Comorbidity of schizophrenia and substance abuse: Implications for treatment.

Mueser, Kim T.; Bellack, Alan S.; Blanchard, Jack J.

doi:10.1037/0022-006x.60.6.845

Cited by 243 publications

(194 citation statements)

References 95 publications

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“…These data further call into question the current bifurcation of the behavioral health field into two distinct and heavily bounded territories. 17,18 While work such as the review by Drake and colleagues cited above has sought to overcome this split in the field by repeatedly highlighting the importance of providing integrated care for persons with co-occurring disorders, systemic efforts continue to lag behind and to encounter numerous obstacles. These obstacles range from historical, political, ideological, professional, and fiscal/structural issues at one end of the spectrum (e.g., separate funding streams, independent state agencies) to practical and logistical issues at the other end.…”

Section: Introductionmentioning

confidence: 96%

The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services

Davidson

White

2007

J Behav Health Serv Res

143

119

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Despite a range of long-standing historical, political, ideological, professional, structural, and practical barriers, there has been, and continues to be, a clear consensus that integration between mental health and addiction services is sorely needed and long overdue. This paper focuses on one dimension of the challenge of integration from among the several - the conceptual - and proposes the construct of recovery as an organizing principle for bridging the divide between the two domains. After reviewing briefly the parallel history of the two traditions and their shared need for transformation to a recovery orientation, the authors offer an integrated model of recovery for persons with co-occurring disorders. They then derive from this model the underlying values, guiding principles, key strategies, and essential ingredients of recovery-oriented systems of care that comprise a common approach across both addictions and mental illness, offering a strengths-based solution to achieving integration where pathology-focused approaches have failed.

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Section: Introductionmentioning

confidence: 96%

The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services

Davidson

White

2007

J Behav Health Serv Res

143

119

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“…Cuffel [6] observed as early as 1992 that more recent studies report a higher prevalence of substance abuse in schizophrenics than do older studies; the term "dual-diagnosis" patients was introduced to describe this type of patient. High prevalence estimates for alcoholism in schizophrenia have been reported in very different samples and regions, such as the United Kingdom, the United States (for review see [28,42,44], Germany [46], and Australia [13]. The estimated prevalence of alcoholism is clearly higher than that of other drugs of abuse, but figures for cannabis and cocaine are also comparatively high [31].…”

mentioning

confidence: 96%

“…There is now substantial evidence that substance use, especially alcoholism, is a significant problem in schizophrenia, with clinical samples reporting a prevalence of 30-50% [23,27,28,29,31,42]. Cuffel [6] observed as early as 1992 that more recent studies report a higher prevalence of substance abuse in schizophrenics than do older studies; the term "dual-diagnosis" patients was introduced to describe this type of patient.…”

mentioning

confidence: 97%

Psychopathology in dual-diagnosis and nonaddicted schizophrenics: are there differences?

Soyka¹,

Albus²,

Immler³

et al. 2002

The European Journal of Health Economics

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Analysis of 447 schizophrenic inpatients found a lifetime prevalence for substance use of 42.9% (3-month prevalence 29%). While the overall differences were small between schizophrenics using (dual diagnosis) and those not using substances, dual-diagnosis patients in general reported more positive symptoms, especially more intense hallucinations. These differences were observed in patients with current (3-month) substance use on admission but not on discharge, possibly as a result of substance use. The most marked differences were in previous suicide attempts and delinquency, which were more prevalent in dual-diagnosis schizophrenics. These findings indicate that patients with dual diagnosis are more disturbed than other schizophrenics. We discuss the implications for the self-medication hypothesis for substance use in schizophrenia and future research in this area are discussed.

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“…(Dixon 1999;Mueser et al 1992) Similar effects have been noted for individuals with affective disorders (Allen and RJ 1986).…”

Section: Discussionmentioning

confidence: 50%

Brief Interventions for Patients Presenting to the Psychiatric Emergency Service (PES) with Major Mental Illnesses and At-risk Drinking

Milner

Barry

Blow

et al. 2009

Community Ment Health J

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The presentation for care in psychiatric emergency setting provides an opportunity to assist individuals with mental health disorders and problems related to alcohol use. The purpose of this pilot study was to determine whether clinician-administered brief alcohol interventions are effective in reducing alcohol consumption in patients who screen positive for at-risk drinking in the psychiatric emergency setting. A total of 390 PES patients were screened; 87 (schizophrenia/bipolar disorder, n = 34; depression/anxiety, n = 53) met criteria for the study and received a brief alcohol intervention. Both groups dropped their drinking by approximately 7 drinks/week over the 6-months of the study (P < .05). The results of this study suggest that individuals with mental illnesses who drink at risk levels may benefit from a short, targeted brief alcohol intervention directed at changing their alcohol-related behavior and that, delivery of these interventions is feasible in a psychiatric emergency setting.

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Comorbidity of schizophrenia and substance abuse: Implications for treatment.

Cited by 243 publications

References 95 publications

The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services

The Concept of Recovery as an Organizing Principle for Integrating Mental Health and Addiction Services

Psychopathology in dual-diagnosis and nonaddicted schizophrenics: are there differences?

Brief Interventions for Patients Presenting to the Psychiatric Emergency Service (PES) with Major Mental Illnesses and At-risk Drinking

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