Recent epidemiologic studies conducted by the National Comorbidity Sur
vey have indicated that up to 51% of individuals with a serious mental
illness are also dependent on or addicted to illicit drugs, However,
only 50% of these clients with cooccurring addictive and mental disord
ers receive treatment that addresses both issues. The author provides
a historical overview of treatment philosophies and approaches, descri
bes current treatment models, and reports on outcome data that describ
e the efficacy of current treatment, Recommendations are made for nurs
es to incorporate effective treatment models into nursing practice. Co
pyright (C) 1998 by W.B. Saunders Company.