Pub Date : 2008-05-12DOI: 10.1080/17523280802020065
A. Xafenias, I. Diakogiannis, A. Iacovides, K. Fokas, Georgios Kaprinis
Background: Τhe prevalence of comorbidity is high among outpatients in rehabilitation centres and in psychiatric clinics. Aims: To investigate the level and type of comorbid psychiatric disorder and substance use disorder among inpatients of a psychiatric clinic in a public psychiatric hospital in an urban area in Greece, and to distinguish the characteristics of the dual diagnosis population, in order to help develop specialised services. Method: All patients admitted over a 12-month period were given the CAGE questionnaire and part of the EUROPASI questionnaire addressing substance use. This was followed by a diagnostic interview to establish the final diagnosis in accordance with the DSM-IV criteria. Results: A total of 313 patients were assessed. Present substance use disorder was identified in 102 individuals (32.6%), and involved one substance in 70 cases (68.6%) and more than one in 32 cases (31.4%). The principal substances involved in addiction or abuse were alcohol, cannabis, benzodiazepines and...
{"title":"Investigation of the comorbidity of psychiatric disorder and substance use disorder among inpatients of a public psychiatric hospital in an urban area in Greece","authors":"A. Xafenias, I. Diakogiannis, A. Iacovides, K. Fokas, Georgios Kaprinis","doi":"10.1080/17523280802020065","DOIUrl":"https://doi.org/10.1080/17523280802020065","url":null,"abstract":"Background: Τhe prevalence of comorbidity is high among outpatients in rehabilitation centres and in psychiatric clinics. Aims: To investigate the level and type of comorbid psychiatric disorder and substance use disorder among inpatients of a psychiatric clinic in a public psychiatric hospital in an urban area in Greece, and to distinguish the characteristics of the dual diagnosis population, in order to help develop specialised services. Method: All patients admitted over a 12-month period were given the CAGE questionnaire and part of the EUROPASI questionnaire addressing substance use. This was followed by a diagnostic interview to establish the final diagnosis in accordance with the DSM-IV criteria. Results: A total of 313 patients were assessed. Present substance use disorder was identified in 102 individuals (32.6%), and involved one substance in 70 cases (68.6%) and more than one in 32 cases (31.4%). The principal substances involved in addiction or abuse were alcohol, cannabis, benzodiazepines and...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"38 1","pages":"125-134"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81476928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-12DOI: 10.1080/17523280802019935
J. Hall, M. Vaughan-Sarrazin, Amanda R. Reedy, D. Huber
Background: The Iowa Case Management Project (ICMP) was developed to evaluate the effectiveness of a comprehensive, solution-focused model of case management with rural clients in substance use disorder treatment. Aims: To evaluate the effectiveness of a strengths-based case management model to help clients with and without co-occurring psychiatric disorders reduce substance use and improve psychiatric functioning. Method: Clients admitted to residential or intensive outpatient substance use disorder treatment who volunteered (N = 518), were randomly assigned to one of four research conditions. In three conditions, participants received Iowa Case Management (ICM), while in the fourth condition participants received standard substance use disorder treatment services. Participants completed assessments at intake, three, six and 12 months. Results: A diagnosis of a psychiatric disorder did not impact the effect of case management on substance use, and client substance use decreased significantly in all four ...
