The Association of Gabapentin Use and Dose With Substance Use Disorders Prior to Inpatient Mental Health Treatment

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.

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Integrated Substance Use and Mental Health Treatment for Adolescents: Aligning Organizational and Financial Incentives

Journal of Child and Adolescent Psychopharmacology ◽

10.1089/cap.2005.15.826 ◽

2005 ◽

Vol 15 (5) ◽

pp. 826-834 ◽

Cited By ~ 22

Author(s):

Anne M. Libby ◽

Paula D. Riggs

Keyword(s):

Mental Health ◽

Substance Use ◽

Mental Health Treatment ◽

Financial Incentives ◽

Health Treatment

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Trauma exposure and post-traumatic stress symptoms among men and women in a substance use and mental health treatment court sample

Journal of Offender Rehabilitation ◽

10.1080/10509674.2019.1706687 ◽

2020 ◽

Vol 59 (3) ◽

pp. 117-137

Author(s):

Krystel Tossone ◽

M. Baughman

Keyword(s):

Mental Health ◽

Substance Use ◽

Traumatic Stress ◽

Mental Health Treatment ◽

Post Traumatic Stress ◽

Health Treatment ◽

Men And Women ◽

Stress Symptoms ◽

Post Traumatic ◽

Treatment Court

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Web-Based Graphic Representation of the Life Course of Mental Health: Cross-Sectional Study Across the Spectrum of Mood, Anxiety, Eating, and Substance Use Disorders

JMIR Mental Health ◽

10.2196/16919 ◽

2020 ◽

Vol 7 (1) ◽

pp. e16919 ◽

Cited By ~ 4

Author(s):

Robin Leora Aupperle ◽

Martin P Paulus ◽

Rayus Kuplicki ◽

James Touthang ◽

Teresa Victor ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Substance Use ◽

Psychiatric Disorders ◽

Mental Health Treatment ◽

Mental Illnesses ◽

Graphical Representations ◽

Positive Events ◽

Health Treatment ◽

Web Based

Background Although patient history is essential for informing mental health assessment, diagnosis, and prognosis, there is a dearth of standardized instruments measuring time-dependent factors relevant to psychiatric disorders. Previous research has demonstrated the potential utility of graphical representations, termed life charts, for depicting the complexity of the course of mental illness. However, the implementation of these assessments is limited by the exclusive focus on specific mental illnesses (ie, bipolar disorder) and the lack of intuitive graphical interfaces for data collection and visualization. Objective This study aimed to develop and test the utility of the Tulsa Life Chart (TLC) as a Web-based, structured approach for obtaining and graphically representing historical information on psychosocial and mental health events relevant across a spectrum of psychiatric disorders. Methods The TLC interview was completed at baseline by 499 participants of the Tulsa 1000, a longitudinal study of individuals with depressive, anxiety, substance use, or eating disorders and healthy comparisons (HCs). All data were entered electronically, and a 1-page electronic and interactive graphical representation was developed using the Google Visualization Application Programming Interface. For 8 distinct life epochs (periods of approximately 5-10 years), the TLC assessed the following factors: school attendance, hobbies, jobs, social support, substance use, mental health treatment, family structure changes, negative and positive events, and epoch and event-related mood ratings. We used generalized linear mixed models (GLMMs) to evaluate trajectories of each domain over time and by sex, age, and diagnosis, using case examples and Web-based interactive graphs to visualize data. Results GLMM analyses revealed main or interaction effects of epoch and diagnosis for all domains. Epoch by diagnosis interactions were identified for mood ratings and the number of negative-versus-positive events (all P values <.001), with all psychiatric groups reporting worse mood and greater negative-versus-positive events than HCs. These differences were most robust at different epochs, depending on diagnosis. There were also diagnosis and epoch main effects for substance use, mental health treatment received, social support, and hobbies (P<.001). User experience ratings (each on a 1-5 scale) revealed that participants found the TLC pleasant to complete (mean 3.07, SD 1.26) and useful for understanding their mental health (mean 3.07, SD 1.26), and that they were likely to recommend it to others (mean 3.42, SD 0.85). Conclusions The TLC provides a structured, Web-based transdiagnostic assessment of psychosocial history relevant for the diagnosis and treatment of psychiatric disorders. Interactive, 1-page graphical representations of the TLC allow for the efficient communication of historical life information that would be useful for clinicians, patients, and family members.

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