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Mental Disorders. --- Mental health.

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Objective The report summarizes the effects of psychosocial interventions for persons with dual diagnosis. More specifically the effects on substance use, mental state, functioning and quality of life were investigated for the following psychosocial interventions: integrated treatment, case management, assertive community treatment, cognitive behavioural therapy, motivational interviewing, family therapy, social skills training, self-help groups, housing care and vocational rehabilitation. The report summarizes the effects of the interventions compared to other psychosocial interventions or treatment as usual. Methods We searched for systematic reviews based on randomized controlled trials encompassing persons over 15 years with serious mental illness and substance use disorder. The systematic reviews were included according to our inclusion criteria and quality assessments. We summarized the reported results and used GRADE to evaluate the quality of the evidence and strength of recommendations. Results We included two systematic reviews which reported results for seven of the ten psychosocial interventions. For motivational interviewing a positive effect on alcohol consumption compared to psychoeducative therapy was revealed. For cognitive behavioural therapy combined with motivational interviewing there was a positive effect on social functioning and life satisfaction compared to treatment as usual (e.g. psycho-educative treatment and group discussions). As for the other interventions, there were either no statistically significant results or the quality of the evidence was very low. The results were based on single heterogeneous studies with relatively small populations and methodological limitations. We found no systematic reviews including relevant studies on the effects of family therapy, housing care and vocational rehabilitation. Conclusion The systematic reviews gave no compelling evidence to support one type of psychosocial intervention over other interventions. There was some support for motivational interviewing alone or in combination with cognitive behavioural therapy. Further research is needed in order to improve the evidence in this field.

Mental illness.

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“A magnificent gift to those of us who love someone who has a mental illness…Earley has used his considerable skills to meticulously research why the mental health system is so profoundly broken.”—Bebe Moore Campbell, author of 72 Hour Hold Former Washington Post reporter Pete Earley had written extensively about the criminal justice system. But it was only when his own son—in the throes of a manic episode—broke into a neighbor's house that he learned what happens to mentally ill people who break a law. This is the Earley family's compelling story, a troubling look at bureaucratic apathy and the countless thousands who suffer confinement instead of care, brutal conditions instead of treatment, in the “revolving doors” between hospital and jail. With mass deinstitutionalization, large numbers of state mental patients are homeless or in jail-an experience little better than the horrors of a century ago. Earley takes us directly into that experience—and into that of a father and award-winning journalist trying to fight for a better way.

Mental illness.

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Terrie had made it: she had her own company with high-profile clients--yet she was in constant pain, waking up in terror, overeating in search of relief. She finally collapsed, with no clue what was wrong or if there was a way out. She had hit rock bottom and got help. She learned her problem had a name--depression--and that many suffered from it, limping through their days, hiding their hurt. As she healed, her mission became clear: break the silence and help those who suffer. This book identifies emotional pain--uniquely and profoundly affecting the Black experience--as the root of lashing out through desperate acts. Terrie encourages us to face the truth about the issue that plunges our spirits into darkness, so that we can step into the healing light. The help the community needs is here: a clear explanation and a guide to finding relief.--From publisher description.

African Americans --- Depression, Mental --- Mental health.

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Mental illness --- Social aspects.