Dual diagnosis: Co-Morbidity of severe mental illness and substance misuse

Marshall, Jane

doi:10.1080/09585189808402176

Cited by 14 publications

(10 citation statements)

References 36 publications

(36 reference statements)

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“…Pollio, North, Thompson, Paquin, and Spitznagel (1997) found that homeless persons with personality disorders tended to utilize fewer services for the homeless. Marshall (1998) stated that personality disorders are often involved with a combination of homelessness, severe psychiatric disturbance, and substance abuse. As personality factors have been shown to be involved with onset and usage of services for the homeless, this study attempted to determine the extent to which personality variables were related to outcome of treatment.…”

Section: Introductionmentioning

confidence: 99%

Process and Outcome of Rehabilitation of Homeless Veterans and Their Relationship with Personality Style

Sumerall

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Lopez

et al. 2000

Psychiatric Rehabilitation Skills

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Treatment process and outcome data for 225 consecutive admissions to a rehabilitation program for the homeless were reviewed. The Northeast Program Evaluation Center's criteria were employed to evaluate participation and outcome (e.g., general, employment, and housing) for participants. Significant relationships were found between predominant personality features and degree of participation in program and living arrangements at discharge.

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Section: Introductionmentioning

confidence: 99%

Process and Outcome of Rehabilitation of Homeless Veterans and Their Relationship with Personality Style

Sumerall

Rate

Lopez

et al. 2000

Psychiatric Rehabilitation Skills

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“…Marshall (1998) found that having an SMI doubled the risk of alcohol dependence and quadrupled the risk of other drug dependencies. Prevalence estimates of COD in the United States range from 20% to over 80% of individuals with SMI, depending on the study’s methods, definitions, and scope (Elam et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…They are at higher risk for becoming homeless or incarcerated than their single-diagnosis peers (Marshall 1998; McNiel et al, 2005) and for acquiring additional illnesses and disabilities (Geppert & Minckoff 2004; Klinkenberg & Sacks 2004; Comtois et al 2005). They have difficulty gaining and holding jobs, and may not interact well enough with assistance agencies to maintain housing and food security (Gamm et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

“Everything that I thought that they would be, they weren’t:” Family systems as support and impediment to recovery

EnglandKennedy

Horton

2011

Social Science & Medicine

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Family help provision for adults diagnosed with co-occurring severe mental illness and substance dependence is understudied. This article draws on verbally-administered structured and semi-structured interviews with one group of 122 behavioral health care clients and one group of 54 client-nominated family members. In New Mexico, USA these were collected as part of a larger, long-term study. We examine the latter’s concerns and fears, relative desire to be involved with treatment, and difficulties connecting with professionals, as well as forms of assistance they gave to clients and intra-family communication. We found that family members’ actions and communications often support client recovery through resource provision and other, intangible forms of help. However, their misunderstandings of and lack of knowledge about client experiences can also impede recovery. We also compare the two groups of interviewees’ perspectives on assistance given to clients by family members. We give examples of family attempts to deliver help and their consequences. Last, we offer suggestions for providers and policymakers to better help family members achieve their goal of caring for clients in recovery.

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“…There is a need to research alcohol disorders as separate from other drugs of addiction (Bradizza et al, 2006), but the frequency of polysubstance use complicates research attempting to focus on any single substance (Crawford et al, 2003;Marshall, 1998). A recent review of psychotherapy and psychopharmacology reinforces calls for a less reductionist approach, greater multidisciplinary synthesis, and demonstrates that treatment modalities in isolation tend to fail (Kelly et al, 2012).…”

Section: Challenges In Research Approaches and Methodologiesmentioning

confidence: 99%

“…Those with comorbid conditions are at higher risk of suicide (Gimelfarb, 2007;Schmidt, 2011;Withers, 2003), physical illness (communicable and noncommunicable; Batki et al, 2009;Drake & Mueser, 2000;Mueser, Drake, & Wallach, 1998;Phillips & Labrow, 2000), homelessness, becoming a perpetrator or a victim of crime (Drake & Mueser, 1996Marshall, 1998;Mueser et al, 1998;Wright, Gournay, Glorney, & Thornicroft, 2002), and reduced workforce participation (Schmidt, 2011).…”

Section: Comorbidity: Scope Of the Problemmentioning

confidence: 99%

Recovery From Comorbidity

2013

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Comorbidity among mood, anxiety, and alcohol disorders is common and burdensome, affecting individuals, families, and public health. A systematic and integrative review of the literature across disciplines and research methodologies was performed. Supradisciplinary approaches were applied to the review and the ensuing critical appraisal. Definitions, measurement, and estimation are controversial and inconstant. Recovery from comorbidity cannot be easily extricated from a sociocultural milieu. Methodological challenges in quantitative and qualitative research and across disciplines are many and are discussed. The evidence supporting current treatments is sparse and short-term, and modalities operating in isolation typically fail. People easily fall into the cracks between mental health and addiction services. Clinicians feel untrained and consumers bear the brunt of this: Judgmental and moralistic interactions persist and comorbidity is unrecognized in high-risk populations. Competing historical paradigms of mental illness and addiction present a barrier to progress and reductionism is an impediment to care and an obstacle to the integration and interpretation of research. What matters to consumers is challenging to quantify but worth considering: Finding employment, safe housing, and meaning are crucial to recovery. Complex social networks and peer support in recovery are important but poorly understood. The focus on modalities of limited evidence or generalizability persists in literature and practice. We need to consider different combinations of comorbidity, transitions as opposed to dichotomies of use or illness, and explore the long-term view and emic perspectives.

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Dual diagnosis: Co-Morbidity of severe mental illness and substance misuse

Cited by 14 publications

References 36 publications

Process and Outcome of Rehabilitation of Homeless Veterans and Their Relationship with Personality Style

Process and Outcome of Rehabilitation of Homeless Veterans and Their Relationship with Personality Style

“Everything that I thought that they would be, they weren’t:” Family systems as support and impediment to recovery

Recovery From Comorbidity

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