Jesse B Fletcher, Steven Shoptaw, James A Peck, Cathy J Reback
{"title":"Contingency Management Reduces Symptoms of Psychological and Emotional Distress among Homeless, Substance-dependent Men Who Have Sex with Men.","authors":"Jesse B Fletcher, Steven Shoptaw, James A Peck, Cathy J Reback","doi":"10.1080/17523281.2014.892897","DOIUrl":"https://doi.org/10.1080/17523281.2014.892897","url":null,"abstract":"<p><strong>Background: </strong>This prospective analysis evaluated the efficacy of a contingency management (CM) intervention to improve the psychological health of non-treatment seeking, homeless, substance-dependent, men who have sex with men in Los Angeles. It was hypothesized that administration of CM would be associated with reductions in participants' symptoms of psychological and emotional distress.</p><p><strong>Methods: </strong>One hundred and thirty-one participants were randomized into either a voucher-based contingency management (CM; <i>n</i> = 64) condition reinforcing substance abstinence and prosocial/health-promoting behaviors, or to a control condition (<i>n</i> = 67). Participants' symptoms of psychological and emotional distress were assessed at intake and at 12-months post-randomization.</p><p><strong>Results: </strong>Participants randomized into the CM intervention exhibited significantly lower levels of psychological distress in all measured symptom domains up to one year post randomization, reductions not evidenced in the control arm. Omnibus tests resultant from seemingly unrelated regression analysis confirmed that CM was significantly associated with reductions in symptoms of psychological and emotional distress, even when controlling for biomarker-confirmed substance use outcomes (χ<sup>2</sup><sub>(9)</sub> = 17.26; <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Findings demonstrate that a CM intervention reduced symptoms of psychological and emotional distress among a sample of non-treatment seeking, homeless, substance-dependent men who have sex with men.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 4","pages":"420-430"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2014.892897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32787253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Magura, Pedro F Mateu, Andrew Rosenblum, Harlan Matusow, Chunki Fong
{"title":"Risk factors for medication non-adherence among psychiatric patients with substance misuse histories.","authors":"Stephen Magura, Pedro F Mateu, Andrew Rosenblum, Harlan Matusow, Chunki Fong","doi":"10.1080/17523281.2013.839574","DOIUrl":"https://doi.org/10.1080/17523281.2013.839574","url":null,"abstract":"<p><p>Medication non-adherence among psychiatric patients is known to be associated with poorer treatment outcomes. The study examined a comprehensive set of modifiable risk factors for non-adherence in a theoretical framework among a diverse, high risk sample of psychiatric patients with substance misuse histories (N=299). Medication side effects and excessive alcohol use were related to lower medication adherence and higher motivation for mental health treatment and recovery support were related to greater adherence. The results suggest that a multifaceted model for intervention to increase psychiatric medication adherence should be developed and tested.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 4","pages":"381-390"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2013.839574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32741346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Henderson, J. Klimas, C. Dunne, D. Leddin, D. Meagher, T. O'toole, W. Cullen
{"title":"Key performance indicators for mental health and substance use disorders: a literature review and discussion paper","authors":"C. Henderson, J. Klimas, C. Dunne, D. Leddin, D. Meagher, T. O'toole, W. Cullen","doi":"10.1080/17523281.2014.901402","DOIUrl":"https://doi.org/10.1080/17523281.2014.901402","url":null,"abstract":"With increasing recognition of the importance of mental and substance use disorders for population health and health systems and the potential value of systems-based performance indicators in addressing this issue, we aimed to describe the development and content of key performance indicators for mental and substance use disorders. Publications were identified through official websites, Google searches and PubMed. Following ‘PRISMA’ guidelines, twenty-five studies were kept for qualitative synthesis and six for quantitative analysis. We describe their use in practice by comparing their application across a range of public and mixed healthcare systems. Currently, key performance indicator development for mental and substance use disorders adopts several methodologies, including expert opinion, literature review, stakeholder consultation and the structured consensus method. The rationales provided for selection of particular key performance indicators vary greatly between systems. Systems exhibit different levels of key performance indicator adaptability, which is reflective of dynamic changes in evidence-based practices. We noted bias in the level of key performance indicator assessment towards system/health plan evaluation followed by programme/service evaluation. Similarly, there is a large skew towards key performance indicators that reflect evaluation of processes. Collection of data in all systems is nearly exclusively reliant on electronic administrative/medical data. Experiences from these systems are synthesized into methodological recommendations, and considerations for further research and clinical practice are provided.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"17 1","pages":"407-419"},"PeriodicalIF":0.0,"publicationDate":"2014-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83798719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Brener, Grenville J. Rose, C. Treloar, E. Cama, Melanie Whiticker
{"title":"Mental health support workers’ attitudes towards hepatitis C and injecting drug use: barriers to recovery?","authors":"L. Brener, Grenville J. Rose, C. Treloar, E. Cama, Melanie Whiticker","doi":"10.1080/17523281.2013.806951","DOIUrl":"https://doi.org/10.1080/17523281.2013.806951","url":null,"abstract":"People with a mental illness may be at increased risk of acquiring blood borne viruses, such as hepatitis C. Hepatitis C is highly stigmatized, largely as a result of its association with injecting drug use. Mental illness is also stigmatized and hence people with a mental illness and hepatitis C may face a type of double stigma. This study explored the impact of hepatitis C-related stigma on care and support for people with a mental illness. Cross-sectional surveys were conducted with 117 mental health support workers from a community managed organisation. Surveys assessed support workers' attitudes towards hepatitis C and people who inject, and whether these attitudes influence support workers' level of comfort with and perceived capability in working with clients who have hepatitis C and a mental illness. Surveys also investigated support workers' feelings about recovery in relation to clients with a mental illness who also have hepatitis C. Data indicate that workers’ attitudes towards people with hep...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"61 1","pages":"217-229"},"PeriodicalIF":0.0,"publicationDate":"2014-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88891776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Posselt, C. Galletly, C. Crespigny, Imelda Cairney, J. Moss, Dennis Liu, H. Francis, Janet Kelly, N. Procter, Andris Banders
{"title":"Ethics overload: impact of excessive ethical review on comorbidity research","authors":"M. Posselt, C. Galletly, C. Crespigny, Imelda Cairney, J. Moss, Dennis Liu, H. Francis, Janet Kelly, N. Procter, Andris Banders","doi":"10.1080/17523281.2014.880730","DOIUrl":"https://doi.org/10.1080/17523281.2014.880730","url":null,"abstract":"Miriam Posselt, Cherrie Galletly, Charlotte de Crespigny, Imelda Cairney, John Moss, Dennis Liu, Hepsibah Francis, Janet Kelly, Nicholas Procter and Andris Banders","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"53 47","pages":"184-194"},"PeriodicalIF":0.0,"publicationDate":"2014-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2014.880730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72445906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley N. Linden, C. Lau-Barraco, Brittany F. Hollis
{"title":"Associations between psychological distress and alcohol outcomes as mediated by time perspective orientation among college students","authors":"Ashley N. Linden, C. Lau-Barraco, Brittany F. Hollis","doi":"10.1080/17523281.2013.785443","DOIUrl":"https://doi.org/10.1080/17523281.2013.785443","url":null,"abstract":"The present study examined time perspective orientation as an underlying factor in explaining the associations between psychological health and alcohol use outcomes. Participants were 250 college students (182 women) from a mid-size public university. Participants completed measures of time perspective orientation, alcohol consumption and problems, and psychological symptomatology. Mediational analyses revealed that past-negative time perspective acted as an underlying mechanism in the relationships between all psychological symptoms variables (e.g. anxiety, depression) and alcohol-related problems. Our findings indicate that having a pessimistic view of one's past may help explain the positive relationship between poorer mental health symptoms and alcohol-related problems. Intervention strategies could be developed to focus more specifically on time perspective in this population.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"108 1","pages":"134-143"},"PeriodicalIF":0.0,"publicationDate":"2014-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88212908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empirical examination of a Venn diagram heuristic for understanding the relationship between addiction, psychiatric comorbidity and trauma","authors":"Julio I. Rojas, Michael W. Brand, Ji Li","doi":"10.1080/17523281.2013.775959","DOIUrl":"https://doi.org/10.1080/17523281.2013.775959","url":null,"abstract":"Addiction, psychiatric comorbidity and trauma are common among patients and associated with a more complex course and poorer prognosis. The lack of a framework for understanding these chronic, complex conditions creates difficulties for clinicians and patients. A Venn diagram heuristic was previously proposed to conceptualize the relationship between addiction, psychiatric illness and trauma ([Rojas, J. I. (2012). A Venn diagram heuristic for working with co-occurring disorders and trauma. Mental Health and Substance Use, iFirst Article, 1–10. doi:10.1080/17523281.2012.712050]). We were interested in examining the relationship between addiction, psychiatric illness and trauma via retrospective chart reviews among the participants evaluated in our outpatient program for impaired professionals. The current study sought to empirically examine the Venn diagram heuristic by using objective psychological test results from the Personality Assessment Inventory (PAI). Specifically, we sought to determine the degre...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"70 1","pages":"84-91"},"PeriodicalIF":0.0,"publicationDate":"2014-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74116255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Baldacchino, L. Merinder, J. Neufeind, M. Gervin, C. Lack, J. Meder, J. Sieroslawski, T. Greacen, E. Hyldager, C. Clancy, M. Sorsa, H. Laijarvi, Katarzyna Charzyńska, K. Baeck-Moller
