Substance abuse among the chronic mentally ill.
- Authors
- Drake, R E; Wallach, M A
- Year
- 1989
- Journal
- Hospital & community psychiatry
- PMID
- 2807205
- DOI
- 10.1176/ps.40.10.1041
Substance abuse was examined in a group of 187 chronic mentally ill patients living in the community. According to ratings by aftercare clinicians, approximately onethird of the sample abused alcohol, street drugs, or both during the six months before evaluation. Patients who were dually diagnosed with substance abuse and mental illness differed from those with mental illness alone in several respects: they were younger and more often male; were less able to manage their lives in the community in terms of maintaining regular meals, adequate finances, stable housing, and regular activities; showed greater hostility, suicidality, and speech disorganization; and had poorer medication compliance. In addition, they were nearly twice as likely to be rehospitalized during one-year follow-up. Substance abuse, appeared to add the problems of disruptive, disinhibited, noncompliant behaviors to chronic mental illness.
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External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| A multi-omics Mendelian randomization study identifies new therapeutic targets for alcohol use disorder and problem drinking. | Rosoff DB et al. | β | 2025 | β |
| Construction of extra-large scale screening tools for risks of severe mental illnesses using real world healthcare data. | Liu D et al. | β | 2025 | β |
| Investigation of convergent and divergent genetic influences underlying schizophrenia and alcohol use disorder. | Johnson EC et al. | β | 2023 | β |
| Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge? | Vidal S et al. | β | 2020 | β |
| Gender differences in childhood trauma in first episode psychosis: Association with symptom severity over two years. | Pruessner M et al. | β | 2019 | β |
| Negative symptoms in first-episode psychosis: Clinical correlates and 1-year follow-up outcomes in London Early Intervention Services. | Rammou A et al. | β | 2019 | β |
| A comparative study of socio-demographic and substance use correlates in early-onset psychosis. | Paruk S et al. | β | 2018 | β |
| Genetic correlation between smoking behaviors and schizophrenia. | Hartz SM et al. | β | 2018 | β |
| Personal Hygiene Practices among Urban Homeless Persons in Boston, MA. | Leibler JH et al. | β | 2017 | β |
| The complex patient: A concept clarification. | Manning E et al. | β | 2017 | β |
| What's the agreement between self-reported and biochemical verification of drug use? A look at permanent supportive housing residents. | Rendon A et al. | β | 2017 | β |
| Comorbid addiction and major mental illness in Europe: a narrative review. | CarrΓ G et al. | β | 2015 | β |
| Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses. | Castellow J et al. | β | 2015 | β |
| Randomized Trial of the Effect of Four Second-Generation Antipsychotics and One First-Generation Antipsychotic on Cigarette Smoking, Alcohol, and Drug Use in Chronic Schizophrenia. | Mohamed S et al. | β | 2015 | β |
| The Medicinal Cannabis Treatment Agreement: Providing Information to Chronic Pain Patients Through a Written Document. | Wilsey B et al. | β | 2015 | β |
| Behavioral Interventions for Individuals Dually-Diagnosed with a Severe Mental Illness and a Substance Use Disorder. | Bradizza CM et al. | β | 2014 | β |
| Comorbidity of severe psychotic disorders with measures of substance use. | Hartz SM et al. | β | 2014 | β |
| Envisioning the next generation of behavioral health and criminal justice interventions. | Epperson MW et al. | β | 2014 | β |
| Opiate dependence in schizophrenia: case presentation and literature review. | Kern AM et al. | β | 2014 | β |
| Accuracy of self-report, biological tests, collateral reports and clinician ratings in identifying substance use disorders among adults with schizophrenia. | Desmarais SL et al. | β | 2013 | β |
