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New Family Interventions and Associated Research in Psychiatric Disorders pp 205–227Cite as

Family Intervention for Severe Mental Illness and Substance Use Disorder

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Abstract

Alcohol and drug use disorders (including both abuse and dependence) are a major problem that plagues the lives of many persons with severe mental illness (SMI) such as schizophrenia or bipolar disorder. Epidemiological research has repeatedly shown that individuals with SMI are at increased risk to develop substance use disorders (Cuffel, 1996; Regier et al., 1990). Surveys of the prevalence of substance abuse among the SMI population indicate that on average between 40 and 60 percent of clients have a disorder over their lifetime, and 25 to 40 percent have a current substance use disorder (Mueser et al., 1995a).

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References

  • Barry, K.L., Fleming, M.F., Greenley, J.R, Kropp, S., and Widlak, P. (1996): Characteristics of persons with severe mental illness and substance abuse in rural areas. Psychiatric Services 47: 88–90

    PubMed  CAS  Google Scholar 

  • Butzlaff, R.L. and Hooley, J.M. (1998): Expressed emotion and psychiatric relapse. Archives of General Psychiatry 55: 547–552

    Article  PubMed  CAS  Google Scholar 

  • Carey, K.B. (1989): Treatment of the mentally ill chemical abuser: Description of the Hutchings day treatment program. Psychiatric Quarterly 60(4): 303–316

    Article  PubMed  CAS  Google Scholar 

  • Caton, C.L., Shrout, P.E., Eagle, P.F., Opler, L.A., Felix, A.F., and Dominguez, B. (1994): Risk factors for homelessness among schizophrenic men: A casecontrol study. American Journal of Public Health 84(2): 265–270

    Article  PubMed  CAS  Google Scholar 

  • Caton, C.L. M., Shrout, P.E., Dominguez, B., Eagle, P.F., Opler, L.A., and Cournos, F. (1995): Risk factors for homelessness among women with schizophrenia. American Journal of Public Health 85: 1153–1156

    Article  PubMed  CAS  Google Scholar 

  • Clark, R.E. (1996): Family support for persons with dual disorders. In: Dual diagnosis of major mental illness and substance abuse disorder II: Recent research and clinical implications. New directions for mental health services (Drake, R.E., Mueser, K.T., eds.), Vol. 70, pp. 65–77. San Francisco: Josssey-Bass

    Google Scholar 

  • Clark, R.E. and Drake, R.E. (1992): Substance abuse and mental illness: What families need to know. Innovations and Research 1(4): 3–8

    Google Scholar 

  • Cournos, F., Empfield, M., Horwath, E., McKinnon, K., Meyer, I., Schrage, H., Currie, C., and Agosin, B. (1991): HIV prevalence among patients admitted to two psychiatric hospitals. American Journal of Psychiatry 148(9): 1225–1229

    PubMed  CAS  Google Scholar 

  • Cresswell, C.M., Kuipers, L., and Power, M.J. (1992): Social networks and support in long-term psychiatric patients. Psychological Medicine 22: 1019–1026

    Article  PubMed  CAS  Google Scholar 

  • Cuffel, B.J. (1996): Comorbid substance use disorder: prevalence, patterns of use, and course. In: Dual diagnosis of major mental illness and substance use disorder II: Recent research and clinical implications (Drake, R.E., Mueser, K.T., eds.), Vol. 70, pp. 65–77. San Francisco: Jossey-Bass

    Google Scholar 

  • Dickey, B. and Azeni, H. (1996): Persons with dual diagnoses of substance abuse and major mental illness: their excess costs of psychiatric care. American Journal of Public Health 86: 973–977

    Article  PubMed  CAS  Google Scholar 

  • Dixon, L., Adams, C., and Lucksted, A. (2000): Update on family psychoeducation for schizophrenia. Schizophrenia Bulletin 26(1): 5–20

    Article  PubMed  CAS  Google Scholar 

  • Dixon, L., McNary, S., and Lehman, A. (1995): Substance abuse and family relationships of persons with severe mental illness. American Journal of Psychiatry 152: 456–458

    PubMed  CAS  Google Scholar 

  • Drake, R.E., Bartels, S.B., Teague, G.B., Noordsy, D.L., and Clark, R.E. (1993): Treatment of substance abuse in severely mentally ill patients. Journal of Nervous and Mental Disease 181: 606–611

