Historique
Article de Périodique
Comorbidity of substance misuse and mental illness in community mental health and substance misuse services (2003)
Auteur(s) :
WEAVER, T. ;
MADDEN, P. ;
CHARLES, V. ;
STIMSON, G. ;
RENTON, A. ;
TYRER, P. ;
BARNES, T. ;
BENCH, C. ;
MIDDLETON H. ;
WRIGHT, N. ;
PATERSON, S. ;
SHANAHAN, W. ;
SEIVEWRIGHT, N. ;
FORD, C. ;
COMORBIDITY OF SUBSTANCE MISUSE AND MENTAL ILLNESS COLLABORATIVE STUDY TEAM
Année
2003
Page(s) :
304-313
Langue(s) :
Anglais
Refs biblio. :
34
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
TROUBLE BIPOLAIRE
;
PRODUIT ILLICITE
;
COMORBIDITE
;
ENQUETE
;
MEDICAMENTS
;
ALCOOL
;
ANXIETE
;
DEPRESSION
;
PSYCHOSE
;
ETUDE TRANSVERSALE
;
STRUCTURE DE PROXIMITE
Thésaurus géographique
ROYAUME-UNI
Résumé :
BACKGROUND: Improved management of mental illness and substance misuse comorbidity is a National Health Service priority, but little is known about its prevalence and current management.
AIMS: To measure the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management.
METHOD: Cross-sectional prevalence survey in four urban UK centres.
RESULTS: Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention.
CONCLUSIONS: Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
AIMS: To measure the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management.
METHOD: Cross-sectional prevalence survey in four urban UK centres.
RESULTS: Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention.
CONCLUSIONS: Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
Affiliation :
Dpt of Social Science and Medicine, Imperial College London, Charing Cross Campus, The Reynolds Building, St Dunstan's Rd, London, UK
Cote :
A01537