Journal ArticleDOI
Outpatient treatment of patients with substance abuse and coexisting psychiatric disorders.
TLDR
Patients with coexisting substance abuse and other psychiatric disorders were treated in a unique outpatient pilot program that used techniques drawn from both psychiatric and substance abuse treatment, and treatment retention was associated with reduced hospital utilization.Abstract:
Thirty-two patients with coexisting substance abuse and other psychiatric disorders were treated in a unique outpatient pilot program that used techniques drawn from both psychiatric and substance abuse treatment. Eleven patients remained in treatment for 3 or more months, and seven completed a year or more of treatment. Severity of associated psychiatric illness did not affect retention in treatment. Drug-abusing patients and those with personality disorders dropped out quickly; patients with a history of reliable outpatient treatment involvement tended to remain in treatment. Treatment retention was associated with reduced hospital utilization. The authors suggest guidelines for management of patients with coexisting substance abuse and other psychiatric disorders.read more
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Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder
Lakshmi N. Yatham,Sidney H. Kennedy,Sagar V. Parikh,Ayal Schaffer,David J. Bond,Benicio N. Frey,Verinder Sharma,Benjamin I. Goldstein,Soham Rej,Serge Beaulieu,Martin Alda,Glenda MacQueen,Roumen Milev,Arun V. Ravindran,Claire O'Donovan,Diane McIntosh,Raymond W. Lam,Gustavo Vazquez,Flávio Kapczinski,Roger S. McIntyre,Jan Marie Kozicky,Shigenobu Kanba,Beny Lafer,Trisha Suppes,Joseph R. Calabrese,Eduard Vieta,Gin S Malhi,Robert M. Post,Michael Berk +28 more
TL;DR: These 2018 CANMAT and ISBD Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management as well as new research into pharmacological and psychological treatments.
Journal ArticleDOI
Trauma‐informed or trauma‐denied: Principles and implementation of trauma‐informed services for women
TL;DR: In this paper, the authors identify 10 principles that define trauma-informed service, discuss the need for this type of service, and give some characteristics of traumainformed services in eight different human service areas.
Journal ArticleDOI
Drug abuse in schizophrenic patients: clinical correlates and reasons for use.
TL;DR: Schizophrenic patients who abuse drugs may represent a subgroup of patients with better prognoses and less severe clinical characteristics of schizophrenia, but their drug abuse may adversely affect global outcome.
Journal ArticleDOI
Review of Integrated Mental Health and Substance Abuse Treatment for Patients With Dual Disorders
TL;DR: Ten recent studies of comprehensive, integrated outpatient treatment programs provide encouraging evidence of the programs' potential to engage dually diagnosed patients in services and to help them reduce substance abuse and attain remission.
Journal ArticleDOI
Co-occurring disorders among mentally ill jail detainees. Implications for public policy.
Karen M. Abram,Linda A. Teplin +1 more
TL;DR: It is demonstrated that most subjects with a severe mental disorder also meet criteria for a substance abuse or antisocial personality disorder, and these findings suggest several changes in public policy regarding health care delivery in correctional settings and for the general population.
References
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Journal ArticleDOI
An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index.
TL;DR: The use of the ASI is suggested to match patients with treatments and to promote greater comparability of research findings, suggesting the treatment problems of patients are not necessarily related to the severity of their chemical abuse.
Journal ArticleDOI
Six-Month Prevalence of Psychiatric Disorders in Three Communities: 1980 to 1982
Jerome K. Myers,Myrna M. Weissman,Gary L. Tischler,Charles E. Holzer,Philip J. Leaf,Helen Orvaschel,James C. Anthony,Jeff Boyd,Jack D. Burke,Morton Kramer,Roger K. Stoltzman +10 more
TL;DR: Six-month prevalence rates for selected DSM-III psychiatric disorders are reported based on community surveys in New Haven, Conn, Baltimore, and St Louis based on data gathered on more than 9,000 adults using the Diagnostic Interview Schedule.
Journal ArticleDOI
Dropping out of treatment: a critical review.
Journal ArticleDOI
Predicting Response to Alcohol and Drug Abuse Treatments: Role of Psychiatric Severity
TL;DR: Findings support the effectiveness and specificity of different substance abuse treatments, suggest methodologic reasons for the lack of similar findings in previous studies, and demonstrate the importance of psychiatric factors in substance abuse treatment.
Journal ArticleDOI
Drug and alcohol abuse among psychiatric admissions. A multidrug clinical-tosicologic study.
TL;DR: The high incidence and complex patterns of drug abuse among psychiatric inpatients demand better diagnosis, more focused treatment, and altered public and private funding policies.
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