caa a22 4500 445848529 CHVBK 20180317145406.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10597-009-9245-0 doi (NATIONALLICENCE)springer-10.1007/s10597-009-9245-0 Chandler Daniel California Institute for Mental Health, 436 Old Wagon Road, 95570, Trinidad, CA, USA aut Fidelity and Outcomes in Six Integrated Dual Disorders Treatment Programs [Elektronische Daten] [Daniel Chandler] Fidelity scores and outcomes were measured in six outpatient programs in California which implemented Integrated Dual Disorders Treatment (IDDT). Outcomes were measured for 1year in four sites and 2years in two sites; fidelity was assessed at 6months intervals. Three of the six sites achieved high fidelity (at least a 4 on a 5 point fidelity scale) and three moderate fidelity (at least a 3). Retention in treatment, mental health functioning, stage of substance abuse treatment, abstinence, and psychiatric hospitalization were measured. Outcomes for individual programs were generally positive but not consistent within programs or across programs. Using pooled data in a longitudinal regression model with random effects at person level and adjustment of standard errors for clustering by site, change over time was not statistically significant for the primary outcomes. Fidelity scores had limited association with positive outcomes. Springer Science+Business Media, LLC, 2009 Co-occurring disorders nationallicence Integrated dual disorders treatment nationallicence Implementation nationallicence Evidence-based practice nationallicence Community Mental Health Journal Springer US; http://www.springer-ny.com 47/1(2011-02-01), 82-89 0010-3853 47:1<82 2011 47 10597 https://doi.org/10.1007/s10597-009-9245-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-009-9245-0 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Chandler Daniel California Institute for Mental Health, 436 Old Wagon Road, 95570, Trinidad, CA, USA aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/1(2011-02-01), 82-89 0010-3853 47:1<82 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer