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May 10, 2013Journal of Forensic Practice

Problematic substance use among forensic psychiatric community patients

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Authors

SSSimeon Sender‐GallowayUniversity of BirminghamTCTom ClarkVictoria School of Management

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Overview

Cross-sectional study finds high rates of active substance misuse linked to poorer functioning in community forensic psychiatric patients, highlighting the need for integrated addiction treatment.

Key Points

  • To examine the prevalence and clinical correlates of problematic substance use among community-managed patients in a regional forensic psychiatric service.
  • Conducted a cross-sectional review of clinical case notes to extract historical data on psychiatric diagnosis, offending history, and past problematic substance use (N = 92).
  • Evaluated current substance use and psychosocial functioning using structured interviews with community psychiatric nurses using HoNOS ratings, the Global Assessment of Functioning, and the Clinical Rating Scale.
  • Lifetime problematic substance use was present in 91.2% of patients (N = 92), with 31.5% actively engaging in problematic use, most frequently involving cannabis and alcohol.
  • Active problematic substance use was correlated with worse negative outcomes, including greater illness severity, reduced compliance with psychiatric treatment, and poorer overall psychosocial functioning.

Cite This Study

Sender‐Galloway et al. (2013) studied this question.

synapsesocial.com/papers/6a6f4ca9abc331a858078b47https://doi.org/10.1108/14636641311322304
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Brief Mental Health Outcome Scale1995 · 1,029 citations
  2. 2Cannabis Use and Age at Onset of Schizophrenia2004 · 266 citations
  3. 3Substance Use in Persons With Schizophrenia2006 · 147 citations
  4. 4Suicide and schizophrenia: data from a prospective community treatment study [published erratum appears in Am J Psychiatry 1990 Aug;147(8):1110]1990 · 168 citations