ENG 122 SOURCE CRITIQUE.docx

Running head: SHORTENED TITLE UP TO 50 CHARACTERS 1 SOUCE CRITIQUE ESSAY Destiny Newberry ENG122 UAGC Magdalena Skolowski 10/24/2022

SHORTENED TITLE UP TO 50 CHARACTERS 2 INTRODUCTION Despite a growing consensus that individuals with co-occurring major depression and a substance use disorder need disease-specific treatment, treatment trials that have established the efficacy of psychosocial therapies as treatments for major depression have typically excluded individuals with co-occurring substance use disorders. As stated by . Kessler RC, Berglund . A consequence of this exclusion is a lack of evidence for the efficacy of psychosocial treatments for patients with major depression who use or abuse substances. The purpose of this assignment is to critique the source(s) where the information was gathered. The BRIGHT (Building Recovery by Improving Goals, Habits, and Thoughts) study was a community-based effectiveness trial that compared residential substance abuse treatment with residential treatment plus group cognitive-behavioral therapy (CBT) for depression. This brief report focuses on the subgroup of participants with major depression. The study follows or group of 299 individuals presented with substance use disorder 133 of them presented with major depression (cooccurring). The results of the studies conducted were that participants with major depression reported lower depression symptoms and better functioning, compared with

SHORTENED TITLE UP TO 50 CHARACTERS 3 participants with major depression who received usual care. At six months, functioning continued to be higher and problem substance use was lower. Conclusions: Group CBT was an effective treatment for major depression for clients in residential substance abuse treatment. These results extend the effectiveness of group CBT for major depression to a new setting, patient population, and type of provider. The information in this article is useful and should be read because cooccurring disorders aren’t talked about enough. Many don’t realize that although a client is presenting with major depression and other forms of therapy help with that when it’s presented alone but combined with addiction it’s a scary thing to encounter and for clinicians, both usual care and outpatient settings should be utilizing this for of therapy. Although it is more common now than ever before I just don’t believe it’s, I talked about enough. This article provides a lot of insight on the effectiveness of Cognitive Behavioral Therapy. It shares the how’s, they why’s and even targets a specific group of candidates that would be best suited for this type of therapy. The impact I have witnessed from this type of therapy in real time is amazing and this article just gives more reason to believe in it.

SHORTENED TITLE UP TO 50 CHARACTERS 4 Conclusion Community-based substance abuse treatment providers have few options for providing depression treatment with demonstrated efficacy. This study demonstrated that it is possible to develop the capacity of the substance abuse treatment system to deliver evidence-based mental health care by expanding the skills and clinical roles of substance abuse counselors. If more broadly implemented, this approach could increase access to effective mental health care for the many individuals who enter the substance abuse treatment system with co-occurring major depression. It may also be useful to disseminate this treatment more broadly for the many individuals with co- occurring depression and substance use who seek treatment within primary and specialty mental health care, where a diagnosis of depression is necessary for reimbursement. REFRENCES

SHORTENED TITLE UP TO 50 CHARACTERS 5 Kessler RC, Berglund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS- R) JAMA. 2003; 289 :3095–3105. Hays RD, Wells KB, Sherbourne CD, et al. Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry. 1995; 52 :11–19. Kessler RC, Akiskal HS, Ames M, et al. Prevalence and effects of mood disorders on work performance in a nationally representative sample of US workers. American Journal of Psychiatry. 2006; 163 :1561–1568.

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