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Evaluation Review
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The Interaction of Co-Occurring Mental Disorders and Recovery Management Checkups on Substance Abuse Treatment Participation and Recovery

Brian R. Rush

Center for Addiction and Mental Health, Toronto, Canada, brian_rush{at}camh.net

Michael L. Dennis

Chestnut Health Systems, Bloomington and Chicago, Illinois, mdennis{at}chestnut.org

Christy K. Scott

Chestnut Health Systems, Bloomington and Chicago, Illinois, cscott{at}chestnut.org

Saulo Castel

Whitby Mental Health Center, Whitby, Canada

Rodney R. Funk

Chestnut Health Systems, Bloomington and Chicago, Illinois

This article examines the effectiveness of quarterly Recovery Management Checkups (RMCs) for people with substance disorders by level of co-occurring mental disorders (34% none, 27% internalizing disorders, and 39% internalizing and externalizing) across two randomized experiments with 92% to 97% follow-up. The 865 participants are 82% African American, 53% female, and age 37 on average. RMC involves identification of those in need of treatment, motivational interviews, and treatment linkage assistance. It is effective in linking participants in need to treatment, with equal or better outcomes among those with more mental disorders. The data support the utility of monitoring and re-intervention for clients with co-occurring disorders.

Key Words: co-occurring disorders • recovery management • substance abuse treatment outcome

Evaluation Review, Vol. 32, No. 1, 7-38 (2008)
DOI: 10.1177/0193841X07307532


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