Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment

DeMarce, Josephine M.; Lash, Steven J.; Stephens, Robert S.; Grambow, Steven C.; Burden, Jennifer L.

doi:10.1016/j.addbeh.2008.02.008

Cited by 26 publications

(24 citation statements)

References 29 publications

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“…A good amount of research has examined the effect of structural procedures - providing reminders of upcoming appointments, initial orientation sessions or written contracts for attending treatment, and scheduling sessions quickly after initial contact - on substance abuse treatment engagement in primary SUD samples. Such strategies have been found to be effective in increasing substance abuse treatment engagement among individuals with primary SUDs (Comfort, Loverro, & Kaltenbach, 2000; Lash, 1998; Lash & Blosser, 1999) and those with primary SUDs and co-occurring psychiatric disorders (DeMarce et al, 2008). Such strategies have become the standard of care in community mental health systems that serve people with SMI (Smith et al, 2010), and research on their utility in increasing rates of engagement in mental health treatment is promising (see Kreyenbuhl, Nossel, & Dixon, 2009 for a review).…”

Section: Introductionmentioning

confidence: 99%

Predictors of initiation and engagement in substance abuse treatment among individuals with co-occurring serious mental illness and substance use disorders

Brown

Bennett

et al. 2011

Addictive Behaviors

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Research has documented the significant challenges of engaging individuals with comorbid serious mental illness (SMI) and substance use disorders (SUDs) in substance abuse treatment. To date it is unclear which factors predict treatment initiation and engagement in this group of individuals with SUDs. In this study we conducted two analyses using data from a randomized trial of substance abuse treatment in outpatients with SMI: the first examining predictors (collected during screening) of completing an initial intake assessment and the second examining predictors (collected during the intake assessment) of becoming engaged in treatment. Results indicated that males and those with schizophrenia spectrum diagnoses were less likely to complete the intake assessment. Participants who reported more positive feelings about their family were more likely to engage in substance abuse treatment. Participants who were recently arrested were less likely to engage in treatment. Those who met criteria for current drug dependence were less likely to engage in treatment. Overall, these findings are a useful step in determining factors that predict substance abuse treatment initiation and engagement in individuals with SMI and SUDs.

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Section: Introductionmentioning

confidence: 99%

Predictors of initiation and engagement in substance abuse treatment among individuals with co-occurring serious mental illness and substance use disorders

Brown

Bennett

et al. 2011

Addictive Behaviors

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“…More intensive residential care may strengthen the adherence and effectiveness of outpatient care, which is associated with stable improvement among patients with co-occurring psychiatric disorders (24), including SUD-PD patients (2); however, participation in self-help groups is strongly emphasized in the U.S., whereas in Switzerland these groups are only an alternative to professional outpatient visits.…”

Section: Discussionmentioning

confidence: 99%

Patients with Substance Use and Personality Disorders: A Comparison of Patient Characteristics, Treatment Process, and Outcomes in Swiss and U.S. Substance Use Disorder Programs

Moggi¹,

Giovanoli

Buri

et al. 2010

The American Journal of Drug and Alcohol Abuse

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“…Additionally, one third of dependent individuals meet diagnostic criteria for major depression at some point in their drinking time‐line 3 . This may culminate in a reciprocal relationship where alcohol use may augment and prolong the course of depressive symptoms 4,5 and, in turn, depressive symptoms may elevate compulsive alcohol seeking and risk of relapse 6,7 . Despite this common relationship, specific biomarkers of such co‐morbidity and their link to alcohol outcomes have not been studied thus far.…”

Section: Introductionmentioning

confidence: 99%

Stress‐related suppression of peripheral cytokines predicts future relapse in alcohol‐dependent individuals with and without subclinical depression

et al. 2019

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Chronic alcohol abuse and depressive symptoms are both associated with peripheral cytokine changes. Despite this, cytokine adaptations have not been assessed in comorbid populations or prospectively as predictors of relapse. We examine cytokine responses to stress in alcohol-dependent individuals and social drinkers, both with and without subclinical depression. We also examine the potential link between cytokine adaptations in response to stress and prospective alcohol relapse risk. Thirtythree, alcohol-dependent individuals (21 with and 12 without high depressive symptoms) and 37 controls (16 with and 21 without high depressive symptoms) were exposed to two 5-minute personalized guided imagery conditions (stress and neutral) across consecutive days in a randomized and counterbalanced order. Alcohol craving and serum measures of tumor necrosis factor alpha (TNFα), tumor necrosis factor receptor 1 (TNFR1), interleukin-6 (IL-6), and interleukin-1 receptor antagonist (IL-1ra) were collected prior to and following imagery exposure. Following treatment discharge, follow-up interviews were conducted over 90 days to assess relapse. Dampened IL-1ra and IL-6 in response to stress was observed as a function of alcohol dependence and not moderated by depressive symptoms. Lower levels of IL-6 following stress also predicted greater drinking days following treatment. Conversely, high depressive symptomatology was associated solely with pro-inflammatory adaptations. Stress-related suppression of TNFα predicted drinking severity only in alcoholdependent individuals with subclinical depression, and suppressed TNFR1 following stress was only seen in individuals with subclinical depression. Stress-induced suppression of pro-inflammatory TNF markers may indicate a risk factor for alcoholdependent individuals with co-occurring depressive symptoms.

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Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment

Cited by 26 publications

References 29 publications

Predictors of initiation and engagement in substance abuse treatment among individuals with co-occurring serious mental illness and substance use disorders

Predictors of initiation and engagement in substance abuse treatment among individuals with co-occurring serious mental illness and substance use disorders

Patients with Substance Use and Personality Disorders: A Comparison of Patient Characteristics, Treatment Process, and Outcomes in Swiss and U.S. Substance Use Disorder Programs

Stress‐related suppression of peripheral cytokines predicts future relapse in alcohol‐dependent individuals with and without subclinical depression

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