Coercion into addiction treatment and subsequent substance use patterns among people who use illicit drugs in Vancouver, Canada

Pilarinos, Andreas; Barker, Brittany; Nosova, Ekaterina; Milloy, M‐J; Hayashi, Kanna; Wood, Evan; DeBeck, Kora

doi:10.1111/add.14769

Cited by 17 publications

(9 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to this study, community members' responses improved, mild to significant levels, after MHFA training and substantiated the findings of other researches; evidently patients with mental disorders do not get proper medical care [34][35][36]; exercise helps improvement of mild to moderate anxiety and depression [67][68][69]83]; MH workers should encourage rather than force a patient with mental disorders to seek help in mental health settings [1,[43][44][45][46]; many mental disorders including anxiety disorders, depression and also other disorders improve with non-drug therapies including CBT [39][40][41][52][53][54][55], and remit with antidepressants and anxiolytics [1,50,51]; anxiety and panic disorders do not cause medical diseases but often present with symptoms micking medical diseases [58,59]; strong approval or disapproval of patients aggressive behaviors due to culturally unacceptable lifestyles is against prevailing norms and human rights, and of course prejudiced and stigmatized [1,[43][44][45][46]; exploring non-judgmentally suicidal behavior including indicators of suicide does not increase the risk of suicide rather prevent it [28,[31][32][33][60][61][62]83,84]; immediate discussion and debriefing individuals with acute psychosis due to acute trauma or othe...…”

Section: Discussionsupporting

confidence: 83%

“…Mental health experts must deal non-reactively with patients entertaining persecutory delusions and accusations directed towards others people [1,[43][44][45][46]. The trainees correct (A, 17S) and wrong (D) responses increased insignificantly (>0.05) and DNK responses decreased insignificantly (>0.05) post-test evaluation.…”

Section: Participants Responses To 17 Itemsmentioning

confidence: 99%

See 1 more Smart Citation

Mental Health First Aid Training: A Study of Community Members’ Pre and Post-training Responses to a 17-Item Questionnaire

Alhabeeb

Aleshaiwi

Qureshi

2020

INDJ

View full text Add to dashboard Cite

Background: Mental Health First Aid, an important component of metal health educational programs, targets naive community members, public, allied mental health personnel, and mental health experts with specific reference as to how these trained aiders should help people in crisis or with mental health conditions in the community. Objective: This study aimed to describe pre-to-post-test assessment of those who were trained in MHFA program. Setting: National Center for Mental Health Promotion, Riyadh, Saudi Arabia. Methods: Trained mental health professionals organized MHFA courses (n=35) for training self-selected, nonrandomized community members (n=862) who were assessed pre-to-post training by using an adapted 17-item questionnaire for measuring the impact of MHFA course on their mental health knowledge, perception, attitude and practice. Results: The participants’ responses to questionnaire were varied at pre-and post-test evaluation and 65% of them showed mild to significant positive changes in their responses, and the rest were not affected positively after this course, possibly attributed to multiple factors related to naïve community trainees, advanced questionnaire, short timeline and dissimilar instructors. Conclusion: Although all participants well received the MHFA courses, 65% of participants’ pre-to-post-test responses improved positively. The preliminary results of this study are not generalizable to the whole community, need to be cautiously interpreted and this research is calling for more studies especially randomized controlled trials in future.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Participants Responses To 17 Itemsmentioning

confidence: 99%

Mental Health First Aid Training: A Study of Community Members’ Pre and Post-training Responses to a 17-Item Questionnaire

Alhabeeb

Aleshaiwi

Qureshi

2020

INDJ

View full text Add to dashboard Cite

show abstract

“…Data on the effectiveness of compulsory treatment are insufficient ( 5 , 6 ) while self-stigma in those involuntarily hospitalized for compulsory psychiatric treatment has been well-described in international literature ( 7 ). At the same time, involuntary hospitalization in mental health settings has been described as a severe stressor for family members of those under compulsory treatment, as well as for healthcare professionals providing care to them ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Socio-Demographic and Clinical Characteristics of Adults With Psychotic Symptomatology Under Involuntary Admission and Readmission for Compulsory Treatment in a Referral Psychiatric Hospital in Cyprus

