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Dual Diagnosis in a State Psychiatric Facility: Risk Factors, Correlates, and Phenomenology of Use
Author(s) -
Alexander Mary Jane,
Craig Thomas J.,
MacDonald Jack,
Haugland Gary
Publication year - 1994
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.1994.tb00248.x
Subject(s) - psychiatry , dual diagnosis , substance abuse , mental health , mental illness , childhood abuse , medicine , substance use , clinical psychology , psychology , suicide prevention , child abuse , poison control , medical emergency
Patients admitted to a state psychiatric facility were interviewed to ascertain the co‐occurrence of mental illness and chemical abuse (MI/CA), lifetime substance use, childhood experiences, current living conditions, and use of mental health services. Of the sample, 49% currently had MI/CA, and 20% more had used multiple substances. MI/CA patients were more likely to have been exposed to multiple early risk factors for substance use, including familial substance abuse, mental illness, and physical abuse. They were also younger, male, and experienced more adult homelessness, legal trouble, and family conflict. These results demonstrate the continuing need to develop MI/CA programs.