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

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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

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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

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Challenges in working with patients with dual diagnosis – 2018

Purpose Studies have shown that mental health professionals find working with patients with dual diagnosis challenging, and the purpose of this paper is to examine some of these challenges. Design/methodology/approach In total, 85 mental health professionals from 8 different mental health centres in Denmark were interviewed. The data analysis was

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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

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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

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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

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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

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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

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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

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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

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Engaging Integrated Health Teams to Decrease the Risk of Controlled Substance Use for Individuals With Serious Mental Illness [2018]

The United States is facing an opioid epidemic that is virulent in its lethality and includes morbidity and mortality related to prescription opioids. Overuse of another class of drugs— benzodiazepines—has received less media attention, but also poses the threat of tolerance, dependence, and death, especially in combination with opioids or

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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.

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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.

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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

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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

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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

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Exploring the Relationship Between Dual Diagnosis and Recidivism in Drug Court Participants [2018]

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

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Feasibility and Satisfaction of an Apartment Living Program for Homeless Adults With Mental Illness and Substance Use Disorder [2018]

Objective: We assessed the feasibility and satisfaction of an apartment living program for formerly homeless adults with mental health and substance use disorders. Method: A one-group pretest-posttest design was used with 22 participants who attended a six-week apartment living program. Results: Sixteen participants completed the study and demonstrated improvement in

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Feasibility and Satisfaction of an Apartment Living Program for Homeless Adults With Mental Illness and Substance Use Disorder [2018]

Objective: We assessed the feasibility and satisfaction of an apartment living program for formerly homeless adults with mental health and substance use disorders. Method: A one-group pretest-posttest design was used with 22 participants who attended a six-week apartment living program. Results: Sixteen participants completed the study and demonstrated improvement in

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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

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History of co-occurring disorders and current mental health status among homeless veterans [2018]

Background Homeless veterans are at high risk for co-occurring disorders (COD), defined as mental illnesses that include at least one alcohol or other drug use disorder and at least one non-drug related mental disorder. However, epidemiological studies examining the prevalence of COD and associated mental health status in this population

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Housing First Improves Residential Stability in Homeless Adults With Concurrent Substance Dependence and Mental Disorders [2013]

Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials

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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

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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

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