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Substance Misuse in Psychosis. Approaches to Treatment and Service Delivery. Edition No. 1. Wiley Series in Clinical Psychology

  • ID: 5226226
  • Book
  • December 2004
  • 420 Pages
  • John Wiley and Sons Ltd
The prevalence of substance abuse in the severely mentally ill ishigher than that in the general population, making this a seriousissue for clinicians. Integrated treatment, although the mostwidely adopted approach, is subject to tremendous variation in itsoperationalisation, especially throughout different parts of theworld.

Substance Misuse in Psychosis presents the latest internationaldevelopments and practical treatment interventions that can be usedwith co-morbid individuals and their families. Different social andcultural contexts are described and contrasted, along withtreatment approaches that have been tailored to address the needsof the severely mentally ill. A final section considers sub-groups,e.g. the young, the homeless, outlining the special issues thatneed to be considered when providing services for these groups.
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About the Editors.

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 Oâ??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).


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Hermine L. Graham The COMPASS Programme,  Birmingham and University of  Birmingham, UK.

Alex Copello Substance Misuse Services, Birmingham and University of Birmingham, UK.

Max J. Birchwood The Early Intervention Service, Birmingham, UK.

Kim T. Mueser New HampshireÂDartmouth Psychiatric Research Center, New Hampshire, USA.
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