How the prison-to-community transition risk environment influences the experience of men with co-occurring mental health and substance use disorder [2017]

Previous research has established that people with severe mental illness and co-occurring substance use disorder leaving prison have multiple and complex health, social and economic challenges. How the criminal justice and mental health systems influence the individual prison-to-community transition experience of this population is less well understood. This paper draws

The Role of Impulsivity Dimensions in the Relation Between Probable Posttraumatic Stress Disorder and Aggressive Behavior Among Substance Users [2017]

Objective: Individuals with co-occurring posttraumatic stress disorder (PTSD) and substance use disorder report heightened levels of numerous risky and health-compromising behaviors, including aggressive behaviors. Given evidence that aggressive behavior is associated with negative substance use disorder treatment outcomes, research is needed to identify the factors that may account for the

Demoralization in Patients With Substance Use and Co-Occurring Psychiatric Disorders [2017]

Objective: In recent years, treatment of substance use disorder has rekindled emphasis on recovery which, being a gradual process, starts with remoralization. In this study, we examine the level of demoralization throughout the treatment process for patients with comorbid substance dependence and psychiatric disorders. Methods: 217 patients with co-occurring disorders

Concurrent substance use disorders and mental illness: Bridging the gap between research and treatment [2017]

People with concurrent disorders (CDs; i.e., mental illness and substance use disorders) are at high risk for a number of adverse outcomes if they do not receive appropriate treatment. Yet despite wide availability of evidence-based guidelines and easy-to-access clinical resources for this population, implementation has lagged. Integrated treatment involves targeting

Evaluation of a substance use treatment program for forensic psychiatric inpatients [2018]

There have been few evaluations of substance use interventions for forensic psychiatric patients. In this study, we evaluated a manualized substance use treatment for forensic inpatients by comparing 35 treatment completers (who attended 75% or more of their sessions) and 30 non-completers (less than 75%) on self-report and urinalysis measures.

Evaluation of Treatment and Other Factors That Lead to Drug Court Success, Substance Use Reduction, and Mental Health Symptomatology Reduction Over Time [2018]

Adults presenting with substance use and mental health disorders in the criminal justice system is well documented. While studies have examined drug courts and medication-assisted treatment (MAT), few have examined social and behavioral health indicators, and even fewer have multiple study periods. This study employed a comprehensive approach to studying

Treating Co-Occurring Disorders in Jails: Outcome Findings From a Second Chance Act Offender Reentry Program [2018]

Widespread implementation of offender reentry programming has increased justice program evaluations but few have featured research designs sufficiently rigorous to optimally inform policy. Program evaluations typically neglect program fidelity concerns to focus on outcome analysis that seldom feature optimal spuriousness reduction. The current study, the second component of a mixed-method

The Observed Longitudinal Relationship between Future Orientation and Substance Use Among a Cohort of Youth with Serious Criminal Offenses [2018]

Background: Future orientation (FO), an essential construct in youth development, encompassing goals, expectations for life, and ability to plan for the future. This study uses a multidimensional measure of future orientation to assess the relationship between change in future orientation and change in substance use over time. Methods: Data were

Evaluation of a substance use treatment program for forensic psychiatric inpatients [2018]

There have been few evaluations of substance use interventions for forensic psychiatric patients. In this study, we evaluated a manualized substance use treatment for forensic inpatients by comparing 35 treatment completers (who attended 75% or more of their sessions) and 30 non-completers (less than 75%) on self-report and urinalysis measures.

Prevalence, Diagnosis, and Treatment Rates of Mood Disorders among Opioid Users under Criminal Justice Supervision [2018]

Background: Individuals involved in the criminal justice system have disproportionately high rates of psychiatric disorders when compared to the general U.S. population. If left untreated, the likelihood of subsequent arrest increases and risk for adverse health consequences is great, particularly among opioid users. Objectives: To explore the prevalence, characteristics, and

Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation [2018]

Background Few studies have looked at the prevalence of substance use disorders (SUD) in people with intellectual disability (ID). The results range between 1% and 6.4% and go up to 20% in people with ID and psychiatric disorders, probably underestimating real prevalence due to several limitations in these studies. ID

The Effectiveness of a Mental Health Court in Reducing Recidivism in Individuals with Severe Mental Illness and Comorbid Substance Use Disorder [2018]

The current study examined the efficacy of a specialized mental health court in reducing recidivism for severely mentally ill defendants with comorbid substance use disorders. There is a wealth of research supporting the efficacy of mental health courts in reducing recidivism for those with severe mental illness; however, the benefit

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

Health Beliefs and Experiences of a Health Promotion Intervention Among Psychiatric Patients With Substance Use: An Interview Study – 2018

We aimed to explore beliefs about physical health from the perspective of patients with concurrent mental illness and substance use and to explore how a health promotion intervention influenced their personal agency for changing health-related behaviour. Our findings were that patients’ beliefs were focused on their present day state of

Initiating and maintaining a recovery process – experiences of persons with dual diagnosis – 2018

Purpose The purpose of this paper is to investigate the internal and social factors that persons with experience from severe mental illness and alcohol and other drugs problems, and who have received treatment for these problems, describe as important for initiating and maintaining a recovery process. Design/methodology/approach In total, 40

Substance use and at‐risk mental state for psychosis in 2102 prisoners: the case for early detection and early intervention in prison – 2018

Aim Prisoners exhibit high rates of substance use and mental health problems. In the present study, we sought to gain a detailed understanding of substance use amongst young prisoners to inform early detection and early intervention strategies in a prison setting. Methods This is a cross‐sectional study of 2102 prisoners

Multidimensional Family Therapy as a community-based alternative to residential treatment for adolescents with substance use and co-occurring mental health disorders – 2018

Highlights • During the first 2 months of treatment, youth in both treatments showed significant reductions on all outcomes. • During the first 2 months of treatment, MDFT had greater reductions in internalizing symptoms. • At 18 months after baseline, MDFT maintained improvement in substance use and delinquency significantly better than

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