CONSEQUENCES OF COMORBID DRUG ABUSE AND MENTAL DISORDERS

共病药物滥用和精神障碍的后果

• 批准号: 6378671
• 负责人: Barbara E Havassy
• 金额: $ 24.51万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-30 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6378671
• 关键词: alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; comorbidity; crime victims; disease /disorder proneness /risk; drug abuse; health care cost /financing; health care service utilization; health services research tag; human subject; interview; longitudinal human study; mental health epidemiology; mental health services; psychosocial service; quality of life; substance abuse epidemiology; violence

DESCRIPTION: (Applicant's Abstract) This proposal concerns the impact of comorbid drug abuse and mental disorders on individuals and service systems. Using a longitudinal design, this study will contrast two samples of comorbid adults recruited during an acute care episode in county service systems. One sample will be drawn from the substance abuse treatment system (n=125), and one will be drawn from the mental health treatment system (n=125). To control for differences not related to comorbidity, an equal number of non-comorbid subjects will be recruited, bringing the sample total to 500 subjects, 250 from substance abuse and 250 from mental health treatment. Data on key demographic and severity of alcohol and drug use variables will be obtained at treatment entry, and a diagnostic assessment will be performed. Psychosocial data on alcohol and drug use, risk factors for HIV/AIDS, prevalence of violence, and quality of life will be obtained for a prospective 24 month community follow-up period. Service use and cost data will be obtained from substance abuse, mental health, public health, and forensic services for a period of 24 months prospectively and 24 months retrospectively from time of recruitment. We will test the null hypothesis that the two samples are from the same population on key entry variables. The samples will also be contrasted on the psychosocial, service use, and cost variables. If the samples are found to be from the same population on key entry variables, then differences in psychosocial status, service use, and costs will suggest differences in treatment service systems rather than differences between the clients of these systems. If the samples are significantly different on key entry variables, it will imply the presence of unique comorbid groups. Both similarities and differences between the two samples will be of utmost value. Findings that the comorbid samples are from the same population can guide coordination or integration of services. Findings that they are from different populations can lead to increased precision in distinguishing types of comorbid disorders in treatment systems and should enhance development of services, tailored to the needs of unique comorbid groups.

描述：（申请人摘要） 这项建议涉及共病药物滥用和精神疾病的影响， 个人和服务系统的障碍。采用纵向设计， 这项研究将对比两个共病成年人的样本， 县服务系统中的急性护理事件。一个样本将从 药物滥用治疗系统（n=125），并将从 心理健康治疗系统（n=125）。要控制差异，请注意 与合并症相关，将有同等数量的非合并症受试者 招募，使样本总数达到500名受试者，250名来自物质 虐待和250名心理健康治疗。主要人口统计数据和 将在治疗时获得酒精和药物使用变量的严重程度 进入，并进行诊断评估。社会心理数据， 酗酒和吸毒、艾滋病毒/艾滋病的风险因素、暴力行为的普遍程度， 将获得预期24个月社区的生活质量 随访期。服务使用和成本数据将从物质中获得 虐待，心理健康，公共卫生和法医服务， 从开始时起前瞻性24个月和回顾性24个月 招聘我们将检验零假设，即这两个样本来自 关键入口变量的相同人群。样品也将 对比社会心理，服务使用和成本变量。如果 发现样本在关键进入变量上来自相同的群体， 那么社会心理状态、服务使用和费用的差异将表明 治疗服务系统的差异，而不是 这些系统的客户。如果样本在关键字上显着不同 条目变量，它将意味着存在独特的共病组。两 两个样本之间的相似之处和差异将是最大的 值发现共病样本来自同一人群， 指导服务的协调或整合。发现他们来自 不同的人群可以提高区分 治疗系统中的共病疾病类型，并应加强 根据独特的共病群体的需要，开发服务。

项目成果

Clinical characteristics and service utilization patterns of clients with schizophrenia-spectrum disorders in public residential detoxification settings.

公共住宅戒毒场所精神分裂症谱系障碍患者的临床特征和服务利用模式。

• DOI: 10.1007/s10597-005-9020-9
• 发表时间: 2006
• 期刊: Community mental health journal
• 影响因子: 2.7
• 作者: Alvidrez,Jennifer;Havassy,BarbaraE
• 通讯作者: Havassy,BarbaraE