Substance Misuse and Psychosis in Context: The Influences of Families and Social Networks

Copello, Alex

doi:10.1002/9780470713846.ch3

Cited by 3 publications

(7 citation statements)

References 32 publications

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“…Their families may in turn try to minimize conflict by withdrawing or choosing to tolerate or ignore substance abuse (Copello, 2003). Under any of these conditions, co-morbid individuals have an increased risk of relapse (Mueser et al, 1992;Alverson et al, 2000).…”

Section: How Social Network and Social Support Systems Mattermentioning

confidence: 99%

“…Under any of these conditions, co-morbid individuals have an increased risk of relapse (Mueser et al, 1992;Alverson et al, 2000). In fact, interpersonal conflict and social pressure are generally identified as two of the biggest antecedents of substance abuse relapse (Copello, 2003). In addition, network members who are drug users themselves may continue to encourage drug use even after someone has undergone treatment (Savage & Russell, 2005).…”

Section: How Social Network and Social Support Systems Mattermentioning

confidence: 99%

“…While it is certainly not always the case, some individuals may engage in desperate or alienating behaviors as a result of substance addiction (Perese & Wolf, 2005;Albert et al, 1998;Drake et al, 1998). At times, the combination of substance abuse and mental illness can mean that family members endure such a high level of stress that they react by rejecting the individual (Copello, 2003).…”

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confidence: 99%

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Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders

Hawkins

Abrams

2007

Social Science & Medicine

129

143

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Studies of the social lives of men and women living with co-occurring disorders (substance abuse and serious mental illness) suggest that social networks critically influence recovery. In this paper, we examine some of the reasons that the social networks of individuals with co-occurring disorders are small, and the impact of small networks for this population. Using a social capital framework with cross-case analysis, we analyze 72 in-depth qualitative interviews with 39 formerly homeless mentally ill men and women who were substance abusers. All were participants in the New York Services Study (HYSS), a federally funded study of mentally ill adults in New York City. The patterns suggest that networks shrunk because 1) social network members died prematurely, 2) study participants withdrew or pushed others away, and 3) friends and family members faced so many obstacles of their own that they could not provide resources for the study participants. We suggest that as networks diminished, some participants responded by attempting to rebuild their networks, even if the networks provided negative social capital, and others isolated themselves socially to escape the pressures and disappointments of interaction. KeywordsUSA; New York Services Study (NYSS); social capital; social networks; co-occurring disorders; mental illness; homeless; substance abuse The role of family and friends for individuals with co-occurring disorders (substance abuse and serious mental illness) in recovery is complex and often ambiguous. While close friends and family members can forge ties that produce social capital in the form of significant financial, emotional, and in-kind support to individuals with co-occurring disorders, they can also pose specific problems. Studies of the social lives of co-morbid individuals suggest that social support from family and friends can decrease symptomatology

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Section: How Social Network and Social Support Systems Mattermentioning

confidence: 99%

Section: How Social Network and Social Support Systems Mattermentioning

confidence: 99%

mentioning

confidence: 99%

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Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders

Hawkins

Abrams

2007

Social Science & Medicine

129

143

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“…Little evidence has been found for the 'self medication' theory (Hamera et al, 1995), but there is some support for a vulnerability or increased sensitivity to substances. The presence of antisocial personality disorder is an additional factor in the higher rate of substance misuse in severe mental illness, while other common factors such as Copello (2003) examined the significance of families in dual diagnosis and argued that the interaction between the two disorders made the impact even more complex, because a greater number of stressors were often present. He suggested that higher levels of critical expressed emotion might contribute to relapse in substances, as they might do in relapse of psychosis.…”

Section: Dual Diagnosis: Substance Misuse and Schizophreniamentioning

confidence: 99%

“…While attendance at the first two stages produced a statistically significant improvement in abstinence from substances, only attendance at JSN had a significant effect on whether or not abstinence was sustained. Copello (2003) discussed families' concern with the relationship between psychosis and substance misuse, and whether blame could therefore be apportioned. This is not unusual in forensic mental health settings, as it might result in the idea that substance misuse is responsible for the psychosis, and therefore also the index offence, and lead to distorted perceptions of responsibility by both service user and family.…”

Section: Studies Relating To a Forensic Mental Health Settingmentioning

confidence: 99%

A literature review of family interventions for dual diagnosis: implications for forensic mental health services (abridged)

Richards

Doyle

Cook

2010

Advances in Dual Diagnosis

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With permission, this paper is an edited and abridged version of an article written by Richards, Doyle and Cook for The British Journal of Forensic Practice (Richards et al, 2009), detailing their literature review on family interventions in dual diagnosis and with reference to forensic mental health care. There appeared to be limited direct evidence, therefore various domains were examined and extrapolated to a forensic setting as appropriate. The review indicates the potential for positive outcomes for families following family interventions in dual diagnosis, which may be beneficial in a forensic setting in lowering risk.

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Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Pars,

VanDerNagel,

Dijkstra

et al. 2023

JCM

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Recovery capital (RC) encompasses the wide range of resources individuals can employ to recover from Substance Use Disorder (SUD). It consists of five subdomains: human, social, cultural, financial, and community RC. Negative recovery capital (NRC) represents the obstacles to recovery. Research on (N)RC in complex multimorbid populations is scarce. This study offers an initial exploration of the viability of (N)RC in three individuals with SUD, psychiatric comorbidities, and an intellectual disability (a triple diagnosis) in inpatient addiction treatment. We collected case file data, ranked recovery goals, and conducted follow-up interviews. The data were subjected to template analysis, using (N)RC domains as codes. All domains were prevalent and relevant, showing dynamic and reciprocal effects, influenced by critical life events acting as catalysts. Notably, during treatment, patients prioritized individual skill development despite challenges in other domains. RC emerges as a valuable concept for mapping recovery barriers and facilitators in individuals with a triple diagnosis, serving as an alternative to the medical model and complementing the biopsychosocial model. It provides a systematic framework to assess critical factors for recovery in complex cases and accordingly align interventions. Future studies should explore the intersections of NRC domains and the dynamic nature of (N)RC to enhance the understanding of the challenges faced by individuals with a triple diagnosis.

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Substance Misuse and Psychosis in Context: The Influences of Families and Social Networks

Cited by 3 publications

References 32 publications

Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders

Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders

A literature review of family interventions for dual diagnosis: implications for forensic mental health services (abridged)

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

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