title: Awareness of substance abuse problems among dually-diagnosed psychiatric inpatients.
abstract: This study examines the ability to acknowledge the need for treatment of mental illness and substance abuse problems among dually-diagnosed inpatients before and after an inpatient substance abuse treatment program. A cohort of 264 consecutively admitted patients diagnosed with a mental illness and substance use disorder were entered into a dual diagnosis treatment program. Perceptions of patients diagnosed with a substance-induced mental disorder were compared to those of patients with a primary mental illness regarding their problems and need for treatment before and after the dual diagnosis program. Most patients acknowledged a substance abuse or mental illness problem and need for treatment. Patients with substance-induced mental disorders were more likely to acknowledge a substance use problem and need for treatment (p < .001). After treatment, changes in perception of mental illness were greater for substance-induced mental disorder patients compared to patients with a primary mental illness (p < .001). Persons with more severe substance abuse were more likely to acknowledge a problem and need for treatment. The majority of dually-diagnosed patients admitted with a substance use disorder agreed that substance use was a problem, suggesting that inpatient hospitalization presents a prime opportunity to address addiction in dually-diagnosed patients. The type of mental illness and severity of substance use influenced perceptions of illnesses and treatment readiness and must be considered by the clinician.
authors.affiliation: University of Maryland, Department of Psychiatry 21201, USA. jrachbei@umpsy ab.umd.edu
authors.forename: J
authors.initials: J
authors.lastname: RachBeisel
authors.forename: L
authors.initials: L
authors.lastname: Dixon
authors.forename: J
authors.initials: J
authors.lastname: Gearon
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D017831:Diagnosis, Dual (Psychiatry) / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D008875:Middle Aged; D011567:Psychiatric Department, Hospital; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology*