The impact of substance use disorder on the mental health among COVID-19 patients

Abstract Background: Court-mandated substance use disorder (SUD) treatment, as compared to nonmandated treatment, has been associated with increased retention and completion. However, whether child protective services (CPS)-mandated women’s residential SUD treatment leads to improved treatment retention in comparison to criminal justice (CJ)-mandated and nonmandated treatment remains unclear. Purpose: This study compared the number of days retained in residential SUD treatment among three referral sources (CPS, CJ, and nonmandated), while also examining whether having a co-occurring mental health disorder or certain mental health characteristics (increased stress, depression, anxiety, and PTSD symptomology) contributed to decreased retention. This study tested the hypothesis that women mandated by the CPS and CJ systems would have improved residential SUD treatment retention compared with nonmandated women. Methods: Multivariate regression analyses were conducted on data for a diverse sample of 245 women (Hispanic: N = 141, Black: N = 50, White: N = 50) mandated or nonmandated (CJ: N = 114, CPS: N = 82, nonmandated: N = 49) into residential SUD treatment to determine each group’s treatment retention outcomes. Results: Women mandated to SUD residential treatment regardless of source (CPS or CJ) remained in treatment significantly longer (CPS: M = 116.59 days, SD = 65.59, p = .023; CJ: M = 133.86 days, SD = 79.43, p = .028), compared to women not mandated (M = 96.11 days, SD = 72.09), representing a 34.4% and 31.6% increase, respectively. Findings further revealed a corresponding 2.3% decrease in retention (p = .024) for each one-unit increase in a patient’s stress score, whereas those with a co-occurring mental health diagnosis had a 43.6% decrease in SUD treatment retention (p < .001). Conclusions: This study highlights the importance of future research that examines the impact of referral source, co-occurring mental disorders, and stress on women’s residential SUD treatment retention.Further research is needed examining the variability in external motivation among referral sources compounded by dynamic intersections of risk associated with having a co-occurring disorder and stress on treatment retention.ClinicalTrials.gov Identifier: NCT02977988 (first posted November 30, 2016; last update posted October 7, 2019); U.S. NIH Grant/Contract: 5R01DA038648

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Opportunities to Integrate Mobile App–Based Interventions Into Mental Health and Substance Use Disorder Treatment Services in the Wake of COVID-19

American Journal of Health Promotion ◽

10.1177/08901171211055314 ◽

2021 ◽

pp. 089011712110553

Author(s):

Derek D. Satre ◽

Meredith C. Meacham ◽

Lauren D. Asarnow ◽

Weston S. Fisher ◽

Lisa R. Fortuna ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorder ◽

Mental Health Problems ◽

Mobile Apps ◽

Mobile App ◽

Future Research ◽

Substance Use Disorder Treatment ◽

Disorder Treatment ◽

The Impact

The COVID-19 pandemic has heightened concerns about the impact of depression, anxiety, alcohol, and drug use on public health. Mobile apps to address these problems were increasingly popular even before the pandemic, and may help reach people who otherwise have limited treatment access. In this review, we describe pandemic-related substance use and mental health problems, the growing evidence for mobile app efficacy, how health systems can integrate apps into patient care, and future research directions. If equity in access and effective implementation can be addressed, mobile apps are likely to play an important role in mental health and substance use disorder treatment.

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The impact of substance use on treatment as a compulsory patient

Australasian Psychiatry ◽

10.1177/1039856219852286 ◽

2019 ◽

Vol 27 (4) ◽

pp. 378-382

Author(s):

Ruth Vine ◽

Holly Tibble ◽

Jane Pirkis ◽

Matthew Spittal ◽

Fiona Judd

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorder ◽

Inpatient Treatment ◽

Subsequent Treatment ◽

Community Treatment ◽

Main Diagnosis ◽

The Impact ◽

Treatment Order ◽

Community Treatment Order

Objectives: This paper considers the impact of having a diagnosis of substance use disorder on the utilisation of compulsory orders under the Victorian Mental Health Act (2014). Methods: We analysed the subsequent treatment episodes over 2 years of people who had been on a community treatment order for at least 3 months and determined the odds of a further treatment order if there was a diagnosis of substance use at or about the time the index community treatment order ended. Results: An additional diagnosis of a substance use disorder was coded in 47.7% and was associated with significantly increased odds of a subsequent treatment order in the following 2 years for those with a main diagnosis of schizophrenia (AOR = 3.03, p<0.001) and ‘other’ disorders (AOR = 11.60, p=0.002). Those with a main diagnosis of mood disorder had a significant increase in odds for an inpatient treatment order if there was an additional substance use disorder diagnosis (AOR = 3.81, p=0.006). Conclusions: Having an additional diagnosis of substance use disorder was associated with increased likelihood of being placed on an order. This study supports greater emphasis being given to treatment of substance use concurrently with that of mental illness.

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Measuring the burden of mental illness and substance use and the level and impact of health care response in patients with spinal trauma: a record linkage study.

