{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:48Z","timestamp":1787014068128,"version":"build-2736575974"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR166951"],"award-info":[{"award-number":["NIHR166951"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Issues<\/jats:title>\n                    <jats:p>People with substance use disorders can have co\u2010occurring mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>An umbrella review was conducted to identify evidence of the effectiveness of psychosocial interventions for adults (aged 18+) with substance use disorders and co\u2010occurring common mental health disorders. Systematic reviews were sought of randomised controlled trials of psychosocial interventions compared to each other, treatment as usual or wait\u2010list. Five databases were systematically searched in February 2024. Data, including critical appraisal (Joanna Briggs Institute Checklist), were extracted by one reviewer and checked by another. Data were discussed in a narrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Findings<\/jats:title>\n                    <jats:p>Of 5420 unique records, 28 systematic reviews were included. The methodological quality of the reviews was good. Most reviews focused on depression, anxiety or post\u2010traumatic stress disorder. There was much heterogeneity between reviews, and randomised controlled trials within reviews. Most of the interventions and many of the treatment\u2010as\u2010usual comparators resulted in significant improvement in substance use and mental health disorders. Results suggested integrated (co\u2010ordinated) treatment for co\u2010occurring diagnosis patients was better than treating one condition alone, and usually better than parallel uncoordinated services. There was limited evidence assessing sequential treatment, but this suggested similar effectiveness to integrated treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Implications for current practise could not be recommended due to heterogeneity. Improvement shown by all types of psychosocial intervention including active comparators precluded recommending one type of intervention over another.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Further research is needed comparing integrated with parallel or sequential treatment, with follow\u2010up of 6\u2009months or longer, and sample size large enough to encompass dropout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70066","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T23:18:48Z","timestamp":1762384728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of Psychosocial Interventions for Adults With Substance Use Disorder That Have a Co\u2010Occurring Common Mental Health Disorder: An Umbrella Review"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7353-5979","authenticated-orcid":false,"given":"Emma L.","family":"Simpson","sequence":"first","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munira","family":"Essat","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Wong","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8059-3808","authenticated-orcid":false,"given":"Sarah","family":"Stacey","sequence":"additional","affiliation":[{"name":"NHS Inclusion, St George's Hospital  Stafford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Day","sequence":"additional","affiliation":[{"name":"University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Office for Health Improvement & Disparities \u201cAccredited Official Statistics \u201dAdult Substance Misuse Treatment Statistics 2022 to 2023: Report 2023 https:\/\/www.gov.uk\/government\/statistics\/substance\u2010misuse\u2010treatment\u2010for\u2010adults\u2010statistics\u20102022\u2010to\u20102023\/adult\u2010substance\u2010misuse\u2010treatment\u2010statistics\u20102022\u2010to\u20102023\u2010report."},{"key":"e_1_2_11_3_1","unstructured":"Public Health England \u201cBetter Care for People with Co\u2010Occurring Mental Health and Alcohol\/Drug Use Conditions \u201d2017 https:\/\/assets.publishing.service.gov.uk\/media\/5a75b781ed915d6faf2b5276\/Co\u2010occurring_mental_health_and_alcohol_drug_use_conditions.pdf."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0943-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.183.4.304"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00813.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108463"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23892"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.03.023"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2015.1104930"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e328351a429"},{"key":"e_1_2_11_12_1","volume-title":"Effectiveness of Psychosocial Interventions for Adults With Substance Use Disorder That Have a Co\u2010Occurring Mental Health Disorder: an Umbrella Review and Illustrative Cost\u2010Effectiveness Analysis","author":"Simpson E. L."},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220902724599"},{"key":"e_1_2_11_14_1","unstructured":"NICE \u201cCoexisting Severe Mental Illness and Substance Misuse: Community Health and Social Care Services \u201d2016."},{"key":"e_1_2_11_15_1","volume-title":"Coexisting Severe Mental Illness (Psychosis) and Substance Misuse: Assessment and Management in Healthcare Settings","author":"NICE","year":"2011"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"e_1_2_11_17_1","unstructured":"NHS England \u201cNHS Talking Therapies for Anxiety and Depression \u201dNHS Choices 2024 https:\/\/www.england.nhs.uk\/mental\u2010health\/adults\/nhs\u2010talking\u2010therapies\/."