Substance abuse and psychosocial impairments among clients with schizophrenia.

Schwartz, Robert C.; Hilscher, Randall L.; Hayhow, Paul

doi:10.1037/0002-9432.77.4.610

Cited by 8 publications

(3 citation statements)

References 38 publications

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“…The final significant association was between problematic substance use and problems with occupational and recreational activities. Reduced uptake of vocational and social activities by dually diagnosed patients, as well as difficulties with employment or school-life have also been shown in previous research (Schwartz et al, 2007;Swartz et al, 2006b).…”

Section: Current Psychosocial Functioningsupporting

confidence: 72%

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Problematic substance use among forensic psychiatric community patients

Sender‐Galloway

Clark

2013

The Journal of Forensic Practice

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Purpose -An association between problematic substance use and severe mental illness has been demonstrated in various settings, but not among community forensic psychiatric patients. This paper aims to investigate the prevalence and correlates of problematic substance use among the community patients of one regional forensic psychiatric service.Design/methodology/approach -Historical data on diagnosis, offending and problematic substance use were gathered by reviewing case notes. Current substance use and psychosocial functioning were ascertained from structured interviews with community psychiatric nurses. Outcome measures included HoNOS ratings, the Global Assessment of Functioning, and the Clinical Rating Scale for substance use.Findings -Of 92 patients, 91.2 per cent had a history of problematic substance use and 31.5 per cent of them were currently using substances problematically, most commonly cannabis and alcohol. Current problematic substance use was associated with a range of negative outcomes, in terms of illness severity, compliance with treatment, and psychosocial functioning.Research limitations/implications -The results may not be generalizable to services in different areas or those with different models of service provision. Causality should not be assumed from a cross sectional study.Practical implications -Inpatient psychiatric treatment in secure services appears to be associated with a large reduction in the level of problematic substance use, but a large residual need remains among community patients. Services which provide community care for forensic patients must seek to integrate treatment for problematic substance use with treatment for mental illness.Originality/value -This is the first description of the substance use related needs among community forensic psychiatric patients.

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Section: Current Psychosocial Functioningsupporting

confidence: 72%

“…eating and cleaning) and more complex skills such as budgeting, which might contribute to the financial difficulties also noted. Schwartz et al (2007) also found an association between substance abuse and a deficit in self-care in patients with schizophrenia.…”

Section: Current Psychosocial Functioningmentioning

confidence: 83%

Problematic substance use among forensic psychiatric community patients

Sender‐Galloway

Clark

2013

The Journal of Forensic Practice

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“…Regarding bipolar disorder specifically, two studies revealed contradictory results as to whether alcohol use was correlated with mania (Reich, Davies, & Himmelhoch, 1974) or depression (Mitchell, Brown, & Rush, 2007). Research has also revealed low-to-moderate positive correlations between substance use and positive symptoms of schizophrenia, depression, mania, and stress reactions in 223 clients diagnosed with schizophrenia (Schwartz, Hilscher, & Hayhow, 2007). Based on these data, associations among various symptoms of mood disorders and substance use show no clear pattern.…”

Section: Substance Use By Diagnosis In People With Severe Mental Illnessmentioning

confidence: 96%

Substance Use Motives in People With Severe Mental Illness: Comparisons Among Four Diagnostic Groups

O’Hare

Sherrer

2012

Journal of Social Work Practice in the Addictions

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Research has consistently shown that alcohol consumption motivated by a desire to alleviate negative emotional states predicts alcohol use and relapse among clients with cooccurring psychiatric disorders. However, studies examining the role of drinking motives in people with severe mental illness are few. This study of 283 community mental health clients (43.8% men, 55.1% women), assigned a primary Axis I diagnosis of schizophrenia (28.3%), schizoaffective (23.3%), major depression (31.1%), or bipolar I disorder (17.3%), tested the hypothesis that clients with a diagnosis of mood disorder would report greater substance use, would indicate more problems associated with substance use, and would be more likely to use substances to cope with negative emotions than would clients with schizophrenia. In addition, coping motives would account for more variance in substance use and related problems than would convivial drinking when controlling for age, gender, and Axis I diagnosis. Results largely supported these hypotheses with some exceptions. Implications for theory, research, and practice with comorbid clients are suggested.

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Abstinence self-efficacy in people with severe mental illness

O’Hare

Shen

2013

Journal of Substance Abuse Treatment

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Substance abuse and psychosocial impairments among clients with schizophrenia.

Cited by 8 publications

References 38 publications

Problematic substance use among forensic psychiatric community patients

Problematic substance use among forensic psychiatric community patients

Substance Use Motives in People With Severe Mental Illness: Comparisons Among Four Diagnostic Groups

Abstinence self-efficacy in people with severe mental illness

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