| Predictors of Accessing Substance Abuse Services Among Individuals With Mental Disorders Released From Correctional Custody. | Hartwell S et al. | β | 2013 | β |
| The effectiveness of treatments for cocaine dependence in schizophrenic patients: a systematic review. | Sabioni P et al. | β | 2013 | β |
| The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up. | BagΓΈien G et al. | β | 2013 | β |
| Choice of randomization to clozapine versus other second generation antipsychotics in the CATIE schizophrenia trial. | Hermes E et al. | β | 2012 | β |
| Drug-abusing offenders with comorbid mental disorders: problem severity, treatment participation, and recidivism. | Jaffe A et al. | β | 2012 | β |
| Effects of an assertive community program in patients with severe mental disorders and impact on their families. | Huguelet P et al. | β | 2012 | β |
| Pharmacologically-mediated reactivation and reconsolidation blockade of the psychostimulant-abuse circuit: a novel treatment strategy. | Lee TH et al. | β | 2012 | β |
| Time to abandon the self-medication hypothesis in patients with psychiatric disorders. | Lembke A | β | 2012 | β |
| Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. | DE Hert M et al. | β | 2011 | β |
| Substance use and schizophrenia: adverse correlates in the CATIE study sample. | Kerfoot KE et al. | β | 2011 | β |
| The TMACT: a new tool for measuring fidelity to assertive community treatment. | Monroe-DeVita M et al. | β | 2011 | β |
| To detain or to release? Correlates of dispositions for individuals declared not criminally responsible on account of mental disorder. | Crocker AG et al. | β | 2011 | β |
| Validation of the revised Problems Assessment for Substance Using Psychiatric Patients. | Vincent PC et al. | β | 2011 | β |
| Brief interventions for patients presenting to the Psychiatric Emergency Service (PES) with major mental illnesses and at-risk drinking. | Milner KK et al. | β | 2010 | β |
| Early signs, diagnosis and therapeutics of the prodromal phase of schizophrenia and related psychotic disorders. | Larson MK et al. | β | 2010 | β |
| Examining factorial structure and measurement invariance of the Brief Symptom Inventory (BSI)-18 among drug users. | Wang J et al. | β | 2010 | β |
| Cognitive impairment in dual diagnosis inpatients with schizophrenia and alcohol use disorder. | Manning V et al. | β | 2009 | β |
| Evaluation of a urine on-site drugs of abuse screening test in patients admitted to a psychiatric emergency unit. | BagΓΈien G et al. | β | 2009 | β |
| HAART receipt and viral suppression among HIV-infected patients with co-occurring mental illness and illicit drug use. | Chander G et al. | β | 2009 | β |
| Lessening Homelessness Among Persons with Mental Illness: A Comparison of Five Randomized Treatment Trials. | Schutt RK et al. | β | 2009 | β |
| Predicting post-treatment-initiation alcohol use among patients with severe mental illness and alcohol use disorders. | Bradizza CM et al. | β | 2009 | β |
| Substance dependence and remission in schizophrenia: A comparison of schizophrenia and affective disorders. | Bennett ME et al. | β | 2009 | β |
| Drug and alcohol misuse in first episode psychosis: An observational study. | Crebbin K et al. | β | 2008 | β |
| Outpatient antipsychotic treatment and inpatient costs of schizophrenia. | Marcus SC et al. | β | 2008 | β |
| Co-occurring SAD symptomatology and schizophrenia at high latitude: a pilot study. | Doorack JE et al. | β | 2007 | β |
| Drug-related arrests in a cohort of public mental health service recipients. | Fisher WH et al. | β | 2007 | β |
| Group intervention for coexisting psychosis and substance use disorders in rural Australia: outcomes over 3 years. | Bradley AC et al. | β | 2007 | β |
| Physical illness and schizophrenia: a review of the literature. | Leucht S et al. | β | 2007 | β |
