scholarly journals Correction to: A Substance Use Treatment Programme for Mentally Ill Forensic Patients in an Australian Setting: a Pilot Study of Feasibility, Acceptability and Preliminary Efficacy

Author(s):  
Daniel McFadden ◽  
Katrina Prior ◽  
Emma L. Barrett
Author(s):  
N.M. Gamage ◽  
C. Darker ◽  
B.P. Smyth

Objectives: Adolescents with substance use disorders (SUDs) exhibit high rates of comorbid psychological problems. This study aimed to examine the impact of an outpatient substance use treatment programme upon the psychological wellbeing of adolescents. Methods: A prospective study was carried out examining psychological symptoms in a group of adolescents attending the Youth Drug and Alcohol (YoDA) Addiction Service in Dublin. Participants were treated with evidenced based psychological models such as cognitive behavioural therapy, motivational interviewing and systemic family therapy. The Becks Youth Inventory was utilised to assess psychological symptoms at treatment entry and repeated three months later at follow up. Results: Among 36 adolescents who were included in this study, poly-substance misuse was the norm. Almost three-quarter had a cannabis use disorder (CUD). There were significant reductions in mean subscale scores of depression (56.0 to 50.8, p = 0.003), anger (55.2 to 49.5, p < 0.001) and disruptive behaviour (61.6 to 56.5, p = 0.002) at follow up. Although there wasn’t a statistically significant reduction in mean scores for anxiety, we observed a significant proportion of participants (p = 0.008) improving and moving out of a moderate to severe symptom range when examined by category. This was also the case for self-concept (p = 0.04). Furthermore this study revealed a positive correlation between the reduction in days of cannabis use and reduction in depressive scores (Pearson correlation 0.49, p = 0.01) among those with a CUD. Conclusion: The findings indicate that substance use treatment for adolescents is associated with important psychological and behavioural improvements.


2021 ◽  
Author(s):  
Daniel McFadden ◽  
Katrina Prior ◽  
Helen Miles ◽  
Sunny Hemraj ◽  
Emma L. Barrett

2015 ◽  
Vol 8 (2) ◽  
pp. 90-101 ◽  
Author(s):  
Helen Miles

Purpose – The treatment of substance use amongst mentally disordered offenders (MDOs) remains a challenge for secure forensic mental health services. The purpose of this paper is to present an integrated three-stage substance use treatment programme (SUTP) for male and female MDO’s in medium security. Design/methodology/approach – In total, 45 (72.6 per cent) MDO’s were referred (39 males/6 females). Standardised outcome measures were administered pre-SUTP, post-SUTP and at one year follow-up. Abstinence rates and location was determined via case notes at three year follow-up. Findings – All MDO’s had a past history of substance use, approximately three-quarters reporting problematic use prior to admission. Over half completed all three SUTP stages, less than 5 per cent dropping out during active treatment. The SUTP supported abstinence throughout the one year follow-up period and significantly improved MDO’s adaptive beliefs about substances and craving by one year follow-up amongst attendees. At three years, most MDO’s were in the community and almost three-quarters were abstinent. There was no significant difference in abstinent rates between community and hospital. There was a non-significant trend suggesting SUTP attendance supported abstinence. Both male and female participants appear to have benefited from treatment and satisfaction was high, reflecting the specific aims and objectives of treatment. Research limitations/implications – The small non-randomised sample from one area limits the generalisability of findings and statistical power. Originality/value – Findings indicate further support for the limited evidence base that small but clinically meaningful and maintained changes to problematic substance use are possible following integrated substance use treatment for male and female MDO’s.


2000 ◽  
Vol 95 (3) ◽  
pp. 261-270 ◽  
Author(s):  
Annelle B Primm ◽  
Marisela P Gomez ◽  
Ilina Tzolova-Iontchev ◽  
Walter Perry ◽  
Rosa M Crum

2021 ◽  
pp. 101571
Author(s):  
Brittany T. Smith ◽  
Michael R. Brumage ◽  
Keith J. Zullig ◽  
Elizabeth A. Claydon ◽  
Megan L. Smith ◽  
...  

2014 ◽  
Vol 37 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Kristin E. Davis ◽  
Tim Devitt ◽  
Sheila O'Neill ◽  
Susan M. Kaiser ◽  
Kim T. Mueser

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