Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers

McGovern, Mark P.; Xie, Haiyi; Segal, Sam R.; Siembab, Lauren; Drake, Robert E.

doi:10.1016/j.jsat.2006.05.003

Cited by 138 publications

(127 citation statements)

References 29 publications

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“…Contrastando com o passado, quando tais indivíduos eram excluídos dos tratamentos para o abuso de substân-cias, o número de indivíduos com desordem psiquiátrica vem aumentando e eles têm sido tratados nos programas de tratamento para o abuso de substâncias (McGovern et al, 2006). As pesquisas vêm demonstrando que a coocorrência do uso de substâncias e desordem mental faz com que existam baixas taxas no que se refere ao término do tratamento, à permanência no tratamento e às altas taxas de recaídas e re-hospitalização no pós-tratamento, se comparados com indivíduos que têm somente o problema do uso de substâncias Weisner et al, 2003).…”

Section: Discussão Dos Resultadosunclassified

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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ResumoContexto: O consumo de álcool e drogas constitui-se em uma problemática mundial. A exclusão e a ausência de políticas específicas que marcaram a saúde pública brasileira demonstram a necessidade de reversão dos modelos assistenciais para contemplar as reais necessidades dos usuários que apresentam transtornos decorrentes do consumo de álcool e drogas. O desafio de formular uma política específica de prevenção, tratamento e reabilitação numa lógica que permita a singularidade e a reinserção social dos indivíduos tem sido tema dos diversos estudos nessa área. Objetivos: Identificar a utilização e compreensão do conceito da reabilitação psicossocial na atenção aos problemas associados ao consumo de álcool e drogas. Métodos: Revisão bibliográfica do banco de dados MEDLINE, de 1997 a 2007, sobre a reabilitação psicossocial no campo da atenção aos transtornos decorrentes do consumo de álcool e outras drogas. Resultados: Foram selecionados dez artigos que apresentavam similaridade com o tema. Conclusões: Encontramos os termos "suporte social" e "apoio social", que fazem referência à importância da rede social na recuperação do usuário de álcool e outras drogas, assim como a reabilitação psicossocial determina a importância da rede social do indivíduo como um de seus eixos. , P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008 Palavras-chave: Reabilitação psicossocial, álcool, drogas. Pinho AbstractContext: The consumption of alcohol and drugs constitutes a worldwide problem. Exclusion and lack of specific policies for those who suffer with drug and alcohol dependency has marked Brazilian public health policy and demonstrated the need for change in the service models in order to contemplate the real needs of those with alcohol and drug abuse disorders. The challenge of formulating a specific prevention, treatment and rehabilitation policy within a framework that considers individuality and allows social reinsertion of individuals has been the subject of numerous studies in this area. Objectives: To identify the use and understanding of the concept of psychosocial rehabilitation associated with the problems of alcohol and drug abuse. Methods: Literature review in the MEDLINE database between 1997 and 2007 on psychosocial rehabilitation, specifically in the cases of alcohol and drug use disorders. Results: Ten articles were selected based on their pertinence to the subject. Conclusions: We found the term "social support" which refers to the importance of a social network to help the patient recovering from alcohol and drug addiction, just as the psychosocial rehabilitation -which determines the importance of the individual's social network -is one of its bases.Pinho, P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008

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Section: Discussão Dos Resultadosunclassified

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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“…In contrast to the past, when such individuals were routinely excluded from substance abuse treatment, individuals with severe psychiatric disorders are increasingly being treated within substance abuse treatment programs (McGovern et al, 2006). Prior research has shown that individuals with co-occurring substance use and mental health disorders have lower rates of treatment completion, shorter stays in treatment, and higher rates of post-treatment relapse and rehospitalization, compared with individuals with substance use problems only (Compton et al, 2003;Weisner et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

Warren

Stein

Grella³

2007

Drug and Alcohol Dependence

114

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Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with cooccurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals.

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“…The present demonstration of similar effects of HIV/AIDS and FH on frontal P300 area is consistent with other reports documenting susceptibility of the frontal brain to HIV-1 (Bauer and Shanley, 2006;Chang et al, 2003;Cloak et al, 2004;Wu et al, 2006), a family history of alcoholism (Bauer and Hesselbrock, 2002;Schweinsburg et al, 2004), and attendant factors--e.g., Conduct Disorder/Antisocial Personality Disorder (Bauer and Houston, 2004;Bauer and Shanley, 2006;Bauer and Hesselbrock, 2001;Hoptman, 2003;Nakano et al, 2006;Raine et al, 2000;Yang et al, 2005)--which increase the risk for both HIV/AIDS (e.g., Brooner et al, 1993;Erbelding et al, 2004) and substance abuse/dependence (e.g., Hesselbrock et al, 1985;McGovern et al, 2006). The demonstration of an interaction between HIV/AIDS and FH also raises interesting questions regarding genetic vulnerability to neurocognitive impairment in HIV/AIDS.…”

Section: Discussionmentioning

confidence: 99%

The effects of HIV on P300 are moderated by familial risk for substance dependence: Implications for a theory of brain reserve

Bauer

2008

Drug and Alcohol Dependence

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Background-The goal of the study was to test the validity of additive versus synergistic versus underadditive versions of brain reserve theory within the context of HIV/AIDS. In addition, it tested the convergent validity of 2 operational definitions of premorbid reserve: verbal IQ (VIQ) and a family history (FH) of substance abuse or dependence.Methods-Seventy HIV-1 seronegative and 115 HIV-1 seropositive male and female volunteers were assigned to 4 subgroups defined by the crossing of a VIQ score < versus ≥ 90 with the presence versus absence of a paternal history of alcohol, cocaine, or opiate abuse or dependence. The principal dependent measure was the P300 event related brain potential elicited during the Stroop color-word interference task.

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Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers

Cited by 138 publications

References 29 publications

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

The effects of HIV on P300 are moderated by familial risk for substance dependence: Implications for a theory of brain reserve

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