    Article  PubMed  CAS  Google Scholar 

  • Drake, R.E., Mueser, K.T., Clark, R.E., and Wallach, M.A. (1996): The course, treatment, and outcome of substance disorder in persons with severe mental illness. American Journal of Orthopsychiatry 66(1): 42–51

    Article  PubMed  CAS  Google Scholar 

  • Edwards, D.V., Nikkel, B., and Coiner, B. (1991): Final report of the National Institute of Mental Health Young Adult Dual Diagnosis Oregon Demonstration Project. Salem, OR: Oregon Mental Health and Developmental Disability Division

    Google Scholar 

  • Falloon, I.R.H., Boyd, J.L., and McGill, C.W. (1984): Family care of schizophrenia: A problem-solving approach to the treatment of mental illness. New York: Guilford

    Google Scholar 

  • First, M.B., Spitzer, R.L., Gibbon, M., and Williams, J.B.W. (1996): Structured clinical interview for DMS-IV axis-I disorders - patient edition (SCID-IIP, Version 2.0). New York: Biometrics Research Department

    Google Scholar 

  • Goldman, H.H. (1984): The chronically mentally ill: Who are they? Where are they? In: The chronically mentally ill: Research and services (Mirabi M., ed.), pp. 33–44. Spectrum Publications

    Google Scholar 

  • Hatfield, A.B. and Lefley, H.P. (1987): Families of the mentally ill: Coping and adaptation. New York: Guilford Press

    Google Scholar 

  • Haywood, T.W., Kravitz, H.M., Grossman, L.S., Cavanaugh, J.L., Jr., Davis, J. M., and Lewis, D.A. (1995): Predicting the ‘revolving door’: phenomenon among patients with schizophrenic, schizoaffective, and affective disorders. American Journal of Psychiatry 152: 856–861

    PubMed  CAS  Google Scholar 

  • Johnsen, J.A, Hall, H.E., Rhoades, M., and Harris, N. (1992): OASIS: Final report to the National Institute of Mental Health. Columbus, OH: Ohio Department of Mental Health

    Google Scholar 

  • Lefley, H.P. and Johnson, D.L. (1990): Families as allies in treatment of the mentally ill: New directions for mental health professionals. Washington, DC: American Psychiatric Press

    Google Scholar 

  • Mercer-McFadden, C., Drake, R.E., Brown, N.B., and Fox, R.S. (1997): The community support program demonstrations of services for young adults with severe mental illness and substance use disorders 1987-1991. Psychiatric Rehabilitation Journal 20(3): 13–24

    Google Scholar 

  • Miller, W.R. and Rollnick, S. (1991): Motivational interviewing: preparing people to change addictive behavior. New York: Guilford Press

    Google Scholar 

  • Miner, C.R., Rosenthal, R.N., Hellerstein, D.J., and Muenz, L.R. (1997): Prediction of compliance with outpatient referral in patients with schizophrenia and psychoactive substance use disorders. Archives of General Psychiatry 54: 706–712

    Article  PubMed  CAS  Google Scholar 

  • Minkoff, K. (1991): Program components of a comprehensive integrated care system for serious mentally ill patients with substance disorders. In: Dual diagnosis of major mental illness and substance disorders (Minkoff, K., Drake, R.E., eds.). New Directions for Mental Health Services, Vol. 50, pp. 13–27. San Francisco: Jossey-Bass

    Google Scholar 

  • Mueser, K.T., Bellack, A.S., Wade, J.H., Sayers, S.L., and Rosenthal, C.K. (1992): An assessment of the educational needs of chronic psychiatric patients and their relatives. British Journal of Psychiatry 160: 674–680

    Article  PubMed  CAS  Google Scholar 

  • Mueser, K.T., Bennett, M., and Kushner, M.G. (1995a): Epidemiology of substance abuse among persons with chronic mental disorders. In: Double jeopardy: Chronic mental illness and substance abuse (Lehman, A.F., Dixon, L., eds.). pp. 9–25. New York: Harwood Academic Publishers

    Google Scholar 

  • Mueser, K.T., Drake, R.E., Clark, R.E., McHugo, G.J., Mercer-McFadden, C., and Ackerson, T. (1995b): Toolkit for evaluating substance abuse in persons with severe mental illness. Cambridge, MA: Evaluation Center at HSRI

    Google Scholar 

  • Mueser, K.T., Drake, R.E., and Noordsy, D.L. (1998): Integrated mental health and substance abuse treatment for severe psychiatric disorders. Journal of Practical Psychiatry and Behavioral Health 4(3): 129–139

