Modified Therapeutic Community for Co-Occurring Disorders: Single Investigator Meta Analysis |
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Authors: | Stanley Sacks PhD Karen McKendrick MPH JoAnn Y Sacks PhD Charles M Cleland PhD |
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Institution: | 1. National Development &2. Research Institutes, Inc. (NDRI) , New York, New York, USA |
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Abstract: | ABSTRACT This paper presents the results of a meta-analysis for a single investigator examining the effectiveness of the modified therapeutic community (MTC) for clients with co-occurring substance use and mental disorders (COD). The flexibility and utility of meta-analytic tools are described, although their application in this context is atypical. The analysis includes 4 comparisons from 3 studies (retrieved N = 569) for various groups of clients with COD (homeless persons, offenders, and outpatients) in substance abuse treatment, comparing clients assigned either to an MTC or a control condition of standard services. An additional study is included in a series of sensitivity tests. The overall findings increase the research base of support for the MTC program for clients with COD, as results of the meta-analysis indicate significant MTC treatment effects for 5 of the 6 outcome domains across the 4 comparisons. Limitations of the approach are discussed. Independent replications, clinical trials, multiple outcome domains, and additional meta-analyses should be emphasized in future research. Given the need for research-based approaches, program and policy planners should consider the MTC when designing programs for co-occurring disorders. |
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Keywords: | Co-occurring disorders meta-analysis modified therapeutic community severe mental illness substance abuse |
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