Co-occurring mental disorder and substance use disorder in young people: aetiology, assessment and treatment

2020 ◽  
pp. 1-10
Author(s):  
John Otasowie
Keyword(s):  
Substance Use ◽  
Young People ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
Dual Diagnosis ◽  
Treatment Approach ◽  
Healthcare Education ◽  
Life Domains ◽  
Assessment And Treatment ◽  
Physical Health Problems

SUMMARY Dual diagnosis is one of several terms used to identify individuals diagnosed with a co-occurring mental disorder and substance use disorder. The existence of a dual diagnosis in adolescents is often associated with functional impairment in various life domains, causing physical health problems, relational conflicts, educational/vocational underachievement and legal problems. Dual diagnosis is difficult to treat and can result in tremendous economic burden on healthcare, education and justice systems. It is essential for clinicians caring for young people to be knowledgeable about dual diagnosis to ensure that it is identified early and treated. This article aims to provide an overview of dual diagnosis, increase its awareness and promote a realistic treatment approach.

Considerations for Treating Young People With Comorbid Autism Spectrum Disorder and Substance Use Disorder

2019 ◽  
Vol 58 (12) ◽  
pp. 1139-1141 ◽  
Author(s):  
Benjamin M. Isenberg ◽  
Amy M. Yule ◽  
James W. McKowen ◽  
Lisa A. Nowinski ◽  
Gina A. Forchelli ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Substance Use ◽  
Young People ◽  
Substance Use Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder

scholarly journals Pre-Existing Mental Disorder, Clinical Profile, Inpatient Services, And Costs in People Hospitalised Following Traumatic Spinal Injury: A Population Record-Linkage Study

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Lisa Nicole Sharwood ◽  
Taneal Wiseman ◽  
Emma Tseris ◽  
Kate Curtis ◽  
Bharat Vaikuntam ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Dual Diagnosis ◽  
Record Linkage ◽  
Injury Severity ◽  
Spinal Injury ◽  
Linkage Study ◽  
Icd 10

IntroductionRisk of traumatic injury is increased in individuals with mental illness, substance use disorder and dual diagnosis (mental disorders); these conditions will pre-exist among individuals hospitalised with acute traumatic spinal injury (TSI). Although early intervention can improve outcomes for people who experience mental disorders or TSI, the incidence, management, and cost of this often complex comorbid health profile is not sufficiently understood. Objectives and ApproachIn a whole-population cohort of patients hospitalised with acute TSI, we aimed to describe the prevalence of pre-existing mental disorders, and compare differences in injury epidemiology, costs and inpatient allied health service access. Record-linkage study of all hospitalised cases of TSI between June 2013 and June 2016 in New South Wales, Australia. TSI was defined by specific ICD-10-AM codes. Mental disorder status was considered as pre-existing where specific ICD-10-AM codes were recorded in incident admissions. Results13,489 individuals sustained acute TSI during this study. 13.11%, 6.06%, and 1.82% had pre-existing mental illness, substance use disorder, and dual diagnosis, respectively. Individuals with mental disorder were older (p<0.001), more likely to have had a fall or self-harmed (p<0.001), experienced almost twice the length of stay and inpatient complications, and increased injury severity compared to individuals without mental disorder (p<0.001). Conclusion / ImplicationsIndividuals hospitalised for TSI with pre-existing mental disorder have greater likelihood of increased injury severity and more complex, costly acute care admissions compared to individuals without mental disorder. Care pathway optimisation including prevention of hospital acquired complications for people with pre-existing mental disorders hospitalised for TSI is warranted.

Functional performance in activities of daily living of individuals with a dual-diagnosis of schizophrenia and substance-use disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 1367-1367
Author(s):  
M. Desormeaux-Lefebvre ◽  
B. Tallant ◽  
I. Gelinas ◽  
N. Lariviere
Keyword(s):  
Substance Use ◽  
Activities Of Daily Living ◽  
Substance Use Disorder ◽  
Dual Diagnosis ◽  
Daily Living ◽  
Functional Performance ◽  
Cognitive Impairments ◽  
Addiction Severity Index ◽  
Grocery Shopping ◽  
Cross Sectional

