Special Section on Relapse Prevention: Substance Abuse Relapse and Factors Associated With Relapse in an Inner-City Sample of Patients With Dual Diagnoses

Rollins, Angela L.; O'Neill, Sheila; Davis, Kristin; Devitt, Timothy

doi:10.1176/appi.ps.56.10.1274

Cited by 29 publications

(33 citation statements)

References 35 publications

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“…Relapse into substance abuse has been correlated with social factors such as poor housing status, limited social support, and lack of drug treatment (Mayer et al, 1993), and with reports of family fights or drug use among family members or spouses (Ellis et al, 2004). Conversely, continued remission or successful recovery has been associated with older age and with living in residential treatment programs (Rollins et al, 2005), with reports of families getting along (Ellis et al, 2004), and with other measures of positive social support within local or family networks (Barber & Crisp, 1995;McMahon, 2001;Flynn et al, 2003;Granfield & Cloud, 2001). The concept of recovery capital (Cloud & Granfield, 2001, in fact, explicitly encompasses both the individual and the social levels.…”

Section: Finding Funding and Developing A Theoretical Approachmentioning

confidence: 99%

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Roddy¹,

Draus²,

Asabigi³

et al. 2013

AASoci

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This paper describes the process of developing a research proposal for submission to the National Institutes of Health (NIH) in collaboration with an urban public health agency. Two university-based researchers from different social science disciplines, each with previous experience in substance abuse research, invested significant time learning about the key questions and concerns of participants in several community-based programs, including clients, administrators and professionals from the county drug court, law enforcement, and substance abuse treatment and recovery services. They then developed a proposal which integrated their own academic interests with the questions and concerns that they uncovered in their preliminary research. After the proposal was written, the researchers presented it to an audience of community partners. Following the successful funding of the study, negotiations with various partners continued throughout the data collection process. The paper concludes with some suggestions for other researchers who may wish to engage in this type of applied, collaborative, interdisciplinary research.

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Section: Finding Funding and Developing A Theoretical Approachmentioning

confidence: 99%

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Roddy¹,

Draus²,

Asabigi³

et al. 2013

AASoci

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“…The clustering of charges in the younger age cohorts suggests that these individuals may have peers who use drugs or frequent settings where drugs are easily obtained. As we noted, this should not come as a surprise, given the drug-in-fested environments in which some persons with mental illness reside and the lifestyle patterns these environments may induce (11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 84%

“…One pathway to exposure may be linked with the poverty experienced by persons with serious mental illness, which forces them to reside in locales with high rates of criminal activity and, in particular, high rates of illicit drug activity (11). In such areas, as has been well documented, the social networks in which individuals participate may be ones in which pressure to buy and use drugs is high; also, in these areas persons receiving disability payments may be attractive and easy targets for drug dealers (12)(13)(14)(15)). …”