| Suicide risk in schizophrenia: learning from the past to change the future. | Pompili M et al. | β | 2007 | β |
| (AAT)n repeat in the cannabinoid receptor gene, CNR1: association with schizophrenia in a Spanish population. | MartΓnez-Gras I et al. | β | 2006 | β |
| Defining and assessing adherence to oral antipsychotics: a review of the literature. | Velligan DI et al. | β | 2006 | β |
| Evaluation of factors influencing medication compliance in inpatient treatment of psychotic disorders. | Janssen B et al. | β | 2006 | β |
| Predictors of psychosis remission in psychotic disorders that co-occur with substance use. | Caton CL et al. | β | 2006 | β |
| Prevalence of substance use in a Swiss psychiatric hospital: interview reports and urine screening. | Bonsack C et al. | β | 2006 | β |
| Schizophrenia, co-occurring substance use disorders and quality of care: the differential effect of a managed behavioral health care carve-out. | Busch AB et al. | β | 2006 | β |
| Substance abuse and recovery in a Psychiatric Intensive Care Unit. | Vaaler AE et al. | β | 2006 | β |
| Substance abuse relapse and factors associated with relapse in an inner-city sample of patients with dual diagnoses. | Rollins AL et al. | β | 2005 | β |
| Amphetamines for schizophrenia. | Nolte S et al. | β | 2004 | β |
| Cannabis-associated psychosis: current status of research. | Leweke FM et al. | β | 2004 | β |
| Ethnicity and diagnostic patterns in veterans with psychoses. | Blow FC et al. | β | 2004 | β |
| A pilot study comparing motivational interviewing and an educational intervention in patients with schizophrenia and alcohol use disorders. | Graeber DA et al. | β | 2003 | β |
| Effect of strengths model versus assertive community treatment model on participant outcomes and utilization: two-year follow-up. | Barry KL et al. | β | 2003 | β |
| The criminalization of the addictions. Toward a unified approach. | Loue S | β | 2003 | β |
| Dual Diagnosis Motivational Interviewing: a modification of Motivational Interviewing for substance-abusing patients with psychotic disorders. | Martino S et al. | β | 2002 | β |
| Work rehabilitation and patterns of substance use among persons with schizophrenia. | Bell M et al. | β | 2002 | β |
| Correlates of substance misuse in patients with first-episode schizophrenia and schizoaffective disorder. | Sevy S et al. | β | 2001 | β |
| Is the substance abuse of inpatients with schizophrenia overlooked? | Walkup JT et al. | β | 2001 | β |
| Older adult patients with both psychiatric and substance abuse disorders: prevalence and health service use. | Prigerson HG et al. | β | 2001 | β |
| Rural and urban differences in patients with a dual diagnosis. | Mueser KT et al. | β | 2001 | β |
| Safety and efficacy of risperidone in substance abusers with psychosis. | Albanese MJ | β | 2001 | β |
| Six-month outcomes for patients who switched to olanzapine treatment. | Noordsy DL et al. | β | 2001 | β |
| Management of "dual diagnosis" patients : consensus, controversies and considerations. | Basu D et al. | β | 2000 | β |
| Psychiatric care of patients with depression and comorbid substance use disorders. | Montoya ID et al. | β | 2000 | β |
| Severely mentally ill patients with and without substance use disorders: characteristics associated with treatment attrition. | Primm AB et al. | β | 2000 | β |
| The delivery of mental health services in the 21st century: bringing the community back in. | Rosenheck R | β | 2000 | β |
| Attitudes of AA contact persons toward group participation by persons with a mental illness. | Meissen G et al. | β | 1999 | β |
| Awareness of substance abuse problems among dually-diagnosed psychiatric inpatients. | RachBeisel J et al. | β | 1999 | β |
| Co-occurring severe mental illness and substance use disorders: a review of recent research. | RachBeisel J et al. | β | 1999 | β |
