scholarly journals Substance misuse and violence: the scope and limitations of forensic psychiatry's role

2001 ◽  
Vol 7 (3) ◽  
pp. 189-196 ◽  
Author(s):  
Peter Snowden
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Violent Crime ◽  
Dual Diagnosis ◽  
Forensic Psychiatry ◽  
Substance Misuse ◽  
Violent Offenders ◽  
Health Problems ◽  
The Past ◽  
Forensic Case

For the past 25 years, forensic psychiatry has been concerned with violent offenders with psychosis and/or personality disorder. If dual diagnosis or comorbidity meant anything to a forensic psychiatrist, it would be the ‘typical’ forensic case – an individual with schizophrenia and a premorbid dissocial personality who had been arrested for a violent crime. In this article I use comorbidity to describe the co-occurrence of two or more conditions (here a psychiatric disorder and health problems arising from substance misuse) rather than dual diagnosis. In fact, many violent offenders have multiple diagnoses. Williams & Cohen (2000) argue that dual diagnosis suggests a closer relationship, perhaps including cause and effect, and is a subset of comorbidity.

scholarly journals Pharmacotherapy in dual diagnosis

2004 ◽  
Vol 10 (6) ◽  
pp. 413-424 ◽  
Author(s):  
Ilana B. Crome ◽  
Tracey Myton
Keyword(s):  
Mental Illness ◽  
Psychiatric Disorder ◽  
Dual Diagnosis ◽  
Pharmacological Treatment ◽  
Substance Misuse ◽  
National Policy ◽  
Evidence Base ◽  
Pharmacological Agents ◽  
The Past ◽  
Available Information

The prevalence of coexisting substance misuse and psychiatric disorder (dual diagnosis, comorbidity) has increased over the past decade, and the indications are that it will continue to rise. There have simultaneously been unprecedented developments in the pharmacological treatment of alcohol, opiate and nicotine misuse. Here we evaluate the evidence on the use of some of these treatments in dual diagnosis (with psychotic, mood and anxiety disorders). The evidence base is limited by the exclusion of mental illness when pharmacological agents for substance misuse are evaluated and vice versa. We set the available information within the context of the psychosocial management of comorbid substance misuse and mental illness, and the framework for service delivery recommended by UK national policy.

scholarly journals Severe and enduring mental health problems within an established substance misuse treatment partnership

2014 ◽  
Vol 38 (5) ◽  
pp. 216-219 ◽  
Author(s):  
Kathryn Walsh ◽  
Alex Copello
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Suicide Risk ◽  
Substance Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Clinical Implications ◽  
The Past ◽  
Self Harm ◽  
Effective Service

Aims and methodThe study reports findings of an investigation into the presence of severe and enduring mental health problems within the four statutory and non-statutory teams of an established substance misuse treatment partnership.ResultsOf a total of 772 clients in the four teams surveyed, 69 (8.9%) were identified as having severe and enduring mental health problems and problem substance use in the past 12 months. Alcohol was the most prevalent substance used by this predominantly male group. Different rates were found across the four teams, with higher numbers in the non-statutory teams. The clients displayed significant levels of self-harm and suicide risk and were responsible for 131 acute service contacts over the past 12 months.Clinical implicationsClients with severe and enduring mental health problems engaged with substance misuse services display high levels of complex need. It is important to identify the best and most effective service response to this group.

Mental health services for single homeless people

2020 ◽  
pp. 1-11
Author(s):  
Philip Timms ◽  
Jenny Drife
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Health Services ◽  
Substance Misuse ◽  
Homeless People ◽  
Psychiatric Services ◽  
Background Information ◽  
The Past ◽  
The Uk

SUMMARY Homelessness has long been associated with high rates of psychosis, alcohol and substance misuse, and personality disorder. However, psychiatric services in the UK have only recently engaged actively with homeless people. This article provides some background information about homelessness and mental illness and describes the elements of inclusion health and some of the models of service for homeless people that have been established over the past 30 years.

