Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery delves into the issues involved in working with those who have a severe mental health problem and use alcohol and drugs problematically. It adopts a practical, hands–on approach to sharing evidence–based approaches. Chapter authors interweave both theory and practice, by the use of illustrative clinical case material. This unique collection of authors, all of whom are experts in the field and pioneers of innovative approaches, provides an international perspective on treatment from UK, Germany, Australia, USA and Canada.
Section I provides an introduction to the issue of substance misuse amongst those with psychosis. Section II introduces a range of integrated service models from different countries. Section III provides a practical hands–on guide to assessment and treatment. Section IV addresses the specific treatment needs of special population groups (i.e. young people, forensic groups, homeless people and those with HIV/Aids). Section V examines treatment outcome studies and implications for the future.
Clinical psychologists, psychiatrists, nurses, therapists and psychiatric social workers in training and practice in clinic, hospital and community settings will find this book an essential practical resource for working with co–morbid individuals and their families.
List of Contributors.
Part I Social and Psychological Perspectives of Problem Substance Use Among those with Psychosis.
Introduction(Max J. Birchwood).
Chapter 1 Substance Misuse in Psychosis: Contextual Issues (Jenny Maslin).
Chapter 2 Temporal Order and Aetiology (Martin Hambrecht and Heinz H¨afner).
Chapter 3 Substance Misuse and Psychosis in Context: The Influences of Families and Social Networks (Alex Copello).
Chapter 4 Sociological Aspects of Substance Misuse among People with Severe Mental Illness (Martin J. Commander).
Chapter 5 A Cognitive Conceptualization of Concurrent Psychosis and Problem Drug and Alcohol Use (Hermine L. Graham).
Part II Integrated Service Delivery Models.
Introduction (Kim T. Mueser).
Chapter 6 Integrated Dual Disorder Treatment in New Hampshire (USA) (Kim T. Mueser and Robert E. Drake).
Chapter 7 The Combined Psychosis and Substance Use (COMPASS) Programme: An Integrated Shared–care Approach (Hermine L. Graham, Alex Copello, Max J. Birchwood, Jenny Maslin, Dermot McGovern, Jim Orford and George Georgiou).
Chapter 8 An Integrated Treatment Approach to Substance use in an Early Psychosis Programme (Jean Addington).
Chapter 9 An Inpatient–Based Service Model (Richard N. Rosenthal).
Part III Treatments for Substance Misuse in Psychosis.
Introduction (Alex Copello).
Chapter 10 Assessment Considerations (Douglas L. Noordsy, Debra V. McQuade and Kim T. Mueser).
Chapter 11 Cognitive–Behavioural Integrated Treatment Approach for Psychosis and Problem Substance Use (Hermine L. Graham, Alex Copello, Max J. Birchwood, Jim Orford, Dermot McGovern, Jenny Maslin and George Georgiou).
Chapter 12 Relapse Prevention for Patients with Bipolar and Substance Use Disorders (Roger D. Weiss, Shelly F. Greenfield and Grace O Leary).
Chapter 13 Family Intervention for Substance Misuse in Psychosis (Christine Barrowclough).
Chapter 14 Start Over and Survive: A Brief Intervention for Substance Misuse in Early Psychosis (David J. Kavanagh, Ross Young, Angela White, John B. Saunders, Natalie Shockley, Jeff Wallis and Anne Clair).
Chapter 15 Pharmacological Management of Substance Misuse in Psychosis (Ed Day, George Georgiou and Ilana Crome).
Part IV Special Populations.
Introduction (Hermine L. Graham).
Chapter 16 Cannabis and First–Episode Psychosis: The CAP Project (Jane Edwards, Mark Hinton, Kathryn Elkins and Olympia Athanasopoulos).
Chapter 17 Comorbid severe Mental Health Problems and Substance Abuse in Forensic Populations (Alison Beck, Tom Burns and Tim Hunt).
Chapter 18 Integrated Treatment Outcomes for Homeless Persons with Severe Mental Illness and Co–Occurring Substance Use Disorders (Susan A. Pickett–Schenk, Michael Banghart and Judith A. Cook).
Chapter 19 Issues in Comorbidity and HIV/AIDS (Lisa Razzano).
Part V The Evolving Evidence Base.
Chapter 20 Cochrane Review of Treatment Outcome Studies and its Implications for Future Developments (Ann Ley and David Jeffery).
Epilogue: Future Directions.
Concluding Remarks (Hermine L. Graham, Alex Copello, Max J. Birchwood and Kim T. Mueser).
an invaluable text that achieves its key objectives of reviewing the key clinical and research issues in the field well (Drug and Alcohol Review, 22 Dec 2003)