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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Psychosocial interventions for people with both severe mental illness and substance misuse
Schizophrenia Bulletin, Volume 40, No. 1, Year 2014
Notification
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Description
Over 50% of people with a severe mental illness also use illicit drugs and/or alcohol at hazardous levels. This review is based on the findings of 32 randomized controlled trials which assessed the effectiveness of psychosocial interventions, offered either as one-off treatments or as an integrated or nonintegrated program, to reduce substance use by people with a severe mental illness. The findings showed that there was no consistent evidence to support any one psychosocial treatment over another. Differences across trials with regard to outcome measures, sample characteristics, type of mental illness and substance used, settings, levels of adherence to treatment guidelines, and standard care all made pooling results difficult. More quality trials are required that adhere to proper randomization methods; use clinically valuable, reliable, and validated measurement scales; and clearly report data, including retention in treatment, relapse, and abstinence rates. Future trials of this quality will allow a more thorough assessment of the efficacy of psychosocial interventions for reducing substance use in this challenging population. © 2013 The Author.
Authors & Co-Authors
Hunt, G. E.
Australia, Sydney
The University of Sydney
Siegfried, Nandi Louise
South Africa, Cape Town
University of Cape Town
Morley, Kirsten
Australia, Sydney
The University of Sydney
Sitharthan, Thiagarajan
Australia, Sydney
The University of Sydney
Cleary, Michelle L.
Singapore, Singapore City
Nus Yong Loo Lin School of Medicine
Statistics
Citations: 10
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1093/schbul/sbt160
ISSN:
05867614
e-ISSN:
17451701
Research Areas
Mental Health
Substance Abuse
Study Design
Randomised Control Trial
Cross Sectional Study