Correlates of Acting-Out Behaviors Among Young Adult Chronic Patients

McCarrick, Anne K.; Manderscheid, Ronald W.; Bertolucci, Darryl

doi:10.1176/ps.36.8.848

Cited by 35 publications

(12 citation statements)

References 4 publications

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“…The mean age of this population was around 40 years. Both the study sample and the comparison groups were drawn from this population, whose characteristics fit those described in the literature (Davis, 1984;Drake et al,1989Drake et al, , 1991McCarrick, Manderscheid, & Bertolucci, 1985;McLellan, 1986). This fit suggested that the results would show external validity.…”

Section: Methodsmentioning

confidence: 99%

Significance of Peer Social Support With Dually Diagnosed Clients: Findings From a Pilot Study

Klein¹,

Cnaan

Whitecraft

1998

Research on Social Work Practice

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This article examines a special peersocial support program, which provides support to high-risk dually diagnosed chents. A pilot study of 10 randomly selected clients in the study group, and 51 in the comparison group, who had been in community care 1 year prior to this investigation was carried out. Service was provided for a 6-month period Findings suggest that coupling peer social support with intensive case management is associated with positive system outcomes. The number of crisis events of the comparison group far exceeded that of the study group. The number of hospitalizations was dramatically lower for the study group. Chents in the study group reported improved quality of life and perceived their physical and emotional well-being as improved over the course of the study. This pilot study indicates that peer support has a potential of improving system and clients' outcome; however, further replication is required.

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Section: Methodsmentioning

confidence: 99%

Significance of Peer Social Support With Dually Diagnosed Clients: Findings From a Pilot Study

Klein¹,

Cnaan

Whitecraft

1998

Research on Social Work Practice

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“…Where studied, young chronically mentally ill patients with addictive comorbidity cannot be distinguished from their nonaddicted mentally ill peers by primary psychiatric diagnosis or by symptoms such as hallucinations, delusions, or paranoia. 3,13,19 …”

Section: Methodology Of Study Designmentioning

confidence: 99%

The Epidemiology of the Comorbidity of Psychiatric and Addictive Disorders:

Raskin¹,

Miller²

1993

Journal of Addictive Diseases

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Assessing the prevalence of the comorbidity of psychiatric and addictive disease using epidemiologic methods results in artifactually high rates. Use of a clinical sample will yield falsely high rates, because substance use is associated with exacerbation of mental illness. Cross sectional design will inflate rates of psychiatric comorbidity in addicts, who attribute substance use to psychological symptoms until well into recovery. Application of exclusionary criteria for independent diagnosis is subject to investigator bias, particularly about the unproven yet popular "self-medication" hypothesis. The psychiatric symptoms which are common in active addiction generally clear within weeks to months of treatment for addiction but do not respond to standard psychopharmacologic treatment for primary mental illness. When lengthy follow up periods are employed, substance induced psychiatric syndromes typically resolve. We conclude that while patients treated in psychiatric settings often have comorbid and independent addictive illness, patients treated in addiction settings uncommonly have comorbid psychiatric illness despite common psychiatric symptoms.

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“…Comorbidity is associated with more problems in obtaining meals, managing finances, and maintaining stable housing (Drake, Osher, and Wallach, 1989;. Some studies have found increased levels of hostility, depression, violence, suicide, and management problems in the hospital, community, and at home (Alterman, Erdlen, McLellan, and Mann, 1980;Alterman, Erdlen, and Murphy, 198 1;McCarrick, Manderscheid, and Bertolucci, 1985;Sevy, Kay, Opler, and van Praag, 1990). Despite apparently greater psychosocial and functioning deficits, persons with comorbid substance use disorder and schizophrenia may not be more symptomatic and their response to antipsychotic treatment may be equivalent to or better than persons without comorbid substance use disorders (Buckley, Thompson, Way, and Meltzer, 1994;Dixon and others, 1991).…”

Section: Course Of Substance Use Disorders In Severe Mental Illnessmentioning

confidence: 99%