mentioning

confidence: 99%

Drug-Related Arrests in a Cohort of Public Mental Health Service Recipients

Fisher¹,

Wolff²,

Grudzinskas³

et al. 2007

Psychiatric Services

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Objectives-The excessive prevalence of comorbid substance abuse among persons with severe mental illness has been well established and identified as the source of numerous negative outcomes. An overlooked aspect of illicit drug use in this population is its illegality and the potentially dire criminal sanctions. This study examined the prevalence of drug arrests in a cohort of persons receiving services from a state mental health agency who were followed for roughly ten years.Methods-Data on arrest spanning from 1991 to 2000 were obtained for all individuals receiving inpatient, case management, or residential services from July 1991 to June 1992 (N=13,816). Reports of prevalence were based on the number with at least one drug-related arrest in the observation period.Results-Five percent of individuals in the cohort experienced at least one drug-related arrest (N=720). These included simple possession as well as manufacturing and distribution. The prevalence was much higher (15%) among persons aged 18 to 25 years than in other age groups. Roughly 95% of persons with a drug arrest also had an arrest for another type of offense. This pattern is similar to that observed among persons with a drug-related arrest in the general population.Conclusions-Convictions on drug charges can void access to Section Eight housing and other benefits and are associated with other patterns of offending that also carry significant criminal sanctions. State mental health agencies may wish to target interventions toward youthful clientele by focusing specifically on the risks associated with involvement with illicit drugs.The many problems associated with substance abuse among persons with severe mental illness have been a prominent focus of the psychiatric and mental health services research communities for at least three decades. Data from both the Epidemiologic Catchment Area Study (1) and the National Comorbidity Study (2) reveal an extremely high prevalence of co-occurring substance abuse among persons with serious psychiatric disorders. Comorbid substance abuse has been linked to numerous negative clinical and behavioral outcomes in this population (3-5). It has been implicated in exacerbating persons' risk of engaging in violence toward others (6,7) as well as being victims of crime themselves (8). Failure to comply with substance abuse treatment protocols can result in expulsion from various programs, and inability to maintain abstinence can lead to ejection from some residential programs and increase risk of homelessness (9). There is a tendency in much of the literature on substance abuse and mental illness to treat the use and abuse of alcohol and drugs as a single problem. Lumping the two practices together is not unreasonable; both are risk factors for many of the same undesirable outcomes, and many individuals with co-occurring disorders likely use both drugs and alcohol. But the negative consequences of illicit drug use are arguably greater. It is well known that significant drug use and especially maintaining a ...

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“…On the other hand, there is evidence that attaining abstinence reduces the negative outcomes of substance use in individuals with SMI [57][58][59]. Higher scores for social competence have been reported in abstainers in another study [39].…”

Section: Discussionmentioning

confidence: 90%

“…One ethnographic study [37] and one self-reported study [38] have examined participants' reasons for quitting and have shown that supportive networks are influential in encouraging sobriety. Findings from studies using various research designs have indicated that meaningful activities and a safe living environment are important to abstinence from substance use in individuals with SMI [33,39,40]. In a 2010 study of patients' perspectives on their reasons for cannabis use, Asher and Gask [41] identified five reasons to abstain: disliking the effect and illegality of cannabis, financial benefits of abstaining, negative impact on physical and mental health, increased family support and hoping to develop relationships, and hopes for improved occupational and accommodation status.…”

Section: Introductionmentioning

confidence: 99%

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Pettersen

Ruud²,

Ravndal³

et al. 2014

J Addict Res Ther

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Individuals diagnosed with severe mental illness (SMI) are more vulnerable to substances than are other people. Many people with SMI tend to attain full remission of their substance use, but others relapse frequently. There is more research on the reasons for substance use than on the reasons for abstaining among these individuals. Information from the latter may contribute to a better understanding of how individuals with SMI experience abstaining from substance use. Objective: The aim of this explorative study was to examine experiences of abstaining from substances of persons diagnosed with SMI. We examined both the reasons given and the requirements and strategies used when abstaining. Methods:A qualitative study with semi-structured interviews was conducted, and a descriptive and explorative design was applied. This study included a purposeful sample of 11 patients with SMI and substance use being treated by assertive community treatment teams. Results:The main reasons for quitting substance use were social relationships and meaningful activities. The stated requirements and strategies used in the search for sobriety were detachment towards people and places, positive thinking, controlling feelings and emotions, and fear of dependency. Conclusion:Our results are consistent with those from other qualitative studies on the importance of social relationships and meaningful activities as expressed reasons for abstaining. The strategy of actively avoiding a former adverse milieu to reach sobriety is consistent with findings from one similar study. The strategies of fear of adverse consequences, positive thinking, and controlling feelings and emotions found in the present study have not been reported by other qualitative studies.

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Special Section on Relapse Prevention: Substance Abuse Relapse and Factors Associated With Relapse in an Inner-City Sample of Patients With Dual Diagnoses

Abstract: Age, therapeutic residential programming, and, to a lesser degree, employment appear to be potential factors to consider in the development of relapse prevention models.

Cited by 29 publications

References 35 publications

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Drug-Related Arrests in a Cohort of Public Mental Health Service Recipients

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

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