Skip to main content
×
×
Home

Substance misuse in a chronic psychosis population Prevalence and staff perceptions

  • Steve Brown (a1)
Abstract
Aims and method

This paper describes the prevalence of substance misuse in a population with chronic psychosis and compares the results with staff estimates. Keyworkers were interviewed using validated questionnaires.

Results

The prevalence rate of substance misuse was higher than in the general population but significantly lower than staff estimates. Staff had little specific training or experience in treating substance misuse.

Clinical implications

Substance misuse is a significant problem among patients with chronic psychosis. Service providers should ensure than staff working with these patients are adequately trained in the management of this problem.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Substance misuse in a chronic psychosis population Prevalence and staff perceptions
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Substance misuse in a chronic psychosis population Prevalence and staff perceptions
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Substance misuse in a chronic psychosis population Prevalence and staff perceptions
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Dr S. Brown, Wolston Park Hospital, Wacol 4076, Queensland, Australia
References
Hide All
Barry, K., Fleming, M., Greenly, J., et al (1995) Assessment of alcohol and other drug disorders in the seriously mentally ill. Schizophrenia Bulletin, 21, 313321.
Dixon, L., Haas, G., Weiden, P., et al (1991) Drug abuse in schizophrenic patients: clinical correlates and reasons for use. American Journal of Psychiatry, 148, 224230.
Drake, R. E., Osher, F., Noordsy, D., et al (1990) Diagnosis of alcohol use disorders in schizophrenia. Schizophrenia Bulletin, 16, 5767.
Drake, R. E., McHugo, G. J. & Noordsey, D. L. (1993) Treatment of alcoholism among schizophrenic outpatients: 4-year outcomes. American Journal of Psychiatry, 150, 328329.
Duke, P. J., Pantelis, C. & Barnes, T. R. E. (1994) South Westminster Schizophrenia Survey. Alcohol use and its relationship to symptoms, tardive dyskinesia and illness onset. British Journal of Psychiatry, 164, 630636.
Fleming, M. & Barry, K. (1991) A three-sample test of an alcohol screening questionnaire. Alcohol and Alcoholism, 26, 8191.
Fleming, M., Barry, K. & MacDonald, R. (1991) The alcohol use disorders identification test in a college sample. International Journal of Addiction, 26, 11731185.
Gournay, K., Sandford, T., Johnson, S., et al (1996) Double bind. Nursing Times, 92, 2829.
Hall, W. & Farrell, M. (1997) Comorbidity of mental disorders with substance misuse. British Journal of Psychiatry, 171, 45.
Jerrell, J. M. & Ridgely, M. S. (1995) Comparative effectiveness of three approaches to serving people with severe mental illness and substance abuse disorders. Journal of Nervous and Mental Disease, 183, 566576.
Lehman, A. F., Myers, C. P., Thompson, J. W., et al (1993) Implications of mental and substance use disorders: A comparison of single and dual diagnosis patients. Journal of Nervous and Mental Disease, 181, 365370.
Meltzer, H., Gill, B., Petticrew, M., et al (1995) The Prevalence of Psychiatric Morbidity Among Adults Living in Private Households . OPCS Surveys of Psychiatric Morbidity in Great Britain, Report 1. London: HMSO.
Menezes, P., Johnson, S., Thornicroft, G., et al (1996) Drug and alcohol problems among individuals with severe mental illness in south London. British Journal of Psychiatry, 168, 612619.
Regier, D., Farmer, M., Rae, D., et al (1990) Comorbidity of mental disorders with alcohol and other drug abuse. Results from the epidemiologic catchment area study. Journal of the American Medical Association, 264, 25112518.
Ridgely, S., Goldman, H. & Willenbring, M. (1990) Barriers to the care of persons with dual diagnosis: organisational and financing issues. Schizophrenia Bulletin, 16, 123131.
Robbins, L., Heltzer, J., Cottler, L., et al (1989) NIMH Diagnostic Interview Schedule: Version 11, Revised. St Louis, MO: Washington University.
Smith, J. & Hucker, S. (1994) Schizophrenia and substance abuse. British Journal of Psychiatry, 165, 1321.
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 3 *
Loading metrics...

Abstract views

Total abstract views: 6 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 19th July 2018. This data will be updated every 24 hours.

Substance misuse in a chronic psychosis population Prevalence and staff perceptions

  • Steve Brown (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *