Co-occurring mental disorder and substance use disorder in young people: aetiology, assessment and treatment

Otasowie, John

doi:10.1192/bja.2020.64

Cited by 12 publications

(10 citation statements)

References 34 publications

(49 reference statements)

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“…Merikangas et al [ 18 ] reported rates of co-occurring mental health disorders as high as 77% among a community sample of youth with a SUD diagnosis. Regardless of precedence, both mental health and SUD can have exacerbating effects on each other if not treated, highlighting the importance of early diagnosis and early access to care [ 19 ]. However, current practices utilizing an integrative approach to diagnose and treat SUD and concurrent mental health disorders have yet to be widely implemented [ 20 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Turuba

Amarasekera

Howard

et al. 2022

Subst Abuse Treat Prev Policy

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Background Substance use among youth (ages 12–24) is troublesome given the increasing risk of harms associated. Even more so, substance use services are largely underutilized among youth, most only accessing support when in crisis. Few studies have explored young people’s help-seeking behaviours to address substance use concerns. To address this gap, this study explored how youth perceive and experience substance use services in British Columbia (BC), Canada. Methods Participatory action research methods were used by partnering with BC youth (under the age of 30) from across the province who have lived and/or living experience of substance use to co-design the research protocol and materials. An initial focus group and interviews were held with 30 youth (ages 12–24) with lived and/or living experience of substance use, including alcohol, cannabis, and illicit substances. The discussions were audio-recorded, transcribed verbatim, and analyzed thematically using a data-driven approach. Results Three main themes were identified and separated by phase of service interaction, starting with: Prevention/Early intervention, where youth described feeling unworthy of support; Service accessibility, where youth encountered many barriers finding relevant substance use services and information; and Service delivery, where youth highlighted the importance of meeting them where they are at, including supporting those who have milder treatment needs and/or do not meet the diagnosis criteria of a substance use disorder. Conclusions Our results suggest a clear need to prioritize substance use prevention and early interventions specifically targeting youth and young adults. Youth and peers with lived and/or living experience should be involved in co-designing and co-delivering such programs to ensure their relevance and credibility among youth. The current disease model of care leaves many of the needs of this population unmet, calling for a more integrated youth-centred approach to address the multifarious concerns linked to young people’s substance use and service outcomes and experiences.

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Section: Introductionmentioning

confidence: 99%

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Turuba

Amarasekera

Howard

et al. 2022

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

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“…Numerous research studies have confirmed the efficacy of brief interventions in assisting youngsters to reduce their alcohol consumption and beautifying their standard health and well-being [ 7 , 8 , 9 , 10 ]. Nevertheless, it is vital to understand that the effectiveness of these short interventions can range primarily based on numerous elements, consisting of an individual’s motivation to change, the severity of their substance use, and the presence of any occurring mental health disorders [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Nurse-Led Approaches to Lowering Alcohol Use among Adolescents: Study Findings

Moreira,

Lima,

Fernandes

et al. 2024

Nursing Reports

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This study delves into how motivational sessions and brief interventions impact students’ alcohol consumption, highlighting the vital role of nurses in fostering positive behavioural changes. The study aims to discern the effects of these interventions, starting with a pre-and post-intervention setup involving 62 students from a private school in northern Portugal. The intervention comprised a session delivered by school and mental health nurses, utilizing the motivational intervention and FRAMES method and a poster offering feedback on alcohol consumption scores. The results indicated that females tended to drink for fewer days and engage in less binge drinking than males. Furthermore, the intervention hinted at a reduction in the number of heavy drinking days. This study underscores the importance of including healthcare professionals, particularly nurses, in delivering brief interventions within school settings. The findings carry weight for crafting evidence-based interventions to cultivate healthier adolescent behaviours and enhance overall well-being.

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“…Whilst SUDs prevalence have increased across the world, existing evidence shows that over 80 to 85% of people with mental disorders in LMICs do not have access to appropriate mental healthcare especially the out of reach populations [ 5 ]. Arguably, there is an overlap between people who require treatment for SUDs and other mental disorders [ 9 ]. Nevertheless, the worsening problems of SUDs continue to compound the existing unmet mental health needs [ 5 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Arguably, there is an overlap between people who require treatment for SUDs and other mental disorders [ 9 ]. Nevertheless, the worsening problems of SUDs continue to compound the existing unmet mental health needs [ 5 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Telehealth interventions for substance use disorders in low- and- middle income countries: A scoping review

Ojeahere

Kiburi²,

Agbo³

et al. 2022

PLOS Digit Health

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The increasing prevalence and magnitude of harmful effects of substance use disorders (SUDs) in low- and middle-income countries (LMICs) make it imperative to embrace interventions which are acceptable, feasible, and effective in reducing this burden. Globally, the use of telehealth interventions is increasingly being explored as possible effective approaches in the management of SUDs. Using a scoping review of literature, this article summarizes and evaluates evidence for the acceptability, feasibility, and effectiveness of telehealth interventions for SUDs in LMICs. Searches were conducted in five bibliographic databases: PubMed, Psych INFO, Web of Science, Cumulative Index of Nursing and Allied Professionals and the Cochrane database of systematic review. Studies from LMICs which described a telehealth modality, identified at least one psychoactive substance use among participants, and methods that either compared outcomes using pre- and post-intervention data, treatment versus comparison groups, post-intervention data, behavioral or health outcome, and outcome of either acceptability, feasibility, and/or effectiveness were included. Data is presented in a narrative summary using charts, graphs, and tables. The search produced 39 articles across 14 countries which fulfilled our eligibility criteria over a period of 10 years (2010 to 2020). Research on this topic increased remarkably in the latter five years with the highest number of studies in 2019. The identified studies were heterogeneous in their methods and various telecommunication modalities were used to evaluate substance use disorder, with cigarette smoking as the most assessed. Most studies used quantitative methods. The highest number of included studies were from China and Brazil, and only two studies from Africa assessed telehealth interventions for SUDs. There has been an increasingly significant body of literature which evaluates telehealth interventions for SUDs in LMICs. Overall, telehealth interventions showed promising acceptability, feasibility, and effectiveness for SUDs. This article identifies gaps and strengths and suggests directions for future research.

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Co-occurring mental disorder and substance use disorder in young people: aetiology, assessment and treatment

Cited by 12 publications

References 34 publications

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Nurse-Led Approaches to Lowering Alcohol Use among Adolescents: Study Findings

Telehealth interventions for substance use disorders in low- and- middle income countries: A scoping review

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