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Prevalence and profile of people with co-occurring mental and substance use disorders within a comprehensive mental health system.
- Source :
- Canadian Journal of Psychiatry; Dec2008, Vol. 53 Issue 12, p810-821, 12p, 4 Charts, 1 Graph
- Publication Year :
- 2008
-
Abstract
- <bold>Objective: </bold>To examine the prevalence and profile of people with co-occurring mental and substance use disorders in relation to numerous demographic, diagnostic, and needs-related variables across a comprehensive system of mental health services using a standard methodology.<bold>Method: </bold>Data were collected on cases (n = 9839) sampled from specialty tertiary inpatient, specialty outpatient, and community-based mental health programs. Status with respect to co-occurring disorders was based on recorded diagnosis of substance use disorder and the substance abuse measure within the Colorado Client Assessment Record. The demographic and needs profile was compared across groups with or without co-occurring disorders within each level of care.<bold>Results: </bold>Overall, the prevalence of co-occurring disorders was 18.5%, and highest among clients receiving specialty tertiary inpatient care (28%), and within selected subpopulations such as younger adults (55%) and those with personality disorders (34%). There were few differences between groups based on co-occurring disorders in the specialty inpatient programs. For outpatient and community settings, the clients with co-occurring disorders were distinguished by a more impaired and complex needs profile and more likely to be young, single, male, and of low education. Across all levels of care, having a co-occurring disorder was strongly associated with antisocial and challenging behaviour, legal involvement, and risk of suicide or self-harm.<bold>Conclusion: </bold>The prevalence estimate of co-occurring disorders is likely representative of a multilevel system of care that serves a large, mixed urban and rural population. Results highlight the need to focus on specific subpopulations and sectors in pursuit of more integrated treatment and support for their mental health and addictions problems. [ABSTRACT FROM AUTHOR]
- Subjects :
- PEOPLE with intellectual disabilities
SUBSTANCE abuse
MENTAL health
PUBLIC health
PERSONALITY disorders
INPATIENT care
RURAL population
HEALTH education
DIAGNOSIS of alcoholism
PSYCHIATRIC diagnosis
PERSONALITY disorder diagnosis
PSYCHIATRIC epidemiology
DIAGNOSIS of schizophrenia
SUBSTANCE abuse diagnosis
AFFECTIVE disorders
ALCOHOLISM
OUTPATIENT medical care
COMPARATIVE studies
DUAL diagnosis
HOSPITAL admission & discharge
RESEARCH methodology
MEDICAL care
MEDICAL cooperation
PATIENTS
RESEARCH
SCHIZOPHRENIA
SURVEYS
COMORBIDITY
EVALUATION research
ANXIETY disorders
CROSS-sectional method
DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 07067437
- Volume :
- 53
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Canadian Journal of Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 36065728
- Full Text :
- https://doi.org/10.1177/070674370805301207