{"title":"Comprehensive case management for substance abuse clients who have mood or anxiety disorders","authors":"J. Hall, M. Vaughan-Sarrazin, Amanda R. Reedy, D. Huber","doi":"10.1080/17523280802019935","DOIUrl":"https://doi.org/10.1080/17523280802019935","url":null,"abstract":"Background: The Iowa Case Management Project (ICMP) was developed to evaluate the effectiveness of a comprehensive, solution-focused model of case management with rural clients in substance use disorder treatment. Aims: To evaluate the effectiveness of a strengths-based case management model to help clients with and without co-occurring psychiatric disorders reduce substance use and improve psychiatric functioning. Method: Clients admitted to residential or intensive outpatient substance use disorder treatment who volunteered (N = 518), were randomly assigned to one of four research conditions. In three conditions, participants received Iowa Case Management (ICM), while in the fourth condition participants received standard substance use disorder treatment services. Participants completed assessments at intake, three, six and 12 months. Results: A diagnosis of a psychiatric disorder did not impact the effect of case management on substance use, and client substance use decreased significantly in all four ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"20 1","pages":"143-157"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75032712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-12DOI: 10.1080/17523280802020156
C. Aitken, D. Wain, D. Lubman, L. Hides, M. Hellard
{"title":"Mental health screening among injecting drug users outside treatment settings – implications for research and health services","authors":"C. Aitken, D. Wain, D. Lubman, L. Hides, M. Hellard","doi":"10.1080/17523280802020156","DOIUrl":"https://doi.org/10.1080/17523280802020156","url":null,"abstract":"","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"31 1","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74309708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-12DOI: 10.1080/17523280802019901
Sabrina J Schulte, M. Holland
Background: Dual diagnosis (the combination of mental health and drug/alcohol problems) has been recognized as a major health concern. Most studies in this field stem from the US and information about dual diagnosis prevalence is limited in the UK. Aims: To obtain estimates of dual diagnosis prevalence rates across mental health and substance misuse services in Manchester. Methods: Telephone interviews were carried out with team managers of mental health (n = 24) and substance misuse services (n = 9). Results: The mean percentage of dual diagnosis clients throughout services was 46%. The highest proportions were identified in the assertive outreach team (71%), followed by substance use services (59%), and psychiatric inpatient wards (56%). The acute home treatment team (12%) reported the lowest estimate of clients with dual diagnosis problems. Conclusions: Service providers perceived dual diagnosis to be of major concern across mental health and substance misuse services in Manchester. The estimates were ...
{"title":"Dual diagnosis in Manchester, UK: practitioners' estimates of prevalence rates in mental health and substance misuse services","authors":"Sabrina J Schulte, M. Holland","doi":"10.1080/17523280802019901","DOIUrl":"https://doi.org/10.1080/17523280802019901","url":null,"abstract":"Background: Dual diagnosis (the combination of mental health and drug/alcohol problems) has been recognized as a major health concern. Most studies in this field stem from the US and information about dual diagnosis prevalence is limited in the UK. Aims: To obtain estimates of dual diagnosis prevalence rates across mental health and substance misuse services in Manchester. Methods: Telephone interviews were carried out with team managers of mental health (n = 24) and substance misuse services (n = 9). Results: The mean percentage of dual diagnosis clients throughout services was 46%. The highest proportions were identified in the assertive outreach team (71%), followed by substance use services (59%), and psychiatric inpatient wards (56%). The acute home treatment team (12%) reported the lowest estimate of clients with dual diagnosis problems. Conclusions: Service providers perceived dual diagnosis to be of major concern across mental health and substance misuse services in Manchester. The estimates were ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"1 1","pages":"118-124"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72603445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-12DOI: 10.1080/17523280802020016
Ansgar Rougemont-Bücking, G. Zimmermann, M. Stankovic, F. Borgeat, D. Zullino
Background: Comorbidity between social anxiety disorder (SAD) and substance use disorder (SUD) is elevated but little is known about the role of avoidance with regard to the aetiology and maintenance of these disorders. Aims: The objective of the study was to compare patients with SAD and comorbid SUD with patients suffering from SAD only with regard to fear and avoidance symptoms. Methods: Thirty patients presenting SAD and comorbid SUD were recruited by the local Substance Abuse Unit, and 26 patients with SAD only were identified within the general population by the research team. All patients were asked to answer the Liebowitz Social Anxiety Scale. Results: Patients suffering from SAD and SUD showed a higher avoidance/total score ratio. Avoidance contributed at mean to 49.7% (±4.9%) of the total score in patients with SAD and SUD, whereas its mean contribution was 46.5% (±3.1%) in patients with SAD only (effect size 0.77). Conclusions: Avoidance tendencies appear to be more prominent in patients suffer...
