One-Year Follow-Up of Secondary Versus Primary Mental Disorder in Persons With Comorbid Substance Use Disorders

OBJECTIVE: Service utilization and outcomes of dually diagnosed patients with independent mental disorders and those with substance-induced mental disorders were compared. METHOD: Diagnosis, service use, and severity of substance use problems at baseline and 1 year later were assessed in consecutive...

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Published in:The American journal of psychiatry 1997-11, Vol.154 (11), p.1610-1612
Main Authors: Dixon, Lisa, McNary, Scot, Lehman, Anthony
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Comorbidity
Diagnosis, Dual (Psychiatry)
Drug abuse
Female
Follow-Up Studies
Followup studies
Health services utilization
Humans
Inner cities
Male
Medical sciences
Mental disorders
Mental Disorders - diagnosis
Mental health
Middle Aged
Organization of mental health. Health systems
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Severity of Illness Index
Social psychiatry. Ethnopsychiatry
Substance abuse treatment
Substance abusers
Substance-Related Disorders - diagnosis
USA
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Summary:OBJECTIVE: Service utilization and outcomes of dually diagnosed patients with independent mental disorders and those with substance-induced mental disorders were compared. METHOD: Diagnosis, service use, and severity of substance use problems at baseline and 1 year later were assessed in consecutively admitted inpatients with independent mental disorders plus substance use disorders (N=71), substance-induced mental disorders plus substance use disorders (N=38), and independent mental disorders only (N=59). RESULTS: At follow-up, patients with substance-induced mental disorders at baseline were more likely to have been rehospitalized than the other groups, were more likely to have used outpatient substance abuse services, were less likely to have an independent mental disorder, and had the most severe alcohol- and drug-related impairment. CONCLUSIONS: Treatment programs for both types of dual diagnosis patients must address mental health concerns. (Am J Psychiatry 1997; 154:1610-1612)
ISSN:0002-953X
1535-7228
DOI:10.1176/ajp.154.11.1610