Self-Reported Alcohol and Drug Use Six Months After Brief Intervention: Do Changes in Reported Use Vary by Mental-Health Status?

Details

• Personal Author:
  Dunn C ; Estee S ; He L ; Huber A ; Joesch JM ; Krupski A ; Ries R ; Roy-Byrne P ; Sears JM
• Description:
  Background: Although brief intervention (BI) for alcohol and other drug problems has been associated with subsequent decreased levels of self-reported substance use, there is little information in the extant literature as to whether individuals with co-occurring hazardous substance use and mental illness would benefit from BI to the same extent as those without mental illness. This is an important question, as mental illness is estimated to co-occur in 37% of individuals with an alcohol use disorder and in more than 50% of individuals with a drug use disorder. The goal of this study was to explore differences in self-reported alcohol and/or drug use in patients with and without mental illness diagnoses six months after receiving BI in a hospital emergency department (ED). Methods: This study took advantage of a naturalistic situation where a screening, brief intervention, and referral to treatment (SBIRT) program had been implemented in nine large EDs in the US state of Washington as part of a national SBIRT initiative. A subset of patients who received BI was interviewed six months later about current alcohol and drug use. Linear regression was used to assess whether change in substance use measures differed among patients with a mental illness diagnosis compared with those without. Data were analyzed for both a statewide (n = 828) and single-hospital (n = 536) sample. Results: No significant differences were found between mentally ill and non-mentally ill subgroups in either sample with regard to self-reported hazardous substance use at six-month follow-up. Conclusion: These results suggest that BI may not have a differing impact based on the presence of a mental illness diagnosis. Given the high prevalence of mental illness among individuals with alcohol and other drug problems, this finding may have important public health implications. [Description provided by NIOSH]
• Subjects:
  Alcoholic Beverages Mental Health Nervous System Occupational Health Safety Substance-Related Disorders
• Keywords:
  Alcohol Alcohol Use Author Keywords: Brief Intervention Binge Drinking Comorbid Substance Use And Mental Illness Drug Abuse Illicit Drug Use Intervention Mental Health Mental Illness Substance Abuse

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• ISSN:
  1940-0632
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  24
• Volume:
  7
• NIOSHTIC Number:
  nn:20056806
• Citation:
  Addict Sci Clin Pract 2012 Oct; 7:24
• Contact Point Address:
  Antoinette Krupski, Department of Psychiatry and Behavioral Sciences, Center for Healthcare Improvement for Addictions, Mental Illness and Medically Vulnerable Populations (CHAMMP), University of Washington at Harborview Medical Center, Seattle, WA, USA
• Email:
  krupski@u.washington.edu
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Addiction Science & Clinical Practice
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:21c5c5a8d81a9f6fc0b375bd7d36e85ee8fddb1cafeda984a1611141dd14964c90840af5903fd6b0206c8e6712d597a47fb47c17fa495a5a74a5f62052dea59e
• Download URL:
  https://stacks.cdc.gov/view/cdc/214321/cdc_214321_DS1.pdf
• File Type:
  [PDF - 315.25 KB ]