Mental health and addiction services have traditionally evolved separately in many European countries, with policy reflecting this. Differences in severity profiles between users of the community addiction services with comorbidities of mental illness and substance misuse and those with substance misuse only were studied using a matched case-control study design, with regard to the main substance (opiates or cocaine) patients were dependent on. Patterns of substance abuse and diagnostic features were evaluated according to the Addiction Severity Index (ASI) and DSM-IV. Mentally ill substance abusers are significantly more likely to have used amphetamines, inhalants and having been polydrug users. They are particularly impaired in medical and family/social relationships ASI composite scores, but less in drug use. Severity profiles and needs of dually diagnosed patients require assessment and treatment skills that should be provided through adequate links with mental health system. Copyright © 2006 S. Karger AG.

Carra', G., Scioli, R., Monti, M., Marinoni, A. (2006). Severity profiles of substance-abusing patients in Italian community addiction facilities: Influence of psychiatric concurrent disorders. EUROPEAN ADDICTION RESEARCH, 12(2), 96-101 [10.1159/000090429].

Severity profiles of substance-abusing patients in Italian community addiction facilities: Influence of psychiatric concurrent disorders

CARRA', GIUSEPPE
Primo
;
2006

Abstract

Mental health and addiction services have traditionally evolved separately in many European countries, with policy reflecting this. Differences in severity profiles between users of the community addiction services with comorbidities of mental illness and substance misuse and those with substance misuse only were studied using a matched case-control study design, with regard to the main substance (opiates or cocaine) patients were dependent on. Patterns of substance abuse and diagnostic features were evaluated according to the Addiction Severity Index (ASI) and DSM-IV. Mentally ill substance abusers are significantly more likely to have used amphetamines, inhalants and having been polydrug users. They are particularly impaired in medical and family/social relationships ASI composite scores, but less in drug use. Severity profiles and needs of dually diagnosed patients require assessment and treatment skills that should be provided through adequate links with mental health system. Copyright © 2006 S. Karger AG.
Articolo in rivista - Articolo scientifico
Addiction Severity Index; DSM-IV; Mental disorders; Substance-related disorders; Adult; Case-Control Studies; Cocaine-Related Disorders; Comorbidity; Diagnosis, Dual (Psychiatry); Female; Heroin Dependence; Humans; Italy; Male; Mental Disorders; Needs Assessment; Personality Assessment; Statistics as Topic; Substance Abuse Treatment Centers; Treatment Outcome; Medicine (miscellaneous)
English
2006
12
2
96
101
none
Carra', G., Scioli, R., Monti, M., Marinoni, A. (2006). Severity profiles of substance-abusing patients in Italian community addiction facilities: Influence of psychiatric concurrent disorders. EUROPEAN ADDICTION RESEARCH, 12(2), 96-101 [10.1159/000090429].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/126529
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