International Journal for Population Data Science ◽

10.23889/ijpds.v4i3.1218 ◽

2019 ◽

Vol 4 (3) ◽

Author(s):

Lisa Sharwood ◽

Bharat Vaikuntam ◽

Ashley Craig ◽

James Middleton ◽

Jesse Young

Keyword(s):

Mental Health ◽

Mental Illness ◽

Substance Use ◽

Social Work ◽

Acute Care ◽

Substance Use Disorder ◽

Record Linkage ◽

Recurrent Event ◽

Self Harm ◽

The Impact

Background with rationale Traumatic spinal injuries (TSI) include column fractures, spinal cord injury, or both. They are among the most severe injuries with potential long-term physical, psychological, and social consequences. Primary causes of TSIs are falls and motor vehicle crashes, however, mental illness and substance use are known to significantly increase all injury risk. Injury is also known to increase risks of mental deterioration and physical complications including self-harm and self-neglect. Main Aim We aimed to identify comorbid mental illness and/or substance use at incident TSI, quantifying associated costs and health service management of these inequities. Methods NSW record-linkage administrative data analyses (2013-2016) will determine accurate prevalence of mental illness and/or substance use disorder among all patients who sustained acute TSI during the study period. Using recurrent event analyses, we will estimate the contributions of mental illness and/or substance use disorder on the impact on hospital acquired complications (HAC), length of stay and costs; assessing records for social work and/or psychologist consultation. Results 13,489 individuals were hospitalised with acute TSI; 21% had either mental health and/or substance use diagnoses; 8.7% had both. These patients were more likely to have experienced falls or intentional self-harm, be male and have multiple comorbidity. Acute care stay and costs were on average twice that of patients with TSI without mental health and/or substance use diagnoses; additionally they were more than twice as likely to experience HACs. Only 56% of TSI patients with these comorbid conditions in the context of TSI, had documented social work or psychologist consultation. Conclusion Patients with mental illness and/or substance use disorder, experience significant health disparities that require concerted health system attention that should begin early in acute care.

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Congress Should Protect Coverage for Mental Health and Substance Use Disorder Treatment

PsycEXTRA Dataset ◽

10.1037/e502612019-001 ◽

2019 ◽

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorder ◽

Substance Use Disorder Treatment ◽

Disorder Treatment

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Letter to Marilyn Tavenner regarding application of strong Mental Health Parity and Addiction Equity Act protections to Medicaid enrollees seeking access to mental health and substance use disorder services and medical/surgical services

PsycEXTRA Dataset ◽

10.1037/e526222015-001 ◽

2015 ◽

Author(s):

Katherine C. Nordal

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorder ◽

Mental Health Parity ◽

Surgical Services

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Financing Mental Health and Substance Use Disorder Care Within Physical Health: A Look to the Future

Psychiatric Clinics of North America ◽

10.1016/j.psc.2007.11.001 ◽

2008 ◽

Vol 31 (1) ◽

pp. 11-25 ◽

Cited By ~ 9

Author(s):

Roger G. Kathol ◽

Steve Melek ◽

Byron Bair ◽

Susan Sargent

Keyword(s):

Mental Health ◽

Substance Use ◽

Physical Health ◽

Substance Use Disorder ◽

The Future

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Improving lives not just saying no to substances: Evaluating outcomes for a young people’s substance use team trained in the AMBIT approach

Clinical Child Psychology and Psychiatry ◽

10.1177/1359104521994875 ◽

2021 ◽

Vol 26 (2) ◽

pp. 490-504

Author(s):

Peter Fuggle ◽

Laura Talbot ◽

James Wheeler ◽

Jessica Rees ◽

Emily Ventre ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Alcohol Use ◽

Young People ◽

Peer Relationships ◽

Functional Outcomes ◽

Daily Living ◽

Mental Health Problems ◽

Integrative Therapy ◽

The Impact

Adaptive Mentalization Based Integrative Therapy (AMBIT) is a systemic, mentalization based intervention designed for young people with multiple problems including mental health problems. The purpose of this paper is to examine the impact of this approach both on clinical and functional outcomes for young people seen by a specialist young people’s substance use service between 2015 and 2018. About 499 cases were seen by the service during this period. Substance use outcomes were obtained for 383 cases using the Treatment Outcome Profile (TOP). Cannabis and alcohol use were the key substance use problems for 81% and 63% respectively. Functional outcomes using the AMBIT Integrative Measure (AIM) were obtained for 100 cases covering domains of daily living, socio-economic context, peer relationships and mental health. At treatment end, cannabis use reduced significantly ( t = 10.78; df = 311; p = .00; Cohen’s d ES.61 as did alcohol use ( t = 6.938; df = 242; p = .000; ES 0.44). Functional improvements were shown in five out of seven domains with highly significant total functional improvements on key problems selected by the client ( t = 14.01; df = 99; p = .000; ES1.34). Measuring functional as well as clinical outcomes appears to reflect more accurately the overall benefit of the service to clients.

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