Use of Mental Health Care Services by Canadians With Co-occurring Substance Dependence and Mental Disorders

Urbanoski, Karen; Rush, Brian; Wild, T. Cameron; Bassani, Diego G.; Castel, Saulo

doi:10.1176/ps.2007.58.7.962

Cited by 80 publications

(73 citation statements)

References 54 publications

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“…Efforts to integrate primary health care and specialty mental health and substance abuse services should also account for this subpopulation, as help seeking is by no means restricted to the specialist sector. 39,45 The appropriate treatment response for co-occurring disorders depends on the person and the severity of the disorders. 46 In addition to the exclusion of several mental disorders, noted above, other limitations of the present research should be highlighted.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Co-Occurring Substance Use and other Mental Disorders in the Canadian Population

et al. 2008

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Objective: Population health surveys around the world have studied the epidemiology of comorbid substance use disorders (SUDs) and other mental disorders as part of larger efforts to assess needs and direct integrated planning and delivery of services. This study presents the first national assessment in Canada of the prevalence of co-occurring SUDs and other mental disorders, with attention to differences by substance problem severity, sex, age, and region. Methods: This work is a secondary analysis of data from the 2002 Canadian Community Health Survey: Mental Health and Well-Being. The sample was obtained using a multistage stratified cluster design ( n = 36 984, response rate = 77%). Results: The 12-month population prevalence of co-occurring disorders was 1.7%. The 12-month prevalence of other mental disorders was higher among those with illicit drug, relative to alcohol, problems and among those with dependence, compared with those with less severe problems. Sex and age differences mirrored population differences in pure disorders. Salient regional differences included the higher rate of co-occurring disorders in British Columbia and the lower rates in Quebec. Conclusions: Cross-study comparisons are hampered by methodological differences; however, these Canadian rates are at the lower end of the range reported internationally. This might have resulted from the exclusion of several disorders known to be highly comorbid with SUDs. Nonetheless, prevalence is high in certain subgroups, and efforts under way to improve Canada's substance abuse and mental health services should continue to ensure that adequate attention is directed to the needs of people with co-occurring disorders.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Co-Occurring Substance Use and other Mental Disorders in the Canadian Population

et al. 2008

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“…Males are more likely than females to have substance dependence, mainly using alcohol and marijuana. 11,14 Previous studies 48,49 also found that co-occurring disorders were more prevalent among young people. It is logical that substance dependence would occur during young adulthood, considering that adolescence is usually the period of initiation to drugs.…”

Section: 40mentioning

confidence: 95%

“…11,13 Younger people are more likely to abuse substances, whether they have co-occurring disorders or not. 14,15 People with an SUD are less likely to have a post-secondary education 16 or high household incomes. 15 However, people whose sole affliction is substance dependence have lower psychological distress than those affected by co-occurring disorders.…”

Section: Limitationsmentioning

confidence: 99%

“…60 Lower motivation, negative attitudes regarding treatment, or inadequate services could explain the underuse of health care services or support groups by people with substance dependence. 14 According to previous studies, 14,61 the main reason cited by people for not seeking help for their alcohol dependence was that they were not ready to stop drinking. People with substance dependence rarely use health care services until their problem requires intensive treatment.…”

Section: 40mentioning

confidence: 99%

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Predictors of Alcohol and Drug Dependence

Fleury¹,

Bamvita

Perreault

et al. 2014

Can J Psychiatry

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Objective: Our study sought to identify sociodemographic, clinical, life perception, and service use characteristics that distinguish new cases of people dependent on substances from the general population; and to determine predictors of substance dependence over a 2-year period. Variables that differentiate people dependent on substances according to sex and age were also assessed. Methods:Among 2434 people who took part in an epidemiologic catchment area health survey at baseline, 2.2% were identified with substance dependence at the second measurement time only. Using a comprehensive framework, various aspects were considered as predictors for multivariate statistics.Results: Participants with substance dependence at time 2 only showed worse clinical conditions, life events, life and health perception, and neighbourhood characteristics than other participants, but only 2.5% used health care services. Male sex, younger age, stigmatization, and impulsiveness were predictors of substance dependence. Regarding sex, females with dependence were only more likely to suffer from social phobia than males. In terms of age categories, participants over 50 with substance dependence were more likely to have a lower household income and less social support than younger people. Conclusion:Stigmatization was the strongest predictor of substance dependence. Our study also confirmed that males and younger people were more likely to have substance dependence. Anti-stigmatization, prevention, and outreach programs are needed to overcome the reluctance of this clientele to use health care services. Health professionals should also pay more attention to life and health perception and neighbourhood characteristics of newly identified drug users. W W W Prédicteurs de la dépendance à l'alcool et aux droguesObjectif : Notre étude cherchait à identifier les caractéristiques sociodémographiques, cliniques, et liées à la perception de la vie comme à l'utilisation des services qui distinguent les nouveaux cas de personnes dépendantes aux substances de la population générale; et à déterminer les prédicteurs de la dépendance aux substances sur une période de 2 ans. Les variables qui différencient les personnes dépendantes aux substances selon le sexe et l'âge ont aussi été évaluées.Méthodes : Chez 2434 personnes qui ont pris part à une enquête de santé épidémiologique d'un secteur hospitalier au départ, 2,2 % ont été identifiées comme ayant une dépendance aux substances au deuxième temps de mesure seulement. À l'aide d'un cadre détaillé, divers aspects ont été étudiés en tant que prédicteurs de statistiques multivariées.Résultats : Les participants ayant une dépendance aux substances au temps 2 seulement présentaient des conditions cliniques, des événements de vie, des perceptions de la vie

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“…This group often shows no desire to receive treatment, and motivational therapy and harm reduction initiatives must therefore become essential elements of a rehabilitation plan. In 2002, for example, the ratio of Canadians seeking the advice of a family physician, psychiatrist or psychologist within a 12-month period were respectively 6.2, 1.8 and 2.3 percent among individuals with substance dependence, 31.6, 14.1 and 10.0 percent among those with mental disorders, and 34.6, 16.1 and 11.0 percent among those with co-occurring disorders [21]. These groupsand especially persons with only a substance abuse problemtherefore use services well below the optimal level that might address their actual needs [22,23].…”

Section: Introductionmentioning

confidence: 99%