IntroductionResearch on functional performance of individuals with schizophrenia and substance use is limited, focusing primarily on cognitive impairments. Research findings are conflicting, making it difficult to understand how these individuals function despite their cognitive impairments. There is a need to use performance-based assessments to understand how individuals with a dual-diagnosis accomplish their daily living activities.AimsTo describe the functional performance of individuals with a dual-diagnosis in two activities of daily living, using a performance-based assessment.ObjectivesTo compare the functional performance of individuals with a dual-diagnosis, in grocery shopping and budgeting.MethodsThis descriptive cross-sectional study included ten participants with a dual-diagnosis of schizophrenia and substance-use disorder, aged 21 to 35, living independently in the community. They were evaluated on two tasks, budgeting and grocery shopping, using the Perceive-Recall-Plan-Perform (PRPP) system of task analysis (Chapparo & Ranka, 2005). The PRPP is a standardized criterion-referenced task-based assessment, and is valuable in describing individuals’ community functioning with regards to information-processing difficulties. Substance use was evaluated with the Addiction Severity Index (McLellan et al., 1989).ResultsPreliminary results indicate lower scores on both tasks, in the planning quadrant of the PRPP, particularly the evaluating sub-quadrant, which involves cognitive monitoring and appraisal processes. This trend occurs despite the participant's prior familiarity with tasks. Conclusions: This study is a first step in describing the functional performance of individuals with a dual diagnosis of schizophrenia and substance use in activities of daily living. This information will lead to improved rehabilitation for these clients.

Subjects affected by a substance use disorder with or without a comorbid mental disorder: Looking for differential factors

2019 ◽  
Vol 29 ◽  
pp. S174-S175
Author(s):  
G. Mateu-Codina ◽  
F. Fonseca-Casals ◽  
M. Gratacos-Mayora ◽  
R. Martin-Santos ◽  
R. Sauras-Quetcuti ◽  
...  
Keyword(s):  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder

scholarly journals Cross‐national patterns of substance use disorder treatment and associations with mental disorder comorbidity in the WHO World Mental Health Surveys

Addiction ◽  
2019 ◽  
Vol 114 (8) ◽  
pp. 1446-1459 ◽  
Author(s):  
Meredith G. Harris ◽  
Chrianna Bharat ◽  
Meyer D. Glantz ◽  
Nancy A. Sampson ◽  
Ali Al‐Hamzawi ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
Health Surveys ◽  
Substance Use Disorder Treatment ◽  
World Mental Health ◽  
Disorder Treatment ◽  
Cross National

Early alcohol use as prognostic factor for severity in dually diagnosed patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S307-S308
Author(s):  
R. Martinez-Riera ◽  
G. Mateu-Codina ◽  
A. Farre-Martinez ◽  
J.L. Perez de Heredia ◽  
J. Marti-Bonany ◽  
...  
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorder ◽  
Dual Diagnosis ◽  
Late Onset ◽  
Long Run ◽  
Other Substances ◽  
Axis I ◽  
Competing Interest

ObjectivesDescribe the distinguishing characteristics between patients with early onset of alcohol use (EARLY, age < 15) and late onset of alcohol use (LATE, age > 16), both affected of acute non-substance use psychiatric disorders (non-SUD) and any substance use disorder admitted in a dual diagnosis unit.Material and methodsData on demographic, family, and clinical factors were gathered among subjects admitted to our dual diagnosis unit along three years, all of them meeting DSM-IV criteria of any non-substance related Axis I or II disorder and comorbid substance use disorder (SUD). Statistical analysis was performed by using SPSS program.ResultsWe show results of 748 patients (437 of EARLY group and 311 of LATE group). Predominantly male (73,53%) with a mean age of 39,60 ± 9,7 years. Most prevalent non-SUD psychiatric disorders were psychotic disorder (39,97%) and personality disorder (39,30%). In our sample, most common substances of abuse were Alcohol (45,05%) and Cocaine (30,35%). EARLY patients had an earlier first contact all substances as well as an earlier age of problematic consumption of cocaine, alcohol, opioids and nicotine; they also had major prevalence of opioid SUD, sedatives SUD and amphetamines SUD (see Tables 1, 2 and 3).ConclusionsPatients who began earlier their consumptions of alcohol had major prevalence of opioid, sedatives and amphetamine use. They also had earlier consumptions of other substances and earlier problematic consumptions of cocaine, alcohol, opioids and nicotine, what probably means greater severity of drug addiction in the long run.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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