et al. 2021

View full text Add to dashboard Cite

Socio-demographic and clinical characteristics of adults under compulsory psychiatric treatment, have not been reported adequately in Southern European countries. We investigated the socio-demographic and clinical characteristics of adults with psychotic symptomatology who were involuntarily treated in the acute Mental Health Services in Cyprus. A descriptive cross-sectional study was applied. Data collection (December 2016 to February 2018) achieved via a structured questionnaire including demographic and clinical variables. Census sampling was applied in Cyprus referral center for compulsory psychiatric treatment. The sample included 406 individuals (262 males, 144 females). Approximately 86.2% were single, 77.6% were unemployed, and 24.9% held a bachelor's degree. The most frequent clinical diagnosis was schizophrenia or a relevant psychotic disorder (86.4%). The most frequent admission cause was non-adherence to pharmacotherapy along with disorganized behavior (agitation and/or self-care deficit, and/or aggressive behavior, and/or suicidal behavior) (53.6%). Moreover, 70.7% of the sample reported a positive personal history of mental health problems, while 42.1% reported a positive family history of mental health disorders. Half of the participants (52%) were previously involuntarily admitted for compulsory treatment. Adjusted associations of readmission status were reported with Cypriot ethnicity (OR: 4.40, 95%CI: 2.58–7.50), primary education only (OR: 3.70, 95%CI: 1.64–8.37), readmission due to disorganized behavior along with non-adherence to pharmacotherapy (OR: 10.84, 95%CI: 2.69–43.72), as well as along with substance use (OR: 6.39, 95%CI: 1.52–26.82). Readmission was almost five times more likely to occur due to suicidal behavior (OR: 5.01, 95%CI: 1.09–22.99) compared to disorganized behavior not otherwise specified. Additionally, those with a diagnosis of schizophrenia were more than 12 times more frequently readmitted for compulsory treatment compared to other diagnoses (OR 12.15, 95%CI: 1.04–142). Moreover, the participants with higher secondary education had 54.6% less odds to be involuntarily re-admitted compared to Bachelor degree holders (OR 0.442, 95%CI: 0.24–0.79). A high percentage of involuntary treatment was noted due to non-adherence to pharmacotherapy and substance use. Re-evaluation of the effectiveness of relevant community interventions is suggested, as well as implementation of structured educational programs on therapy adherence during psychiatric hospitalization.

show abstract

“…Data on the effectiveness of compulsory treatment are insufficient [4][5] while self-stigma in those involuntary hospitalized for compulsory mental health treatment has been well described in the international literature 6 . At the same time, compulsory hospitalization has been described as a severe stressor for family members of those involuntary admitted to psychiatric units for compulsory treatment, as well as for the healthcare professionals providing care to them 7 .…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic and clinical characteristics of adults under involuntary hospitalization in the acute mental health services of Cyprus

Kaikoushi¹,

Bella²,

Middleton³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: The clinical and demographic characteristics of the adults involuntary admitted for compulsory mental health treatment have not been reported adequately. Purpose: Investigation of the socio-demographic and clinical characteristics of the adults who are involuntary hospitalized in the acute Mental Health Services in Cyprus. Method: A descriptive correlation study with cross-sectional comparisons was applied. Data collection was performed from December 2016 to February 2018 via a structured questionnaire including demographic and clinical variables. Each questionnaire was accompanied by a consent form, which was assigned by the participants before their discharge. Results: The sample consisted of 406 people, of whom 262 were male and 144 were female. The vast majority were Greek-Cypriots. The largest age groups were 45-65 years (33%) and 25-34 years (31.8%), respectively. 172 of the participants reported current substance use and 117 of them fulfilled the criteria of dual diagnosis. The most frequent diagnosis was schizophrenia or a relevant psychotic disorder (86.4%). The main cause of relapse and subsequent admission was medication non-adherence along with lack of insight (57.1%). 52% of the sample had been previously involuntary hospitalized in a psychiatric hospital. Conclusions: A high percentage of involuntary hospitalizations was noted due to non-adherence to pharmacotherapy. Re-evaluation of the effectiveness of relevant community interventions is suggested, as well as implementation of structured educational programs on therapy adherence during hospitalization. The goal is the limitation of the frequency of relapse while being in the community. Also, education on substance use prevention is also suggested for clinical populations.

show abstract

Coercion into addiction treatment and subsequent substance use patterns among people who use illicit drugs in Vancouver, Canada

Cited by 17 publications

References 69 publications

Mental Health First Aid Training: A Study of Community Members’ Pre and Post-training Responses to a 17-Item Questionnaire

Mental Health First Aid Training: A Study of Community Members’ Pre and Post-training Responses to a 17-Item Questionnaire

Socio-Demographic and Clinical Characteristics of Adults With Psychotic Symptomatology Under Involuntary Admission and Readmission for Compulsory Treatment in a Referral Psychiatric Hospital in Cyprus

Socio-demographic and clinical characteristics of adults under involuntary hospitalization in the acute mental health services of Cyprus

Contact Info

Product

Resources

About