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Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery




Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery



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.
About the Editors.

List of Contributors.



Part I Social and Psychological Perspectives of ProblemSubstance 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 (MartinHambrecht and Heinz H¨afner).

Chapter 3 Substance Misuse and Psychosis in Context: TheInfluences of Families and Social Networks (AlexCopello).

Chapter 4 Sociological Aspects of Substance Misuse among Peoplewith Severe Mental Illness (Martin J. Commander).

Chapter 5 A Cognitive Conceptualization of Concurrent Psychosisand 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, DermotMcGovern, Jim Orford and George Georgiou).

Chapter 8 An Integrated Treatment Approach to Substance use inan Early Psychosis Programme (Jean Addington).

Chapter 9 An Inpatient-Based Service Model (Richard N.Rosenthal).

Part III Treatments for Substance Misuse inPsychosis.

Introduction (Alex Copello).

Chapter 10 Assessment Considerations (Douglas L.Noordsy, Debra V. McQuade and Kim T. Mueser).

Chapter 11 Cognitive-Behavioural Integrated Treatment Approachfor Psychosis and Problem Substance Use (Hermine L.Graham, Alex Copello, Max J. Birchwood, Jim Orford, DermotMcGovern, Jenny Maslin and George Georgiou).

Chapter 12 Relapse Prevention for Patients with Bipolar andSubstance Use Disorders (Roger D. Weiss, Shelly F. Greenfieldand Grace O'Leary).

Chapter 13 Family Intervention for Substance Misuse in Psychosis(Christine Barrowclough).

Chapter 14 Start Over and Survive: A Brief Intervention forSubstance Misuse in Early Psychosis (David J. Kavanagh,Ross Young, Angela White, John B. Saunders, Natalie Shockley, JeffWallis and Anne Clair).

Chapter 15 Pharmacological Management of Substance Misuse inPsychosis (Ed Day, George Georgiou and IlanaCrome).

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 OlympiaAthanasopoulos).

Chapter 17 Comorbid severe Mental Health Problems and SubstanceAbuse in Forensic Populations (Alison Beck, Tom Burns andTim Hunt).

Chapter 18 Integrated Treatment Outcomes for Homeless Personswith 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 (LisaRazzano).

Part V The Evolving Evidence Base.

Chapter 20 Cochrane Review of Treatment Outcome Studies and itsImplications for Future Developments (Ann Ley and DavidJeffery).

Epilogue: Future Directions.

Concluding Remarks (Hermine L. Graham, Alex Copello, Max J.Birchwood and Kim T. Mueser).

"...Two books by psychologists have been praised in theMental Health Category of the BMA Association's 2003 bookcompetition..." (The Psychologist, 1 Jan 2004)

" invaluable text that achieves its keyobjectives of reviewing the key clinical and research issues in thefield well..." (Drug and Alcohol Review, 22 Dec 2003)