Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada – 2018

Objective: Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless

Suicidal Ideation and Suicide Attempts among Women Seeking Treatment for Substance Use and Trauma Symptoms – 2018

Substance use disorders and posttraumatic stress disorder have been associated with suicide. Through secondary analysis of the screening data from the Women and Trauma Study conducted by the National Institute on Drug Abuse Clinical Trials Network, the present study examined rates and correlates of suicidal ideation and suicide attempts among

Co-Occurring Mental Illness and Substance Use Disorders in Canadian Forensic Inpatients: Underdiagnosis and Implications for Treatment Planning – 2018

Research suggests that co-occurring substance use disorder (SUD) is prevalent among adults with psychiatric illness. Studies with forensic patients in Australia indicate that co-occurring disorders (CD) are underdiagnosed. To help determine how widespread CD underdiagnosis is in forensic populations internationally, we compared current diagnoses recorded in the clinical record with

The Fierce Urgency of Now: Improving Outcomes for Justice-Involved People With Serious Mental Illness and Substance Misuse – 2018

People with serious mental illness are more likely to be arrested multiple times for the same crime, spend more time in jail before adjudication, serve longer sentences, and have higher recidivism rates than those without mental illness. Several conceptual foundations, such as the sequential intercept model and the risk-needs-responsivity model,

Sharing power in criminal justice: The potential of co‐production for offenders experiencing mental health and addictions in New Zealand – 2-18

Co‐production has begun to make inroads into research, policy, and practice in mental health and addictions. Little is known, however, about the role co‐production has or could have in shaping how the criminal justice system responds to mental health and addictions. Given that a large majority of prisoners in Aotearoa

Why run the risk? Motivation for offences by patients with substance use and antisocial personality disorders which they rated as most risky to their own well‐being – 2018

Background Understanding motives for offending is important for the development and delivery of effective interventions. Aims To explore associations between variables with motivational implications and the offence committed in the past year rated by people with antisocial personality disorder and substance use disorder as putting them and their status at

Translating evidence-based practice for managing comorbid substance use and mental illness using a multi-modal training package – 2018

Comorbid mental health and substance use problems are highly prevalent in substance use treatment settings and generally lead to poorer treatment outcomes. Pathways to Comorbidity Care (PCC) is a multi-modal training program developed to encourage an integrated service approach to improve clinicians’ capacity to identify and manage comorbid substance use

Systematic review of qualitative evaluations of reentry programs addressing problematic drug use and mental health disorders amongst people transitioning from prison to communities – 2018

Background The paper presents a systematic review and metasynthesis of findings from qualitative evaluations of community reentry programs. The programs sought to engage recently released adult prison inmates with either problematic drug use or a mental health disorder. Methods Seven biomedical and social science databases, Cinahl, Pubmed, Scopus, Proquest, Medline,

Experiences of Professional Helping Relations by Persons with Co-occurring Mental Health and Substance Use Disorders

Recovery in co-occurring mental health and substance use disorders often involves relationships with professional helpers, yet little is known about how these are experienced by service users. The aim of this study was to explore and describe behaviour and attributes of professional helpers that support recovery, as experienced by persons

Association between alcohol and substance use disorders and psychiatric service use in patients with severe mental illness: a nationwide Danish register-based cohort study – 2018-02

Substance use disorder is highly prevalent in people with psychiatric disorders, and known to impede the psychiatric treatment. Some studies show increased rates of service use, while others show a decrease. These conflicting results are further hampered by a lack of large-scale studies. The aim of this study was to

Co-occurring serious mental illnesses and substance use disorders as predictors of assaultive infraction charges among adult male jail inmates – 2017-07

This study used self-report data from 4642 adult male jail inmates to test the hypothesis that inmates with co-occurring serious mental illnesses (SMIs) and substance use disorders (SUDs) (i.e. co-occurring disorders) would report having been officially charged for assaulting staff or inmates more often than inmates without co-occurring disorders. Negative

Elder Mistreatment Perpetrators with Substance Abuse and/or Mental Health Conditions: Results from the National Elder Mistreatment Study – 2017

A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment

Associations between pharmacotherapy for opioid dependence and clinical and criminal justice outcomes among adults with co-occurring serious mental illness – 2018

Highlights • Opioid-dependence pharmacotherapy is effective for adults with severe mental illness and opioid dependence. • Opioid-dependence pharmacotherapy substantially reduces this population’s risk for hospitalization. • Naltrexone appears to reduce risk for convicted arrests, including felonies. • Opioid-dependence pharmacotherapy was not superior to other treatment in reducing incarceration risk. • Opioid-dependence

Exploring the Relationship Between Dual Diagnosis and Recidivism in Drug Court Participants – 2017

There is limited research investigating the relationship between dual diagnosis and offender outcomes in drug court settings, specifically regarding recidivism. The current study examined the effects of dual diagnosis on recidivism following participation in one drug court in the Southwestern United States. Results provided mixed evidence surrounding the impact of

The association of cannabis use on inpatient psychiatric hospital outcomes – 2017-06-14

Background: The associations between cannabis use and psychosis are well documented in numerous studies. There is a need to evaluate the impact of cannabis use on inpatient psychiatric utilization and outcomes. Objectives: To evaluate the impact of cannabis use on psychiatric hospital outcomes. Methods: This study was conducted between April

Perceived Self-Control is Related to Mental Distress in Patients Entering Substance Use Disorder Treatment – 2018-01

Background: Levels of mental distress are high in patients with substance use disorders (SUD) and investigation of correlates may broaden our understanding of this comorbidity. Objectives: We investigated self-reported symptoms of mental distress among individuals entering either outpatient opioid maintenance treatment (OMT) or other inpatient SUD treatment and related factors,

Building a Service Resolution Function in Toronto – Recommendations for Meeting the Needs of People with Complex Mental Health & Justice Challenges – 2015-11-18

We will present findings from our recent research conducted for the T-HSJCC, from which we developed the characteristics of distinctive models of service resolution tailored for the Toronto context, for people with complex mental health and addictions needs involved (or at risk of involvement) with the criminal justice system. Building a Service