},{"key":"e_1_2_11_18_1","unstructured":"NICE \u201cMental Health Guidelines \u201dThe National Institute for Health and Care Excellence 2024 https:\/\/www.nice.org.uk\/hub\/indevelopment\/gid\u2010hub10005."},{"key":"e_1_2_11_19_1","unstructured":"Improving Access to Psychological Therapies (IAPT) \u201cThe Improving Access to Psychological Therapies Manual \u201d2023 https:\/\/www.england.nhs.uk\/wp\u2010content\/uploads\/2018\/06\/the\u2010nhs\u2010talking\u2010therapies\u2010manual\u2010v6.pdf?trk=public_post_comment\u2010text."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_21_1","volume-title":"ICD\u201010: International Statistical Classification of Diseases and Related Health Problems: Tenth Revision","author":"World Health O","year":"2004"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2018-300014"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1390"},{"key":"e_1_2_11_24_1","unstructured":"M.Pollock R. M.Fernandes L. A.Becker et\u00a0al. \u201cChapter V: Overviews of Reviews \u201dCochrane 2023 https:\/\/training.cochrane.org\/handbook\/current\/chapter\u2010v."},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-018-0914-3"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_11_27_1","volume-title":"A Product from the ESRC Methods Programme","author":"Popay J.","year":"2006"},{"key":"e_1_2_11_28_1","first-page":"1","article-title":"Psychosocial Combined With Agonist Maintenance Treatments Versus Agonist Maintenance Treatments Alone for Treatment of Opioid Dependence","volume":"10","author":"Amato L.","year":"2011","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2023.2166578"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003822"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12581"},{"issue":"11","key":"e_1_2_11_32_1","article-title":"Psychological Interventions for Co\u2010Occurring Depression and Substance Use Disorders","volume":"11","author":"Hides L.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.11.039"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12441"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agaa147"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.08.004"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agx111"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1159\/000490762"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v28i0.2094"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2019.1652381"},{"key":"e_1_2_11_41_1","article-title":"Music Therapy for People With Substance Use Disorders","volume":"5","author":"Ghetti C.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13651"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-9-6"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2018.1518553"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agab016"},{"key":"e_1_2_11_46_1","article-title":"Interventions for Drug\u2010Using Offenders With Co\u2010Occurring Mental Illness","volume":"6","author":"Perry A. E.","year":"2015","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1108\/JFP-05-2020-0024"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.22010071"},{"key":"e_1_2_11_49_1","article-title":"Project Harmony: A Systematic Review and Network Meta\u2010Analysis of Psychotherapy and Pharmacologic Trials for Comorbid Posttraumatic Stress, Alcohol, and Other Drug Use Disorders","volume":"16","author":"Hien D. A.","year":"2023","journal-title":"Psychological Bulletin"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2024.102827"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1891\/EMDR-2022-0046"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2022.100028"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2022.2041831"},{"issue":"5","key":"e_1_2_11_54_1","doi-asserted-by":"crossref","DOI":"10.1002\/brb3.2999","article-title":"Seeking Safety Intervention for Comorbid Post\u2010Traumatic Stress and Substance Use Disorder: A Meta\u2010Analysis","volume":"13","author":"Sherman A. D. F.","year":"2023","journal-title":"Brain and Behavior: A Cognitive Neuroscience Perspective"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2021.102490"},{"key":"e_1_2_11_56_1","volume-title":"EPPI\u2010Mapper, Version 2.2.4","author":"Centre DSFaE","year":"2023"},{"key":"e_1_2_11_57_1","volume-title":"EPPI\u2010Reviewer: Advanced Software for Systematic Reviews, Maps and Evidence Synthesis","author":"Thomas J.","year":"2023"}],"container-title":["Drug and Alcohol Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.70066","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dar.70066","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.70066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T01:12:19Z","timestamp":1771204339000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dar.70066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":56,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/dar.70066"],"URL":"https:\/\/doi.org\/10.1111\/dar.70066","archive":["Portico"],"relation":{},"ISSN":["0959-5236","1465-3362"],"issn-type":[{"value":"0959-5236","type":"print"},{"value":"1465-3362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,5]]},"assertion":[{"value":"2025-03-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70066"}}