| Families of persons with mental illness and substance use related disorders: considerations for service delivery. | Silver T | β | 1999 | β |
| HIV Risk Behavior among Outpatients at a State Psychiatric Hospital: Prevalence and Risk Modeling. | Carey MP et al. | β | 1999 | β |
| Housing placement and subsequent days homeless among formerly homeless adults with mental illness. | Goldfinger SM et al. | β | 1999 | β |
| Inpatient treatment of comorbid psychiatric and substance abuse disorders: comparison of public sector and privately insured populations. | Leslie DL et al. | β | 1999 | β |
| Modified therapeutic community for homeless mentally ill chemical abusers: emerging subtypes. | De Leon G et al. | β | 1999 | β |
| Schizophrenia, substance use, and brain morphology. | Scheller-Gilkey G et al. | β | 1999 | β |
| Treatment satisfaction compared with outcome in severe dual disorders. | Ries RK et al. | β | 1999 | β |
| Two-year outcomes of psychosocial rehabilitation of black patients with chronic mental illness. | Baker FM et al. | β | 1999 | β |
| Utilization of mental health and substance abuse services among homeless adults in Los Angeles. | Koegel P et al. | β | 1999 | β |
| A discrete choice model of drug abuse treatment location. | Goodman AC et al. | β | 1998 | β |
| A pilot study comparing severely and persistently mentally ill opiate-addicted patients in dual-diagnosis treatment with patients in methadone maintenance. | Jaffe C et al. | β | 1998 | β |
| Detecting alcohol use disorders in the severely mentally ill. | Breakey WR et al. | β | 1998 | β |
| Effect of chronic alcohol abuse on the CNS morbidity of HIV disease. | Fein G et al. | β | 1998 | β |
| Factors affecting engagement of dual diagnosis patients in outpatient treatment. | Bogenschutz MP et al. | β | 1998 | β |
| Flupenthixol treatment for cocaine abusers with schizophrenia: a pilot study. | Levin FR et al. | β | 1998 | β |
| Organizational guidelines for dual disorders programs. | Mercer CC et al. | β | 1998 | β |
| Psychiatric hospital outcomes of dual diagnosis patients under managed care. | Leon SC et al. | β | 1998 | β |
| Short term drug abuse treatment costs and utilization: a multi-employer analysis. | Goodman AC et al. | β | 1998 | β |
| Effect of patient and family insight on compliance of schizophrenic patients. | Smith CM et al. | β | 1997 | β |
| Immediate outcomes of substance use treatment within a state psychiatric hospital. | Herman SE et al. | β | 1997 | β |
| Impact of assertive community treatment on homeless persons with co-occurring severe psychiatric and substance use disorders. | Meisler N et al. | β | 1997 | β |
| Managing disability benefits as part of treatment for persons with severe mental illness and comorbid drug/alcohol disorders. A comparative study of payee and non-payee participants. | Ries RK et al. | β | 1997 | β |
| Modified therapeutic community for mentally ill chemical "abusers": background; influences; program description; preliminary findings. | Sacks S et al. | β | 1997 | β |
| Services for perinatal women with substance abuse and mental health disorders: the unmet need. | Grella CE | β | 1997 | β |
| Substance use among the mentally ill: a comparison of Italian and American samples. | Fioritti A et al. | β | 1997 | β |
| The primary care of patients with schizophrenia: a search for good practice. | Burns T et al. | β | 1997 | β |
| Correlates of functioning in a population with dual diagnoses: an examination of diagnosis and problem history. | Jordan LC et al. | β | 1996 | β |
| Detection of substance use disorders among psychiatric inpatients. | Lehman AF et al. | β | 1996 | β |
| Dual diagnosis and adolescent psychiatric inpatients. | Piazza NJ | β | 1996 | β |
| Dually diagnosed homeless veterans in residential treatment: service needs and service use. | Wenzel SL et al. | β | 1996 | β |
| Exploring the diversity of dual diagnosis: utility of cluster analysis for program planning. | Luke DA et al. | β | 1996 | β |
