{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:25:38Z","timestamp":1783347938106,"version":"3.54.6"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Gambling disorder is associated with substantial psychosocial harm, yet long-term outcome data for residential treatment programs remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed-methods study examined outcomes among 36 former residential treatment clients assessed between six months and eight years following discharge from a program treating co-occurring gambling and substance use disorders. Structured interviews evaluated gambling behavior, psychiatric symptoms, substance use, and functional outcomes, supplemented by qualitative thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-one percent reported gambling following discharge; however, participants demonstrated significant improvements in gambling craving strength, life satisfaction, gambling-related interference, and alcohol use. Employment increased from 25.0% to 66.7%. Treatment non-completion was associated with earlier return to gambling and higher odds of post-discharge gambling. Qualitative analysis identified environmental restructuring, urge-management skill development, structured routines, and post-discharge support as key recovery mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Residential treatment may support durable improvements in functioning and gambling-related distress among individuals with severe gambling disorder, although causal conclusions are limited by the observational design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1835519","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:59:18Z","timestamp":1783346358000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mechanisms and durability of residential treatment for co-occurring gambling and substance use disorders: a mixed-methods 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