{"title":"Predictors of service use of patients with co-morbid mental health and substance use disorders across seven European sites","authors":"A. Baldacchino, L. Merinder, J. Neufeind, M. Gervin, C. Lack, J. Meder, J. Sieroslawski, T. Greacen, E. Hyldager, C. Clancy, M. Sorsa, H. Laijarvi, Katarzyna Charzyńska, K. Baeck-Moller","doi":"10.1080/17523281.2012.754370","DOIUrl":"https://doi.org/10.1080/17523281.2012.754370","url":null,"abstract":"The purpose of this study was to identify factors which predict service use over time in patients with co-morbid mental health and substance use disorders (dual diagnosis). Three hundred and fifty-two patients with dual diagnosis were recruited from acute psychiatric inpatient units at seven European sites. At baseline and 9 months follow-up, socio-demographic and clinical information, as well as information concerning the use of treatment services was collected. Predictors for use of psychiatric and substance misuse services at follow-up were studied using multinomial logistic regression models. At follow-up, patients with dual diagnosis used psychiatric services significantly more than substance use services. The main predictor of service use at follow-up is influenced by the study site and not by psychopathology. More networking and signposting are needed especially for substance misuse services. Service provision and planning can improve access of vulnerable populations even when psychopathology improves.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"54 1","pages":"31-58"},"PeriodicalIF":0.0,"publicationDate":"2014-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91137611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bradley T Kerridge, Tulshi D Saha, Deborah S Hasin
{"title":"DSM-IV schizotypal personality disorder: a taxometric analysis among individuals with and without substance use disorders in the general population.","authors":"Bradley T Kerridge, Tulshi D Saha, Deborah S Hasin","doi":"10.1080/17523281.2014.946076","DOIUrl":"https://doi.org/10.1080/17523281.2014.946076","url":null,"abstract":"<p><p>This study examined the underlying structure of DSM-IV schizotypal personality disorder (SPD) among individuals with and without a substance use disorder. Using a nationally representative sample of U.S. adults, taxometric analyses were conducted on SPD in the total sample and among individuals with and without a substance use disorder. The structure of SPD in the total sample and among individuals without substance use disorders was dimensional (comparison curve fit indices (CCFI): 0.440, 0.365) whereas a taxonic structure was demonstrated among individuals with a substance use disorder (CCFI: 0.679). Taxonicity underlying schizotypy and SPD in prior taxometric research may have been the result of sampling high risk subsamples of the population. Taxometric research on SPD and other personality psychopathology among high risk subgroups of the population can help elucidate the complex etiology of SPD and the role played by comorbid substance use disorders in the expressivity of these disorders.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 4","pages":"446-460"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2014.946076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34031032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan C Shorey, Hope Brasfield, Scott Anderson, Gregory L Stuart
{"title":"Early Maladaptive Schemas in a Sample of Airline Pilots seeking Residential Substance Use Treatment: An Initial Investigation.","authors":"Ryan C Shorey, Hope Brasfield, Scott Anderson, Gregory L Stuart","doi":"10.1080/17523281.2013.770414","DOIUrl":"10.1080/17523281.2013.770414","url":null,"abstract":"<p><strong>Background: </strong>Recent research has begun to examine the early maladaptive schemas of substance abusers, as it is believed that targeting these core beliefs in treatment may result in improved substance use outcomes. One special population that has received scant attention in the research literature, despite high levels of substance use, is airline pilots.</p><p><strong>Aims: </strong>The current study examined the early maladaptive schemas of a sample of airline pilots (<i>n</i> = 64) who were seeking residential treatment for alcohol dependence and whether they differed in early maladaptive schemas from non-pilot substance abusers who were also seeking residential treatment for alcohol dependence (<i>n</i> = 45).</p><p><strong>Method: </strong>Pre-existing medical records from patients of a residential substance abuse treatment facility were reviewed for the current study.</p><p><strong>Results: </strong>Of the 18 early maladaptive schemas, results demonstrated that pilots scored higher than non-pilots on the early maladaptive schema of unrelenting standards (high internalized standards of behavior), whereas non-pilots scored higher on insufficient self-control (low frustration tolerance and self-control).</p><p><strong>Conclusions: </strong>Early maladaptive schemas may be a relevant treatment target for substance abuse treatment seeking pilots and non-pilots.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 1","pages":"75-83"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970821/pdf/nihms-566038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32236183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}