A systematic review of the prevalence of comorbid mental health disorders in people presenting for substance use treatment in Australia

Kingston, Rosemary; Marel, Christina; Mills, Katherine L.

doi:10.1111/dar.12448

Cited by 129 publications

(95 citation statements)

References 48 publications

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“…This study supports previous research indicating that opioid use disorder is a risk factor for readmissions 7,11 and that many patients admitted for drug and alcohol overdose have serious comorbid health conditions. 19–21 High prevalence of comorbidities among opioid overdose inpatients highlights the need for a coordinated, careful, “warm handoff” transfer of patients to outpatient SUD treatment services, including effective communication between inpatient and outpatient clinicians.…”

Section: Discussionmentioning

confidence: 99%

U.S. National 90-Day Readmissions After Opioid Overdose Discharge

Peterson

Yang

et al. 2019

American Journal of Preventive Medicine

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Introduction U.S. hospital discharges for opioid overdose increased substantially during the past two decades. This brief report describes 90-day readmissions among patients discharged from inpatient stays for opioid overdose. Methods In 2018, survey-weighted analysis of hospital stays in the 2016 Healthcare Cost and Utilization Project National Readmissions Database yielded the national estimated proportion of patients with opioid overdose stays that had all-cause readmissions within ≤90 days. A multivariable logistic regression model assessed index stay factors associated with readmission by type (opioid overdose or not). Number of readmissions per patient was assessed. Results More than 24% (n=14,351/58,850) of patients with non-fatal index stays for opioid overdose had at least one all-cause readmission ≤90 days of index stay discharge and 3% (n=1,658/ 58,850) of patients had at least one opioid overdose readmission. Less than 0.2% (n=104/58,850) of patients had more than one readmission for opioid overdose. Patient demographic characteristics (e.g., male, older age), comorbidities diagnosed during the index stay (e.g., drug use disorder, chronic pulmonary disease, psychoses), and other index stay factors (Medicare or Medicaid primary payer, discharge against medical advice) were significantly associated with both opioid overdose and non-opioid overdose readmissions. Nearly 30% of index stays for opioid overdose included heroin, which was significantly associated with opioid overdose readmissions. Conclusions A quarter of opioid overdose patients have ≤90 days all-cause readmissions, although opioid overdose readmission is uncommon. Effective strategies to reduce readmissions will address substance use disorder as well as comorbid physical and mental health conditions.

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Section: Discussionmentioning

confidence: 99%

U.S. National 90-Day Readmissions After Opioid Overdose Discharge

Peterson

Yang

et al. 2019

American Journal of Preventive Medicine

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“…One of these mechanisms is related to the dysregulation of the hypothalamic-pituitary-adrenal axis of animals and humans prenatally exposed to the drug (Hellemans et al, 2010) that eventually leads to anxiety, depression, conduct disorders and emotional disorders (Easey et al, 2019). The comorbidity between these disorders and alcohol use and abuse is well known (Kingston et al, 2017;Oliveira et al, 2018).…”

Section: Human Studies Endorsing Fetal Alcohol Programming Of Subsequmentioning

confidence: 99%

Fetal Alcohol Programming of Subsequent Alcohol Affinity: A Review Based on Preclinical, Clinical and Epidemiological Studies

Miranda-Morales

D'aloisio

Anunziata

et al. 2020

Front. Behav. Neurosci.

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“…Persons who lack stable housing, particularly the homeless, commonly experience higher rates of physical and mental illness, poor quality of life and high mortality (70)(71)(72)(73)(74). At the core of homelessness are the processes of marginalization and exclusion, with multiple risk factors driving these experiences (75)(76)(77)(78). For instance, persons with childhood trauma, mental illness, and substance use are at greater risk for housing instability and homelessness (79).…”

Section: Homelessness and Housingmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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A systematic review of the prevalence of comorbid mental health disorders in people presenting for substance use treatment in Australia

Cited by 129 publications

References 48 publications

U.S. National 90-Day Readmissions After Opioid Overdose Discharge

U.S. National 90-Day Readmissions After Opioid Overdose Discharge

Fetal Alcohol Programming of Subsequent Alcohol Affinity: A Review Based on Preclinical, Clinical and Epidemiological Studies

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

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