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A brief motivational intervention for substance misuse in recent‐onset psychosis
Author(s) -
KAVANAGH DAVID J.,
YOUNG ROSS,
WHITE ANGELA,
SAUNDERS JOHN B.,
WALLIS JEFF,
SHOCKLEY NATALIE,
JENNER LINDA,
CLAIR ANNE
Publication year - 2004
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1080/09595230410001704127
Subject(s) - psychosis , intervention (counseling) , psychology , psychiatry , substance misuse , substance use , clinical psychology , psychotherapist , medicine , mental health
Substance misuse is common in early psychosis, and impacts negatively on outcomes. Little is known about effective interventions for this population. We report a pilot study of brief intervention for substance misuse in early psychosis (Start Over and Survive: SOS), comparing it with Standard Care (SC). Twenty‐five in‐patients aged 18 – 35 years with early psychosis and current misuse of non‐opioid drugs were allocated randomly to conditions. Substance use and related problems were assessed at baseline, 6 weeks and 3, 6 and 12 months. Final assessments were blind to condition. All 13 SOS participants who proceeded to motivational interviewing reported less substance use at 6 months, compared with 58% (7/12) in SC alone. Effects were well maintained to 12 months. However, more SOS participants lived with a relative or partner, and this also was associated with better outcomes. Engagement remained challenging: 39% (16/41) declined participation and 38% (5/13) in SOS only received rapport building. Further research will increase sample size, and address both engagement and potential confounds.