Special Section on Relapse Prevention: Substance Abuse Relapse in a Ten-Year Prospective Follow-up of Clients With Mental and Substance Use Disorders (original) (raw)
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Clinical Psychology Review, 2006
This paper reviews the literature investigating relapse to alcohol and drug use among individuals dually diagnosed with a substance use and a co-occurring mood, anxiety, schizophrenia-spectrum, or personality disorder. Prevalence rates for each cooccurring set of disorders are discussed, followed by research studies that examine predictors of relapse to substance use within these groups. Relevant conceptual models well-suited to incorporating relapse as an outcome variable, and psychiatric factors both as predictor and outcome variables, are presented. Suggestions for future studies are provided. A priority area is developing and using consistent and well-articulated definitions of relapse across studies. Several diagnostic issues surfaced such as using structured clinical interviews to determine diagnosis (preferably following detoxification from alcohol and/or drugs), separating individuals with only alcohol use disorders from those with alcohol and drug use disorders in analyses, reporting the rates and types of overlap in mental health diagnoses, and conducting analyses that include and exclude multiply disordered individuals. Finally, future studies that focus on isolating predictors of relapse and abstinence could make substantive contributions to improving treatment for individuals with co-occurring substance use and mental health disorders. D
Context of relapse for substance-dependent adults with and without comorbid psychiatric disorders
Addictive behaviors, 2004
Objective: This study examined the context of initial posttreatment substance use episodes and 1year treatment outcomes among substance abusers in relation to Axis I psychiatric diagnoses. Method: Of the 210 adults meeting DSM-III-R diagnostic criteria for a substance use disorder (SUD), 102 also met criteria for mood disorder, posttraumatic stress disorder (PTSD), or both (SUD -PSY). Quarterly face-to-face interviews and monthly telephone contacts were conducted following treatment to ascertain outcomes. Results: Antecedents of initial posttreatment substance use differed for SUD adults compared to SUD -PSY. Negative affective states preceded posttreatment use episodes more frequently among SUD -PSY participants. The majority of SUD -PSY adults reported intrapersonal/ environmental antecedents whereas the majority of SUD adults reported interpersonal antecedents. Compared to SUD adults without an Axis I disorder, the SUD -PSY group was more likely to resume substance use when alone. Participants drank more than twice as much alcohol when relapsing alone compared to those who resumed use with others. Negative affective state prior to initial use was predictive of more subsequent using days for comorbid adults but not SUD adults. Conclusions: These findings highlight differences in the process of resuming substance use for substance abusers with concomitant psychiatric disorders compared to SUD adults. Treatment implications are discussed. D
Understanding the Link Between Substance Abuse and Mental Health
2017
Treating people with co-occurring or dual diagnosis disorders requires an integrated treatment approach due to the complex health and social needs of people who suffer from mental illness and drug addiction. An integrated approach is not only necessary but crucial to treat both the drug addiction and mental illness concurrently. The aim of this study is to explore the impact that non-integrated care can have on the number of relapses that dually diagnosed people can have. The study found that there is no correlation between concurrent treatment and the number of relapses that dually diagnosed people may have. Social workers will need to be able to recognize mental illness that co-occurs with substance use in order to effectively treat clients to determine what treatment approach should be used. Social workers are trained to use a biopsychosocial approach to capture all aspects of the client's life. This is especially important for clients that may be dually diagnosed. iv.
Substance Abuse Treatment, Prevention, and Policy, 2021
Background Relapse to substance use after successful detoxication and rehabilitation is a public health concern worldwide. Forty to sixty percent of persons in general relapsed after completing detoxication and rehabilitation treatments. Although substance use remains a burden in Rwanda, very little is known about relapse among people with substance use disorder (SUD). Hence, this study aimed to examine prevalence and the factors associated with relapse to substance use at Icyizere Psychotherapeutic Centre (IPC), Rwanda. Methods Retrospective, cross-sectional survey was conducted among 391 patients with SUD at IPC. Multiple logistic regression models using STATA version 13 were used to determine the factors associated with relapse among the patients with SUD. Results Majority (84.1 %) of the participants were males. More than half (54.1 %) of them were aged between 18 and 30 years with the age average of 33 years (SD = 11.9 years). The results showed a higher prevalence of relapse a...
Treatment and the Current Concept of Relapse, in Substance Use Disorder
Furlanetto jr, 2022
The "Substance Use Disorder" (SUD) is characterized by an inability, consistent withdrawal, loss of inhibitory control of the desire for Substance Abuse (SA), causing impairment in behavior, decreased ability to recognize significant problems, due to pathological behavior itself, deficits in interpersonal relationships, and dysfunctional emotional responses.
Relapse Prevention in Alcohol Use Disorder
Our therapeutic group infuses the psychoeducational group and relapse prevention group to address the theme "Relapse Prevention in Alcohol Use Disorder". Alcohol use disorder is characterised by uncontrolled use of alcohol to the point where it results in "adverse social, occupational, or health consequences" (National Institute on Alcohol Abuse and Alcoholis, 2020). When people that are faced with alcohol use disorder come into contact with treatment, for the recovery process to be effective, there is a need to incorporate relapse prevention as part of the recovery process. Relapse prevention for persons with alcohol use disorder will require consideration for the identification of emotional, mental, and physical factors that will help the person to uncover self-behaviours that could help identify future relapse while ensuring that target behaviour change is kept on track. Population Overview Our therapeutic group intervention is designed to provide psychoeducational activities and also to prevent relapse among adults aged 19 years and above with alcohol use disorder. The group is designed to be a heterogeneous mix of clients with all genders included. Eligibility into this group requires that members must have completed some outpatient or inpatient addictions Event Description Learning Assessment and Activities Minutes