Integrated services for treatment of schizophrenic substance abusers: Demographics, symptoms, and substance abuse patterns
Authors:
- David J. HellersteinDHDavid J. Hellerstein
- Christian R. MinerCMChristian R. Miner
- 1 January 1992
- journal article
- review article
- Published by Springer Nature in Psychiatric Quarterly
- Vol. 63 (1) , 3-26
Abstract
We have previously described a model of outpatient integrated treatment for patients with comorbid psychoactive substance use disorders and schizophrenia (PSUD/S)(1). Here we review relevant literature on comorbidity and outline the rationale for integrated services. Further, we describe results from 3 related studies: First, we document the approximate incidence of PSUD among a heterogeneous group of 602 schizophrenic inpatient admissions to our hospital. Second, we describe in greater detail the psychiatric symptoms and patterns of substance abuse among a subsample of 106 inpatients with PSUD/S, contrasting them with 112 patients with PSUD and mixed psychotic disorders, but who are not schizophrenic. Third, we present a prospective research project and describe a sample of 30 patients with PSUD/S, detailing demographic characteristics, psychiatric symptoms and substance abuse history. Attention is given to current issues in the differential diagnosis of patients with PSUD/S using standardized instruments.Keywords
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