scholarly journals Provider-Level Effects on Psychiatric Inpatient Length of Stay for Youth With Mental Health and Substance Abuse Disorders

Medical Care ◽  
2008 ◽  
Vol 46 (3) ◽  
pp. 240-246 ◽  
Author(s):  
Elizabeth Gifford ◽  
E Michael Foster
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Length Of Stay ◽  
Psychiatric Inpatient ◽  
Substance Abuse Disorders ◽  
Inpatient Length Of Stay

Substance Abuse in Older Psychiatric Inpatients

2017 ◽  
Vol 63 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Tilman Wetterling ◽  
Klaus Junghanns
Keyword(s):  
Substance Abuse ◽  
Substance Abusers ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
Severe Withdrawal ◽  
Psychiatric Inpatient Treatment ◽  
Clinical Diagnoses ◽  
Multiple Substance ◽  
Icd 10 ◽  
Substance Abuse Disorders

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.

scholarly journals A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay

2019 ◽  
Vol 70 (2) ◽  
pp. 156-158 ◽  
Author(s):  
Timothy Schmutte ◽  
Laurie Van der Heide ◽  
Lori Szczygiel ◽  
Ann Phelan ◽  
Larry Davidson ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Pay For Performance ◽  
Psychiatric Inpatient ◽  
Inpatient Length Of Stay

Substance Abuse Co-Occurrence with Mental Health Issues

2021 ◽  
pp. 262-283
Author(s):  
Kirstin Painter ◽  
Maria Scannapieco
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Intervention Strategy ◽  
Screening Tools ◽  
Health Issues ◽  
Emotional Symptoms ◽  
Family Issues ◽  
Substance Abuse Disorders ◽  
Abused Drugs ◽  
Alcohol And Other Drugs

Substance abuse, including the use of alcohol and other drugs, is one of the most prevalent disorders among adolescents and young adults, co-occurring with many other psychiatric and mental health disorders. Some use of alcohol and drugs can be expected during adolescence; however, it is necessary to use screening tools to differentiate between misuse of drugs and alcohol and substance abuse. Some brief and comprehensive screening instruments are mentioned in this chapter for future reference. General indicators of substance abuse disorders such as physical and emotional symptoms, family issues, and social problems are explored, and the chapter discusses some of the most commonly abused drugs. Emphasis is put on incorporating treatments of substance abuse with treatments of mental illness for a more comprehensive intervention strategy for people with co-occurring disorders.

Psychiatric Disability in Ontario

1996 ◽  
Vol 41 (9) ◽  
pp. 564-571 ◽  
Author(s):  
Paula Goering ◽  
Elizabeth Lin ◽  
Dugal Campbell ◽  
Michael H Boyle ◽  
David R Offord
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Psychiatric Disorder ◽  
Affective Disorders ◽  
Community Sample ◽  
Psychiatric Disability ◽  
Life Domains ◽  
Economic Costs ◽  
Substance Abuse Disorders ◽  
Service Need

Objective To describe the disability associated with psychiatric disorder in a community sample in order to refine estimates of service need and identify subgroups with greater priority for intervention. Method Disability is conceptualized broadly as performance difficulties, troubled relationships, and dissatisfaction in various life domains. Data from the Mental Health Supplement are used to compare disability between those with and without disorder and among various subtypes of disorder. Results Although the majority of those with disorder do not report disability, their difficulties with functioning are far greater than for the rest of the population. Those with comorbid or affective disorders typically have more disability than those with anxiety or substance abuse disorders. Conclusions Society needs to recognize the high human and economic costs associated with the prevalence of psychiatric disorder. Assessments of service need and decisions about priorities should take both disorder and disability into consideration.

Dual Diagnosis: Does Race Affect Vocational Rehabilitation Outcomes?

2008 ◽  
Vol 39 (3) ◽  
pp. 19-24 ◽  
Author(s):  
Mona Robinson ◽  
Michael Klein
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Dually Diagnosed ◽  
Chi Square ◽  
Rehabilitation Outcomes ◽  
College Training ◽  
Substance Abuse Disorders

The study examined vocational rehabilitation outcomes of persons who were dually diagnosed with mental health and substance abuse disorders. The study sought to examine whether differences existed in vocational rehabilitation outcomes based upon the individuals' race by examining the 2002 RSA-911 database containing successful and unsuccessful closures (status 26 and 28). MANOVA and Chi-square analyses showed that minorities earned lower wages and received less college training than their non-minority counterparts. The results of the study indicated that statistically significant differences existed in vocational rehabilitation outcomes for individuals who are dually diagnosed, with minorities faring worse than their non-minority counterparts.

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