| Persons with dual diagnoses of substance abuse and major mental illness: their excess costs of psychiatric care. | Dickey B et al. | β | 1996 | β |
| Private sector coverage of people with dual diagnoses. | Garnick DW et al. | β | 1996 | β |
| Substance use reduction in the context of outpatient psychiatric treatment: a collaborative, motivational, harm reduction approach. | Carey KB | β | 1996 | β |
| Symptom heterogeneity in comorbid alcohol disorder. | Shumway M et al. | β | 1996 | β |
| Diagnosing comorbidity in substance abusers: a comparison of the test-retest reliability of two interviews. | Ross HE et al. | β | 1995 | β |
| Preferences for ethanol and diazepam in anxious individuals: an evaluation of the self-medication hypothesis. | Chutuape MA et al. | β | 1995 | β |
| Sexually transmitted disease prevention services for female chronically mentally ill patients. | Coverdale JH et al. | β | 1995 | β |
| The treatment of persons with dual diagnoses in a rural community. | Howland RH | β | 1995 | β |
| Areas of skill training for persons with mental illness and substance use disorders: building skills for successful community living. | Nikkel RE | β | 1994 | β |
| A study of provider perceptions of individuals with dual disorders. | Pulice RT et al. | β | 1994 | β |
| Expenditures of time and money by families of people with severe mental illness and substance use disorders. | Clark RE et al. | β | 1994 | β |
| Measuring resource use in economic evaluations: determining the social costs of mental illness. | Clark RE et al. | β | 1994 | β |
| Prevalence and patterns of "dual diagnosis" among psychiatric inpatients. | Lehman AF et al. | β | 1994 | β |
| Psychiatric Comorbidity: Occurrence and Treatment. | Miller NS | β | 1994 | β |
| Current epidemiology of comorbidity of psychiatric and addictive disorders. | Miller NS et al. | β | 1993 | β |
| Daily Hassles and Health Among Persons with Severe Mental Disabilities. | Segal SP et al. | β | 1993 | β |
| Detection of substance use disorders in severely mentally ill patients. | Drake RE et al. | β | 1993 | β |
| Dual diagnosis. | Sheehan MF | β | 1993 | β |
| Serving the dually diagnosed homeless: program development and interventions. | Blankertz LE et al. | β | 1993 | β |
| Three-month follow-up of 28 dual diagnosis inpatients. | Hoffman GW et al. | β | 1993 | β |
| Unrecognized cocaine use among schizophrenic patients. | Shaner A et al. | β | 1993 | β |
| Blunting growth hormone release in mania. | Coupland N et al. | β | 1992 | β |
| Comorbid mental and substance disorders among older psychiatric patients. | Speer DC et al. | β | 1992 | β |
| Emergency room evaluation of cocaine-associated neuropsychiatric disorders. | Mendoza R et al. | β | 1992 | β |
| Ethically justified guidelines for family planning interventions to prevent pregnancy in female patients with chronic mental illness. | McCullough LB et al. | β | 1992 | β |
| Mental patients' attraction to the hospital: correlates of living preference. | Drake RE et al. | β | 1992 | β |
| New directions in substance abuse services: programmatic innovations in the Veterans Administration. | Peterson KA et al. | β | 1992 | β |
| Substance use disorders: predictions for the 1990s. | Westermeyer J | β | 1992 | β |
| Concurrent medical illness in the schizophrenic patient. Epidemiology, diagnosis, and management. | Adler LE et al. | β | 1991 | β |
| Drug and alcohol dependence and psychiatric populations: the need for diagnosis, intervention, and training. | Miller NS et al. | β | 1991 | β |
| Housing instability and homelessness among rural schizophrenic patients. | Drake RE et al. | β | 1991 | β |
| Mentally ill chemical abusers discharged from VA inpatient treatment: 1976-1988. | Rosenheck R et al. | β | 1990 | β |
| The new revolving-door patients: results from a national cohort of first admissions. | Lewis T et al. | β | 1990 | β |