Providing Integrated Services for Persons With Co-occurring Mental Health and Substance Abuse Disorders: Implementation Plan: Phase 1

1999 ◽  
Author(s):  
Michael Franczak ◽  
◽  
Christina Dye ◽  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Phase 1 ◽  
Integrated Services ◽  
Implementation Plan ◽  
Substance Abuse Disorders ◽  
Plan Phase

Substance Abuse Co-Occurrence with Mental Health Issues

2021 ◽  
pp. 262-283
Author(s):  
Kirstin Painter ◽  
Maria Scannapieco
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Intervention Strategy ◽  
Screening Tools ◽  
Health Issues ◽  
Emotional Symptoms ◽  
Family Issues ◽  
Substance Abuse Disorders ◽  
Abused Drugs ◽  
Alcohol And Other Drugs

Substance abuse, including the use of alcohol and other drugs, is one of the most prevalent disorders among adolescents and young adults, co-occurring with many other psychiatric and mental health disorders. Some use of alcohol and drugs can be expected during adolescence; however, it is necessary to use screening tools to differentiate between misuse of drugs and alcohol and substance abuse. Some brief and comprehensive screening instruments are mentioned in this chapter for future reference. General indicators of substance abuse disorders such as physical and emotional symptoms, family issues, and social problems are explored, and the chapter discusses some of the most commonly abused drugs. Emphasis is put on incorporating treatments of substance abuse with treatments of mental illness for a more comprehensive intervention strategy for people with co-occurring disorders.

Psychiatric Disability in Ontario

1996 ◽  
Vol 41 (9) ◽  
pp. 564-571 ◽  
Author(s):  
Paula Goering ◽  
Elizabeth Lin ◽  
Dugal Campbell ◽  
Michael H Boyle ◽  
David R Offord
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Psychiatric Disorder ◽  
Affective Disorders ◽  
Community Sample ◽  
Psychiatric Disability ◽  
Life Domains ◽  
Economic Costs ◽  
Substance Abuse Disorders ◽  
Service Need

Objective To describe the disability associated with psychiatric disorder in a community sample in order to refine estimates of service need and identify subgroups with greater priority for intervention. Method Disability is conceptualized broadly as performance difficulties, troubled relationships, and dissatisfaction in various life domains. Data from the Mental Health Supplement are used to compare disability between those with and without disorder and among various subtypes of disorder. Results Although the majority of those with disorder do not report disability, their difficulties with functioning are far greater than for the rest of the population. Those with comorbid or affective disorders typically have more disability than those with anxiety or substance abuse disorders. Conclusions Society needs to recognize the high human and economic costs associated with the prevalence of psychiatric disorder. Assessments of service need and decisions about priorities should take both disorder and disability into consideration.

Dual Diagnosis: Does Race Affect Vocational Rehabilitation Outcomes?

2008 ◽  
Vol 39 (3) ◽  
pp. 19-24 ◽  
Author(s):  
Mona Robinson ◽  
Michael Klein
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Dually Diagnosed ◽  
Chi Square ◽  
Rehabilitation Outcomes ◽  
College Training ◽  
Substance Abuse Disorders

The study examined vocational rehabilitation outcomes of persons who were dually diagnosed with mental health and substance abuse disorders. The study sought to examine whether differences existed in vocational rehabilitation outcomes based upon the individuals' race by examining the 2002 RSA-911 database containing successful and unsuccessful closures (status 26 and 28). MANOVA and Chi-square analyses showed that minorities earned lower wages and received less college training than their non-minority counterparts. The results of the study indicated that statistically significant differences existed in vocational rehabilitation outcomes for individuals who are dually diagnosed, with minorities faring worse than their non-minority counterparts.

Facility and state-level factors associated with telemental health (TMH) adoption among mental health facilities in the United States

2019 ◽  
pp. 1357633X1986890 ◽  
Author(s):  
Xiaohui Zhao ◽  
Kim E Innes ◽  
Sandipan Bhattacharjee ◽  
Nilanjana Dwibedi ◽  
Traci M LeMasters ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Mental Healthcare ◽  
Health Resources ◽  
State Level ◽  
The United States ◽  
Cross Sectional Study ◽  
Telemental Health ◽  
Cross Sectional ◽  
Substance Abuse Disorders

Introduction Telemental health (TMH) is a promising approach to increase access to mental healthcare. This study examined the TMH adoption rates and associations with facility- and state-level factors among US mental health (MH) facilities. Methods This retrospective, cross-sectional study used linked data for 2016 from the National Mental Health Services Survey ( N = 11,833), Area Health Resources File, and national reports for broadband access and telehealth policies. The associations of facility and state-level characteristics with TMH adoption were examined with multi-level logistic regressions. Results Overall, 25.9% had used TMH. Having veteran affiliation [Adjusted Odds Ratio (AOR) = 18.53, 95% Confidence Interval (95%CI): 10.66–32.21] and greater Information Technology (IT) capacity [AOR(95%CI): 2.89(2.10–3.98)] were the strongest correlates of TMH adoption. Other facility characteristics associated with higher likelihood of TMH adoption were: public ownership, high patient volumes, having comprehensive MH treatments or Quality Improvement practices, having private or non-Medicaid public payers, and treating elderly patients (AORs: 1.16–2.41). TMH adoption was less likely among facilities treating more African Americans or patients with substance abuse disorders. TMH adoption varied substantially across states, with adoption more likely in states issuing special telehealth licences and those with more rural counties. Discussion One in four MH facilities adopted TMH in 2016. TMH adoption varied by multiple facility- and state-level factors. Our findings suggest that: legal/regulatory burden and lower facility IT capacity may discourage TMH adoption; significant racial disparities exist in TMH adoption; and there is a need to increase TMH use for substance abuse disorders.

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