{"title":"Drug abusers suffering from social phobia show more avoidance tendencies than patients with social phobia alone","authors":"Ansgar Rougemont-Bücking, G. Zimmermann, M. Stankovic, F. Borgeat, D. Zullino","doi":"10.1080/17523280802020016","DOIUrl":"https://doi.org/10.1080/17523280802020016","url":null,"abstract":"Background: Comorbidity between social anxiety disorder (SAD) and substance use disorder (SUD) is elevated but little is known about the role of avoidance with regard to the aetiology and maintenance of these disorders. Aims: The objective of the study was to compare patients with SAD and comorbid SUD with patients suffering from SAD only with regard to fear and avoidance symptoms. Methods: Thirty patients presenting SAD and comorbid SUD were recruited by the local Substance Abuse Unit, and 26 patients with SAD only were identified within the general population by the research team. All patients were asked to answer the Liebowitz Social Anxiety Scale. Results: Patients suffering from SAD and SUD showed a higher avoidance/total score ratio. Avoidance contributed at mean to 49.7% (±4.9%) of the total score in patients with SAD and SUD, whereas its mean contribution was 46.5% (±3.1%) in patients with SAD only (effect size 0.77). Conclusions: Avoidance tendencies appear to be more prominent in patients suffer...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"28 1","pages":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90390059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-02-04DOI: 10.1080/17523280701759755
C. Treloar, M. Holt
Background: Drug treatment clients are significantly more likely to remain in treatment if ancillary life issues and complex needs are addressed. Aim: to document and analyse the complex needs (‘complex vulnerabilities’) of people experiencing both problems with drug dependence and common mental health problems, with a particular focus on barriers and incentives to drug treatment. Method: A qualitative interview-based study of 77 participants in four sites (three metropolitan, one regional) in Australia. Results: Complex vulnerabilities were deeply embedded in participants' lives and unlikely to be quickly resolved. Poor housing, criminal justice issues and the experience of poverty or debt affected participants' ability to secure basic needs, and their ability to participate in drug or mental health treatment. Difficulties in finding assistance for complex vulnerabilities, especially at times of crisis, were reported by many participants. Conclusions: There is an urgent need to reform the health system t...
{"title":"Complex vulnerabilities as barriers to treatment for illicit drug users with high prevalence mental health co-morbidities","authors":"C. Treloar, M. Holt","doi":"10.1080/17523280701759755","DOIUrl":"https://doi.org/10.1080/17523280701759755","url":null,"abstract":"Background: Drug treatment clients are significantly more likely to remain in treatment if ancillary life issues and complex needs are addressed. Aim: to document and analyse the complex needs (‘complex vulnerabilities’) of people experiencing both problems with drug dependence and common mental health problems, with a particular focus on barriers and incentives to drug treatment. Method: A qualitative interview-based study of 77 participants in four sites (three metropolitan, one regional) in Australia. Results: Complex vulnerabilities were deeply embedded in participants' lives and unlikely to be quickly resolved. Poor housing, criminal justice issues and the experience of poverty or debt affected participants' ability to secure basic needs, and their ability to participate in drug or mental health treatment. Difficulties in finding assistance for complex vulnerabilities, especially at times of crisis, were reported by many participants. Conclusions: There is an urgent need to reform the health system t...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"38 1","pages":"84-95"},"PeriodicalIF":0.0,"publicationDate":"2008-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81505188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-02-04DOI: 10.1080/17523280701724189
P. Lusilla, A. Gual, C. Roncero, E. Bruguera, V. Marcos, S. Valero, M. Casas
Background: Despite evidence of dual diagnosis (DD) in impaired physicians, few studies have investigated its prevalence and clinical characteristics. Aims: To assess the prevalence and clinical characteristics of DD in a sample of inpatient physicians and to compare physician patients with DD to other inpatient physicians. Methods: A chart review of clinical and demographic data was conducted on 290 consecutive admissions to the inpatient unit of the Integrated Care Programme for Physicians in Barcelona from January 1999 to August 2005. Results: 60 (20.6%) patients had DD, with the most common form of co-occurring disorders being alcohol dependence with mood disorder (46.4%). DD patients were more likely to be male. DD patients were more similar to patients with substance use disorders with regards to demographic variables and antisocial personality traits, but were more similar to patients with only a psychiatric disorder concerning severity and avoidant traits. Conclusions: DD is a major cause of impai...
