Substance use disorders in patients admitted to a medium secure unit: a comparison of three assessment measures

psychiatrist, Darran Bloye Consultant forensic; psychiatrist, Asif Ramzan Consultant forensic; Hilton, Rebecca

doi:10.1080/1478994031000153375

Cited by 4 publications

(8 citation statements)

References 3 publications

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“…A preference for alcohol in half of the sample is also in accord with men in medium security (e.g. Bloye et al, 2003) and with female prisoners (e.g. Brunelle et al, 2009).…”

Section: Discussionmentioning

confidence: 85%

“…Bartlett (2006) noted that a number of factors contribute to an unsatisfactory system of assessment and care: these factors include a lack of suitable measures to assess risk (De Vogel & De Ruiter, 2005) and extremely limited data to inform standardised measurements of substance misuse. Studies that have assessed substance misuse in medium secure populations have not included gender analysis (Bloye et al, 2003;Ford, 2003) despite the fact that accurate assessment of likely future misuse is crucial for the prediction of risk.…”

Section: Women In Secure Psychiatric Settingsmentioning

confidence: 99%

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Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Long

Hall

Dolley

et al. 2011

Journal of Substance Use

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Background: There have been few assessments of women with substance misuse problem in secure psychiatric settings. Aims: The aim is to describe the characteristics and psychometric test performance of women admitted to a medium secure hospital. Method: Consecutive admission was classified into risk-relevant categories using case note data. Responses to psychometric measures of dependence, substance-related problems, self-efficacy, motivation for change, craving and coping were assessed. Results: Forty-four out of 55 consecutive admissions had a risk-relevant pattern of substance use before admission. Analysis of psychometric test performance produced two groups of patients differentiated according to self-efficacy, craving and belief in the benefits of change. Conclusions: Although further work needs to be done in assessing the applicability of specific psychometrics to specialist populations, findings reinforce the importance of matching treatment interventions to stages of readiness to change.

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“…A preference for alcohol in half of the sample is also in accord with men in medium security (e.g. Bloye et al, 2003) and with female prisoners (e.g. Brunelle et al, 2009).…”

Section: Discussionmentioning

confidence: 85%

Section: Women In Secure Psychiatric Settingsmentioning

confidence: 99%

Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Long

Hall

Dolley

et al. 2011

Journal of Substance Use

View full text Add to dashboard Cite

show abstract

“…As Bloye, Ramzan, Leach, Davies, and Hilton (2003) suggested, underestimation of the extent of substance use difficulties is likely due to a reluctance in people who use substances to participate in research, and/or to underreporting of the extent of use and as such, selection bias may have been a consequence. This may be exacerbated by the greater potential for punitive consequences of admitting to drug use in forensic services (e.g.…”

Section: Discussionmentioning

confidence: 94%

Beliefs about substance use and the attribution of blame for offending

Tolfrey

Fox

Jeffcote

2011

Journal of Forensic Psychiatry & Psychology

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Substance misuse has been associated with an increased risk of violence and offending in those with severe mental illness. The current study explored the relationship between attitudes regarding substance use and the attribution of blame for a criminal offence in a sample of male mentally disordered offenders with a history of substance misuse. Participants completed measures that examined general beliefs about substance use and blame attributions for an offence they had committed, and identified substances previously used. Cannabis and alcohol were the most frequently used substances, and polysubstance use was common. Results indicated a significant correlation between substance-related beliefs and the attribution of blame for offending; in particular, greater maladaptive substance-related beliefs were correlated with higher externalisation of blame for the index offence (p50.001). The need for appropriate interventions that address the relationship between substance use, offending and mental health in forensic populations to be developed is considered.

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“…In recent research within a medium secure unit (Bloye et al, 2004) patients identified by staff as having a history of problems related to substance misuse appeared to have disproportionately avoided participation in the study. Further, patients may be genuinely confused about the effects of substance misuse on their levels of psychological and social adjustment, or be more concerned with other problems in their lives.…”

Section: Patients' Motivation To Engagementioning

confidence: 94%

“…Noordsky, Drake, and Fox, 2003). Given these complications, much of the research indicates the importance of a "consensus diagnosis" using multiple modes and times of evaluation to achieve diagnostic certainty (Bloye, Ramzan, Leach, Davies, and Hilton, 2004;Drake et al, 1990).…”

Section: Inadequate Identification Of Substance Use Problemsmentioning

confidence: 99%

Assessing Comorbid Substance Use in Detained Psychiatric Patients: Issues and Instruments for Evaluating Treatment Outcome

Long

Hollin

2009

Substance Use & Misuse

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This review assesses the issues involved in the selection and treatment of patients comorbid for mental illness and substance misuse being treated in secure psychiatric facilities. It includes those individuals who have a history of offending and whose placement is the result of severe behavioral disturbance. The relevant issues in the assessment and treatment of these patients are reviewed and a battery of tests is suggested on the basis of their usefulness with this population in terms of their brevity, ease of administration, and for their value in planning treatment, providing motivational feedback, and monitoring change. The paucity of assessment tools developed specifically for this patient population is highlighted.

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Substance use disorders in patients admitted to a medium secure unit: a comparison of three assessment measures

Cited by 4 publications

References 3 publications

Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Beliefs about substance use and the attribution of blame for offending

Assessing Comorbid Substance Use in Detained Psychiatric Patients: Issues and Instruments for Evaluating Treatment Outcome

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