No abstract

Substance abuse is one of the most common comorbid conditions among clients with schizophrenia. This study assessed correlates of current substance abuse severity not evaluated in past research (e.g., manic symptoms, traumatic stress, self-care deficits, interpersonal relationship problems), as well as factors previously shown to be associated with substance abuse among clients with schizophrenia (e.g., age, gender, depressive symptoms, psychotic symptoms, work/school problems, legal problems). Multiple regression analyses revealed that more severe self-care deficits and less extreme psychotic symptomatology were related to exacerbated symptoms of substance abuse. Implications of these findings for future research are discussed.

Factors related to making decisions about whether or not a client should be admitted as an inpatient are poorly understood. Research focused on mental health counselors' decision-making priorities related to admission decisions for anxiety disordered clients is scant. This pilot study assessed which clinical factors most led mental health counselors to recommend an immediate inpatient admission among anxiety disordered clients presenting at a community mental health center. Results revealed that suicidality and inability to care for oneself strongly predicted the recommendations for an inpatient admission. Clinical and research implications are discussed.