Cannabis and Violent Crime

2003 ◽  
Vol 43 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Gérard Niveau ◽  
Cécile Dang
Keyword(s):  
Personality Disorder ◽  
Adverse Effects ◽  
Violent Crime ◽  
Criminal Responsibility ◽  
Specific Role ◽  
Psychiatric History ◽  
Acute Effects ◽  
Violent Behaviour ◽  
The Past ◽  
Violent Acts

We present a series of 12 cases of violent crime, which were all committed under the influence of cannabis in Geneva, Switzerland, between 1996 and 2000. The crimes were committed by eleven males and one female, with a mean age of 26 years, who were using only cannabis at the time they acted. Most of them were chronic users. Five subjects had a past psychiatric history. Five had a personality disorder. Only three had been sentenced in the past for violent acts. At the time of the aggression, all of them exhibited adverse and acute effects of cannabis. All of them were judged by the court to be partially or totally non-responsible. Three cases are presented in more detail. Our data suggests that cannabis could have a specific role in the development of violent behaviour patterns and that detection of its adverse effects should be systematic in criminal responsibility evaluation.

scholarly journals Admission patterns of patients with personality disorder

2004 ◽  
Vol 28 (9) ◽  
pp. 321-323 ◽  
Author(s):  
Pritha Dasgupta ◽  
Joan Barber
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Substance Misuse ◽  
Alcohol Misuse ◽  
Primary Diagnosis ◽  
Retrospective Case ◽  
System A ◽  
Adult Psychiatry ◽  
Patient Stay ◽  
Patient Administration System

Aims and MethodTo examine the prevalence and admission patterns of patients with personality disorder admitted to a Scottish general adult psychiatry service. We carried out a retrospective case-note study of patients identified from the computerised patient administration system. A subgroup of patients was identified as having a longer in-patient stay. Their admission pattern over the preceding 4 years was studied further.ResultsSixty-two of 844 patients admitted had personality disorder. Thirty-nine had a primary diagnosis of personality disorder, 19 had an additional diagnosis of psychiatric disorder and 12 of alcohol or substance misuse. Within the subgroup admitted for longer in 2001, patterns of few/brief and numerous/often lengthy admissions were noted in earlier years.Clinical ImplicationsPersonality disorder occurs in approximately 7% of admissions to general adult psychiatry beds. Many have additional diagnoses of psychiatric disorder, or substance or alcohol misuse further complicating their treatment.

Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Ludmila Kryzhanovskaya ◽  
Randolph Canterbury
Keyword(s):  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Involuntary Hospitalization ◽  
Axis Ii ◽  
The Past ◽  
Substance Abuse Disorders ◽  
Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

scholarly journals The Role of Lifestyle, Eating Habits and Social Environment in the Prevention and Treatment of Type 2 Diabetes and Hypertension

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1460
Author(s):  
Kalliopi Karatzi ◽  
Yannis Manios
Keyword(s):  
Type 2 Diabetes ◽  
Social Environment ◽  
Eating Habits ◽  
Health Problems ◽  
Major Health ◽  
The Past ◽  
Prevention And Treatment

Type 2 diabetes (T2DM) and hypertension are major health problems, with an undisputed growth burden in the past decades [...]

scholarly journals Lifetime Substance Misuse and 5-Year Incidence Rates of Emergent Health Problems Among Middle-Aged Adults

2009 ◽  
Vol 28 (4) ◽  
pp. 320-331 ◽  
Author(s):  
Kristin M. Caspers ◽  
Rebecca Yucuis ◽  
Lowell M. McKirgan ◽  
Ruth Spinks ◽  
Stephan Arndt
Keyword(s):  
Substance Misuse ◽  
Health Problems ◽  
Incidence Rates ◽  
Middle Aged ◽  
Middle Aged Adults
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