both disorders concurrently with the same provider or treatment team is called integrated treatment. As integrated treatments continue to be developed, evaluated, and implemented, the heterogeneity associated with co-occurring AUD and MHCs needs to be acknowledged, since it can affect individual functioning and prognosis. Factors that contribute to heterogeneity among individuals with co-occurring AUD and MHCs include acuity of symptoms, severity of illness, chronicity of symptoms, co-occurring drug use, physical health, cognitive impairment, and recovery capital (Table 1). Recovery capital is a newer dimension to consider, which includes the amount of available resources a person has to support stabilization of AUD and the transition into recovery.3

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Sobre a UNIAD

A Unidade de Pesquisa em álcool e Drogas (UNIAD) foi fundada em 1994 pelo Prof. Dr. Ronaldo Laranjeira e John Dunn, recém-chegados da Inglaterra. A criação contou, na época, com o apoio do Departamento de Psiquiatria da UNIFESP. Inicialmente (1994-1996) funcionou dentro do Complexo Hospital São Paulo, com o objetivo de atender funcionários dependentes.