    Google Scholar 

  • Mueser, K.T. and Gingerich, S.L. (1994): Coping with schizophrenia: A guide for families. Oakland, CA: New Harbinger Publications

    Google Scholar 

  • Mueser, K.T. and Glynn, S.M. (1999): Behavioral family therapy for psychiatric disorders. Oakland, CA: New Harbinger

    Google Scholar 

  • Noordsy, D.L., Drake, R.E., Biesanz, J.C., and McHugo, G.J. (1994): Family history of alcoholism in schizophrenia. Journal of Nervous and Mental Disease 186: 651–655

    Google Scholar 

  • Osher, F.C. and Kofoed, L.L. (1989): Treatment of patients with psychiatric and psychoactive substance use disorders. Hospital and Community Psychiatry 40: 1025–1030

    PubMed  CAS  Google Scholar 

  • Regier, D.A., Farmer, M.E., Rae, D.S., Locke, B.Z., Keith, S.J., Judd, L.L., and Goodwin, F.K. (1990): Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic Catchment Area (ECA) study. Journal of the American Medical Association 264: 2511–2518

    Article  PubMed  CAS  Google Scholar 

  • Ridgely, M.S., Goldman, H.H., and Willenbring, M. (1990): Barriers to the care of persons with dual diagnoses: Organizational and financing issues. Schizophrenia Bulletin 16(1): 123–132

    PubMed  CAS  Google Scholar 

  • Salyers, M.P., and Mueser, K.T. (in press): Social functioning, psychopathology, and medication side effects in relation to substance use and abuse in schizophrenia. Schizophrenia Research

    Google Scholar 

  • Schooler, N.R., Keith, S.J., Severe, J.B., Matthews, S.M., Bellack, A.S., Glick, I. D., Hargreaves, W.A., Kane, J.M., Ninan, P.T., Frances, A., Jacobs, M., Lieberman, J.A., Mance, R., Simpson, G.M., and Woerner, M.G. (1997): Relapse and rehospitalization during maintenance treatment of schizophrenia: The effects of dose reduction and family treatment. Archives of General Psychiatry 54: 453–463

    Article  PubMed  CAS  Google Scholar 

  • Sokolove, R.L. and Trimble, D. (1986): Assessing support and stress in the social networks of chronic patients. Hospital and Community Psychiatry 37: 370–372

    PubMed  CAS  Google Scholar 

  • Stanton, M.D. and Shadish, W.R. (1997): Outcome, attrition, and family-couples treatment for drug abuse: A meta-analysis and review of the controlled, comparative studies. Psychological Bulletin 122(2): 170–191

    Article  PubMed  CAS  Google Scholar 

  • Steadman, H.J., Mulvey, E.P., Monahan, J., Robbins, P.C., Appelbaum, P.S., Grisso, T., Roth, L.H., and Silver, E. (1998): Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry 55: 393–401

    Article  PubMed  CAS  Google Scholar 

  • Susser, E., Struening, E.L., and Conover, S. (1989): Psychiatric problems in homeless men: Lifetime psychosis, substance use, and current distress in new arrivals at New York City shelters. Archives of General Psychiatry 46: 845–850

    Article  PubMed  CAS  Google Scholar 

  • Swartz, M.S., Swanson, J.W., Hiday, V.A., Borum, R., Wagner, H.R., and Burns, B.J. (1998): Violence and mental illness: The effects of substance abuse and nonadherence to medication. American Journal of Psychiatry 155: 226–231

    PubMed  CAS  Google Scholar 

  • Talbott, J.A. (1990): Current perspectives in the United States on the chronically mentally ill. In: Recent advances in schizophrenia (Kales, A., Stefanis, C.N., Talbott, J., eds.). pp. 279–295. New York: Springer

    Chapter  Google Scholar 

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Authors
  1. Kim T. Mueser
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  2. Lindy Fox
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  3. Carolyn Mercer
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Editor information

Editors and Affiliations

  1. Department of Psychiatry, University of Munich, Ludwig-Maximilian, Germany

    Annette Schaub

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© 2002 Springer-Verlag Wien

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Mueser, K.T., Fox, L., Mercer, C. (2002). Family Intervention for Severe Mental Illness and Substance Use Disorder. In: Schaub, A. (eds) New Family Interventions and Associated Research in Psychiatric Disorders. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6148-7_12

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  • DOI: https://doi.org/10.1007/978-3-7091-6148-7_12

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83700-9

  • Online ISBN: 978-3-7091-6148-7

  • eBook Packages: Springer Book Archive

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