Health & Fitness
Wayne State study seeks new
therapy for mental illness.
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frontational method of engaging
or people suffering with
patient motivation to change their
both severe mental health
and substance-use disorder, thoughts and behavior.
"This isn't the clinician giving the
the best treatment could be a com-
patient a pep talk; in fact, it's just
bination of patient-centered thera-
the opposite," Schoener said. "It's
pies, according to a Wayne State
eliciting the motivation within that
University researcher in Detroit.
Eugene P. Schoener, Ph.D., profes- person. The therapist is no longer
sor of pharmacology and psychiatry there to fix somebody, but rather
to facilitate and assist the client in
and behavioral neurosciences in
WSU's School of Medicine, received achieving their best."
a $250,000 grant from the Flinn
Foundation to determine the effec-
is a goal-oriented, systematic
tiveness of combined motivational
in which patients work to
interviewing (MI), cognitive behav-
identify the underlying causes for
ioral therapy (CBT) and substance-
abuse treatment on the
feelings or behaviors,
recovery of patients
then restructure their
with severe mental
thoughts to be healthier
illness and substance-
and more productive.
Shown to be effective in
The study will take
the treatment of mood
place at Kadima, a non-
disorders, anxiety dis-
profit mental health
orders, personality dis-
services agency with
Jewish roots based in
disorder and psychotic
disorders, CBT requires
"MI and CBT are
focused and deliber-
Eugene Scho ener
ate participation of the
approaches based on
the notion that patients
"It's not simply
have to own and resolve
to chat. There
their own problems:' said Schoener,
a Farmington Hills resident.
really have to work at it. The reward
"MI helps the individual appreci-
for all their hard work, however, is
ate the nature of their problem and
being far better equipped to main-
develop the motivation to change
tain wellness, undertake new chal-
their behavior, and CBT provides
lenges and achieve more in their
a comprehensive set of tools to do
it. We're hoping that these two ele-
The study will be based around
ments, along with the knowledge
clinicians and their patients at
and skills of treating substance
Kadima, a mental health provider
abuse, will help to promote not just
for more than 25 years with a heavi-
clinician skill levels, but also actu-
ally change the way Kadima delivers ly empirical, best-practice approach
Schoener will study whether
"About 60 percent of patients
the clinician's MI, CBT and sub-
with severe mental illness have a
co-occurring substance-abuse prob- stance-abuse training significantly
enhances their patients' recovery.
lem," Schoener said. "If you don't
techniques will include
deal with both problems concur-
rently, one disorder can sabotage
progress made with the other.
"Our combined therapy approach ized measures of program perfor-
is designed to address the reality of mance such as number of patient
all these problems together, the way hospital visits and patient reten-
they occur in the real world!"
MI is a nonjudgmental, noncon-
B2 June 18 • 2009
• .•• •