Review of Integrated treatment for mental illness, drug addiction and alcoholism across Alaska.

1996 ◽  
Vol 20 (2) ◽  
pp. 94-95
Author(s):  
Claire Griffin-Francell
1960 ◽  
Vol 106 (443) ◽  
pp. 537-542 ◽  
Author(s):  
R. M. Mowbray

In their evidence to the recent Royal Commission on the Law Relating to Mental Illness and Mental Deficiency the R.M.P.A. stated the problem of the psychopath in terms of delinquent or otherwise anti-social behaviour. After eliminating cases where such behaviour resulted from well-recognized forms of mental illness or defect, from psychoneurosis or organic disease or injury, their Memorandum went on to say that there remained a group of patients “whose daily behaviour shows a want of social responsibility and of consideration for others, of prudence and foresight and of ability to act in their own best interests. Their persistent anti-social mode of conduct may include inefficiency and lack of interest in any form of occupation; pathological lying, swindling and slandering; alcoholism and drug addiction, sexual offences, and violent actions with little motivation and an entire absence of self-restraint, which may go as far as homicide. Punishment, or the threat of punishment, influences their behaviour only momentarily and its more lasting effect is to intensify their vindictiveness and anti-social attitude.”


CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 892-904,925 ◽  
Author(s):  
Douglas M. Ziedonis

AbstractIndividuals with mental illness and addiction comprise at least half of the patients in most mental health treatment systems. This combination results in increased risk for frequent psychiatric relapses, poor medication compliance, violence, suicide, legal problems, and high utilization of the emergency room or inpatient services. Traditional mental health and addiction treatments have not adequately addressed these co-occurring disorders due to clinical interventions, programs, and system flaws that have not addressed the individual's needs. Integrated treatment requires both an understanding of mental illness and addiction and the means to integrate and modify the traditional treatment approaches in both the mental health and addiction treatment fields. There is strong evidence to support the efficacy and effectiveness of integrated treatment in this population. All mental health clinicians should become experienced and skilled in the core psychotherapy approaches to treating substance use disorders, including motivational enhancement therapy, relapse prevention (cognitive-behavioral therapy), and 12-step facilitation. In addition, integrated treatment includes integrating medications for both addiction and mental illness with the behavioral therapies and other psychosocial interventions. This article reviews the clinical intervention, program, and system components of integrated treatment and specific clinical interventions for this population.


2013 ◽  
Vol 6 (2) ◽  
pp. 150-168 ◽  
Author(s):  
Clifton M. Chow ◽  
Dow Wieman ◽  
Ben Cichocki ◽  
Helena Qvicklund ◽  
Dorothy Hiersteiner

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Amaladoss ◽  
K. MacCullam ◽  
B. MacPherson

Background:The incidence of substance use, abuse and dependence seem to be increasing (1). It is probable that underlying mental illness, may reinforce individual's continuing substance indulgence (2), and If not intervened early, the consequence of this not only affects individual health, but also poses the threat of them procreating future sufferers.Objective:To detect mental illness at an early stage, in young adults with drug indulging behavior, and early intervention could be attempted.Method:A pilot project has been undertaken, for young adults (16-20 years) with concurrent disorder providing integrated intensive treatment program for six months. 12 patients were enrolled the study and 8 patients completed the study. A questionnaire has been devised to detect the probable existence of concurrent disorders. Assessment in all tridimensional spheres and intervened concurrently by the multidisciplinary team members. The outcome measures with the patients and the personnel were assessed by an independent assessor. The sensitivity and specificity of the devised questionnaire, has been measured.Result:There is significant correlation between underlying mental illness with drug indulgence and specific drug preference with type of mental illness have been elicited. The outcome measures along with the sensitivity and specificity of the questionnaire have been found significantly positive.Conclusion:It seems that the integrated treatment program is quite effective although resource consuming.Limitation:Small sample and limited duration which needs further replication.


1994 ◽  
Vol 39 (5) ◽  
pp. 300-302 ◽  
Author(s):  
Yves Lamontagne ◽  
Normand Carpentier ◽  
Céline Hetu ◽  
Céline Lacerte-Lamontagne

A survey of 1,649 shoplifting convictions at a Montreal area municipal court found that a relatively low percentage (3.2%) of the cases involved mentally ill patients and that there is a comparatively closer link between shoplifting and affective disorders, alcoholism and drug addiction. The survey also showed that shoplifting is related more to mental illness than to the use of psychotropic drugs. The authors therefore reject the hypothesis of pharmacogenic shoplifting which has been reported in some studies on small numbers of shoplifters.


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