Book contents
- Seminars in Addiction Psychiatry
- College Seminars Series
- Seminars in Addiction Psychiatry
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Historical and Conceptual Approaches to Addiction
- Chapter 2 Illicit Drug Use: Epidemiology, Aetiology and Prevention
- Chapter 3 Illicit Drug Use: Clinical Features and Treatment
- Chapter 4 Addiction to Prescription Medication: Benzodiazepines, Z-Drugs and Gabapentinoids
- Chapter 5 Alcohol Use Disorders: Epidemiology and Prevention
- Chapter 6 Alcohol Use Disorders: Aetiology and Pathophysiology
- Chapter 7 Alcohol Use Disorders: Clinical Features and Treatment
- Chapter 8 Psychological Approaches to Addiction
- Chapter 9 Comorbid Substance Use and Mental Illness
- Chapter 10 Medical Aspects of Drug and Alcohol Use
- Chapter 11 Organising Treatment Services for Drug and Alcohol Misusers
- Chapter 12 Tobacco Use Disorders
- Chapter 13 Novel Psychoactive Substances and Club Drugs
- Chapter 14 Addiction Problems in a Family and Social Context
- Chapter 15 Addiction Recovery Mutual-Aid Organisations
- Index
- References
Chapter 9 - Comorbid Substance Use and Mental Illness
Published online by Cambridge University Press: 02 November 2021
Edited by
Book contents
- Seminars in Addiction Psychiatry
- College Seminars Series
- Seminars in Addiction Psychiatry
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Historical and Conceptual Approaches to Addiction
- Chapter 2 Illicit Drug Use: Epidemiology, Aetiology and Prevention
- Chapter 3 Illicit Drug Use: Clinical Features and Treatment
- Chapter 4 Addiction to Prescription Medication: Benzodiazepines, Z-Drugs and Gabapentinoids
- Chapter 5 Alcohol Use Disorders: Epidemiology and Prevention
- Chapter 6 Alcohol Use Disorders: Aetiology and Pathophysiology
- Chapter 7 Alcohol Use Disorders: Clinical Features and Treatment
- Chapter 8 Psychological Approaches to Addiction
- Chapter 9 Comorbid Substance Use and Mental Illness
- Chapter 10 Medical Aspects of Drug and Alcohol Use
- Chapter 11 Organising Treatment Services for Drug and Alcohol Misusers
- Chapter 12 Tobacco Use Disorders
- Chapter 13 Novel Psychoactive Substances and Club Drugs
- Chapter 14 Addiction Problems in a Family and Social Context
- Chapter 15 Addiction Recovery Mutual-Aid Organisations
- Index
- References
Summary
Psychiatric disorders are much more prevalent in the population with substance use disorders than they are in the general population. The co-existence of mental health and substance use disorders is associated with high levels of mortality and morbidity, linked to exclusion from mainstream services and unmet need. This chapter explores current policy guidance for services in England, focusing on the key themes of ‘no wrong door’ and ‘everyone’s job’. The elements of service organisation and delivery are considered at all levels, including the importance of care planning, communication, engagement, crisis services and training and support for staff. Interventions for co-occurring disorders are reviewed, including psychoeducation, pharmacology and mutual aid approaches. The chapter ends on a note of optimism that greater understanding of comorbid conditions will bring a more rational and equitable approach to this complex issue.
- Type
- Chapter
- Information
- Seminars in Addiction Psychiatry , pp. 163 - 174Publisher: Cambridge University PressPrint publication year: 2021
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