{"title":"Dual diagnosis in inpatient physicians: prevalence and clinical characteristics","authors":"P. Lusilla, A. Gual, C. Roncero, E. Bruguera, V. Marcos, S. Valero, M. Casas","doi":"10.1080/17523280701724189","DOIUrl":"https://doi.org/10.1080/17523280701724189","url":null,"abstract":"Background: Despite evidence of dual diagnosis (DD) in impaired physicians, few studies have investigated its prevalence and clinical characteristics. Aims: To assess the prevalence and clinical characteristics of DD in a sample of inpatient physicians and to compare physician patients with DD to other inpatient physicians. Methods: A chart review of clinical and demographic data was conducted on 290 consecutive admissions to the inpatient unit of the Integrated Care Programme for Physicians in Barcelona from January 1999 to August 2005. Results: 60 (20.6%) patients had DD, with the most common form of co-occurring disorders being alcohol dependence with mood disorder (46.4%). DD patients were more likely to be male. DD patients were more similar to patients with substance use disorders with regards to demographic variables and antisocial personality traits, but were more similar to patients with only a psychiatric disorder concerning severity and avoidant traits. Conclusions: DD is a major cause of impai...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"01 1","pages":"10-20"},"PeriodicalIF":0.0,"publicationDate":"2008-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83656164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-02-04DOI: 10.1080/17523280701769408
K. Calderwood, R. Christie
Background: Increasing co-ordination among addiction and mental health services is often recommended to improve service delivery for people with co-occurring addiction and mental health disorders. Aims: Regarding their experiences in the addiction and mental health systems, and the development of a model of co-ordination in their community, this study compares the views of 16 consumers and 26 frontline workers to the current literature. Methods: Consumers participated in one of four focus groups and frontline workers participated in a semi-structured individual interview. Results: Consumers and frontline workers placed a higher priority on training workers and providing consumers with a welcoming place to go than on co-ordination. Consumers expressed concern about workers sharing client information. Consumers underscored the importance of peer support groups, and the formal system facilitating the development and maintenance of peer supports. Consumers offered suggestions for how the systems could more ef...
{"title":"The views of consumers and frontline workers regarding coordination among addiction and mental health services","authors":"K. Calderwood, R. Christie","doi":"10.1080/17523280701769408","DOIUrl":"https://doi.org/10.1080/17523280701769408","url":null,"abstract":"Background: Increasing co-ordination among addiction and mental health services is often recommended to improve service delivery for people with co-occurring addiction and mental health disorders. Aims: Regarding their experiences in the addiction and mental health systems, and the development of a model of co-ordination in their community, this study compares the views of 16 consumers and 26 frontline workers to the current literature. Methods: Consumers participated in one of four focus groups and frontline workers participated in a semi-structured individual interview. Results: Consumers and frontline workers placed a higher priority on training workers and providing consumers with a welcoming place to go than on co-ordination. Consumers expressed concern about workers sharing client information. Consumers underscored the importance of peer support groups, and the formal system facilitating the development and maintenance of peer supports. Consumers offered suggestions for how the systems could more ef...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"23 1","pages":"21-32"},"PeriodicalIF":0.0,"publicationDate":"2008-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73385793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-02-04DOI: 10.1080/17523280701732414
C. Moleiro, L. Beutler
Background: While psychotherapy efficacy has been largely supported, patient change processes across time are still less clear. This is specially true for complex clinical populations, such as dually diagnosed individuals. Aims: A Latent Growth Model was tested to describe change in depression and substance use in patients from two Randomized Clinical Trials (RTCs). The model tested the impact of the alliance and four evidence-based change principles as predictors of symptomatic change during treatment and follow-up, in addition to advancing the premise that initial treatment matching to non-diagnostic patient characteristics improved the quality of the therapeutic alliance. Method: Patients (N = 190) completed one of five 20-session treatments, to which they were randomly assigned. Results: A good fit was found for a quadratic change function for both outcome measures, that is, symptoms decreased in a curve shape followed by a small increase. Full predictive models yielded acceptable fit. Patients high o...
