Psychosocial treatments for people with co‐occurring severe mental illness and substance misuse: systematic review

Cleary, Michelle; Hunt, Glenn E.; Matheson, Sandra; Walter, Garry

doi:10.1111/j.1365-2648.2008.04879.x

Cited by 88 publications

(77 citation statements)

References 127 publications

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“…It has also been suggested that even small amounts of drugs or alcohol may pose problems for patients with severe mental illness (58,59). In contrast, some studies of substance using patients with schizophrenia have reported fewer negative symptoms and better social functioning (60,61).…”

Section: Prevalence and Consequences Of Co-occurring Substance Use DImentioning

confidence: 99%

Drugs of abuse among acute psychiatric and medical admissions: laboratory based identification of prevalence and drug influence

Mordal

Bramness

Holm

et al. 2008

General Hospital Psychiatry

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Section: Prevalence and Consequences Of Co-occurring Substance Use DImentioning

confidence: 99%

Drugs of abuse among acute psychiatric and medical admissions: laboratory based identification of prevalence and drug influence

Mordal

Bramness

Holm

et al. 2008

General Hospital Psychiatry

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“…The negative outcomes associated with traditional approaches have led to integrated treatments designed to target co-occurring mental and substance use disorders concurrently in the same setting (36,37). Several reviews of experimental and quasi-experimental studies support different types of integrated treatment, including group counseling, contingency management, residential treatment, and motivational interventions combined with cognitive-behavioral treatment (38,39). …”

mentioning

confidence: 99%

Substance Use Disorder Among People With First-Episode Psychosis: A Systematic Review of Course and Treatment

Wisdom

Manuel²,

Drake³

2011

Psychiatric Services

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Objective People experiencing a first episode of psychosis frequently have co-occurring substance use disorders, usually involving alcohol and cannabis, which put them at risk for prolonged psychosis, psychotic relapse, and other adverse outcomes. Yet few studies of first-episode psychosis have addressed the course of substance use disorders and the re sponse to specialized substance abuse treatments. Methods The authors searched MEDLINE, PsycINFO, and other medical databases for English-language articles published between 1990 and 2009. Included studies addressed two research questions. First, do some clients become abstinent after a first episode of psychosis without specialized substance abuse treatments? Second, for clients who continue to use substances after a first episode of psychosis, does the addition of specialized substance abuse treatment enhance outcomes? Results Nine studies without specialized substance abuse treatment and five with specialized substance abuse treatment assessed the course of substance use (primarily cannabis and alcohol) after a first episode of psychosis. Many clients (approximately half) became abstinent or significantly reduced their alcohol and drug use after a first episode of psychosis. The few available studies of specialized substance abuse treatments did not find better rates of ab stinence or reduction. Conclusions Experience, education, treatment, or other factors led many clients to curtail their substance use disorders after a first episode of psychosis. Specialized interventions for others need to be developed and tested.

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“…It is virtually impossible to organize and categorize all treatment approaches, and the intersection of treatment method and type of professional further complicates the picture. The difficulties of professional domains and perspectives are further exacerbated by the relative lack of evidence for the effectiveness for different interventions [36]. In fact, there is some evidence to suggest that the specific treatment approach or technique is not as important to outcome as are factors associated with intervention relationships such as empathy [37].…”

Section: Treatment Approachesmentioning

confidence: 99%

Substance Abuse Therapeutics

Mills¹

2016

Recent Advances in Drug Addiction Research and Clinical Applications

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This chapter provides a broad overview of therapies for substance abuse. These therapies are understood in the context of the history of drug use in the United States and factors that influenced the expansion and regulation of substance use. This is followed by a discussion of how the complexity of these factors was associated with difficulties in understanding substance misuse and created challenges to the creation of effective treatment systems. The chapter reviews the moral and disease models of addiction before discussing the diagnosis of substance-related disorders. The chapter describes major treatment approaches and their efficacy.

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Psychosocial treatments for people with co‐occurring severe mental illness and substance misuse: systematic review

Cited by 88 publications

References 127 publications

Drugs of abuse among acute psychiatric and medical admissions: laboratory based identification of prevalence and drug influence

Drugs of abuse among acute psychiatric and medical admissions: laboratory based identification of prevalence and drug influence

Substance Use Disorder Among People With First-Episode Psychosis: A Systematic Review of Course and Treatment

Substance Abuse Therapeutics

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