An Integrated Treatment Approach to Substance Use in an Early Psychosis Programme

2008 ◽  
pp. 121-135 ◽  
Author(s):  
Jean Addington
Keyword(s):  
Substance Use ◽  
Treatment Approach ◽  
Integrated Treatment ◽  
Early Psychosis

Cognitive-Behavioural Integrated Treatment Approach for Psychosis and Problem Substance use

2008 ◽  
pp. 181-206 ◽  
Author(s):  
Hermine L. Graham ◽  
Alex Copello ◽  
Max J. Birchwood ◽  
Jim Orford ◽  
Dermot McGovern ◽  
...  
Keyword(s):  
Substance Use ◽  
Treatment Approach ◽  
Integrated Treatment ◽  
Cognitive Behavioural

Impact of substance use on the onset and course of early psychosis

2005 ◽  
Vol 79 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Hélène Verdoux ◽  
Marie Tournier ◽  
Audrey Cougnard
Keyword(s):  
Substance Use ◽  
Early Psychosis

scholarly journals Integrated Treatment Programmes for Mothers with Substance Use Problems: A Systematic Review and Meta-analysis of Interventions to Prevent Out-of-home Child Placements

2021 ◽  
Author(s):  
Samantha H. F. Neo ◽  
Sam Norton ◽  
Despoina Kavallari ◽  
Martha Canfield
Keyword(s):  
Substance Use ◽  
Meta Analysis ◽  
Integrated Treatment ◽  
Substance Use Treatment ◽  
Substance Use Problems ◽  
Child Abuse Risk ◽  
Randomised Controlled ◽  
Home Placement ◽  
Abuse Risk ◽  
Pooled Sample

AbstractApproximately half of mothers receiving substance use treatment are involved with childcare proceedings. This review aims to determine whether integrated treatment programmes for mothers with substance use problems are effective in preventing out-of-home placement (temporally/permanent) and influencing other maternal factors such as patterns of substance use, treatment completion and parenting behaviours. Six trials were identified—two randomised controlled trials and four non-randomised controlled studies. The pooled sample of participants was 1717. The results showed that mothers who participated in integrated treatment programmes were significantly less likely to have the children removed from their care (Odds Ratio (OR) = 0.40, 95% CI = 0.27, 0.61), more likely to complete substance use treatment (OR = 3.01, 95% CI = 1.79, 5.06), and more likely to reduce their alcohol consumption (Standardised Mean Difference (SMD) = −0.40, 95% Cl = −0.78, −0.01) and drug use (SMD = −0.30, 95% CI = −0.53, −0.07). However, non-significant reductions were observed for parent–child conflict (SMD = −0.35, 95% CI = −0.72, 0.03) and child abuse risk (SMD = −0.03, 95% CI = −0.36, 0.31). While the findings from this review suggest that mothers involved in integrated treatment programmes could potentially be less likely to experience out-of-home child placements and more likely to improve substance use treatment outcomes, little evidence exists for the effectiveness of these interventions. Further research, particularly high-quality RCTs, is required to demonstrate and persuade health and public policy on the far-reaching value of the integrated approaches.

Risk classes of patients diagnosed with substance use disorders in Dutch forensic psychiatric centers

2021 ◽  
Vol 23 (1) ◽  
pp. 39-52
Author(s):  
Michele Schmitter ◽  
Jeroen Vermunt ◽  
Eric Blaauw ◽  
Stefan Bogaerts
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Latent Class ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
Future Research ◽  
Content Type ◽  
Forensic Patients ◽  
Axis I ◽  
Forensic Psychiatric

Purpose Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers. Design/methodology/approach Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence). Findings Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption. Practical implications This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence. Originality/value This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.

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