{"title":"Change factors in depression and substance use treatment: a longitudinal integrative model","authors":"C. Moleiro, L. Beutler","doi":"10.1080/17523280701732414","DOIUrl":"https://doi.org/10.1080/17523280701732414","url":null,"abstract":"Background: While psychotherapy efficacy has been largely supported, patient change processes across time are still less clear. This is specially true for complex clinical populations, such as dually diagnosed individuals. Aims: A Latent Growth Model was tested to describe change in depression and substance use in patients from two Randomized Clinical Trials (RTCs). The model tested the impact of the alliance and four evidence-based change principles as predictors of symptomatic change during treatment and follow-up, in addition to advancing the premise that initial treatment matching to non-diagnostic patient characteristics improved the quality of the therapeutic alliance. Method: Patients (N = 190) completed one of five 20-session treatments, to which they were randomly assigned. Results: A good fit was found for a quadratic change function for both outcome measures, that is, symptoms decreased in a curve shape followed by a small increase. Full predictive models yielded acceptable fit. Patients high o...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"223 1","pages":"64-83"},"PeriodicalIF":0.0,"publicationDate":"2008-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90284765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-02-04DOI: 10.1080/17523280701747289
M. Cole, Tobie Sacks
Background: Most previous studies examining the prevalence of co-occurring psychiatric illness and problematic substance use in Australia have been population studies or focused on clients of psychiatric services. There is little literature on the prevalence of psychiatric disorders in persons attending Alcohol and Drug Services (ADS). Aims: This study attempted to estimate the incidence of mental health disorders in people treated at two ADS in Melbourne and to describe the mental disorders with which they present. Method: 165 client records from two ADS were reviewed to determine the incidence and characteristics of psychiatric problems in people presenting for management of substance use. Results: Psychiatric diagnoses were recorded in 42% of client records but rarely substantiated by further documentation. The most common diagnoses were mood disorders (31.5%). Only 4.9% clients were diagnosed with drug-induced psychosis. Personality disorders were not recorded. While 52.7% of clients were documented a...
{"title":"When dual diagnosis means no diagnosis: co-occurring mental illness and problematic drug use in clients of alcohol and drug services in eastern metropolitan Melbourne","authors":"M. Cole, Tobie Sacks","doi":"10.1080/17523280701747289","DOIUrl":"https://doi.org/10.1080/17523280701747289","url":null,"abstract":"Background: Most previous studies examining the prevalence of co-occurring psychiatric illness and problematic substance use in Australia have been population studies or focused on clients of psychiatric services. There is little literature on the prevalence of psychiatric disorders in persons attending Alcohol and Drug Services (ADS). Aims: This study attempted to estimate the incidence of mental health disorders in people treated at two ADS in Melbourne and to describe the mental disorders with which they present. Method: 165 client records from two ADS were reviewed to determine the incidence and characteristics of psychiatric problems in people presenting for management of substance use. Results: Psychiatric diagnoses were recorded in 42% of client records but rarely substantiated by further documentation. The most common diagnoses were mood disorders (31.5%). Only 4.9% clients were diagnosed with drug-induced psychosis. Personality disorders were not recorded. While 52.7% of clients were documented a...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"16 1","pages":"33-43"},"PeriodicalIF":0.0,"publicationDate":"2008-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84209156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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