title: Trends across two time periods in the diagnosis of substance abuse comorbidity at the Hawaii State Hospital.
abstract: This study investigates the changes from the late 1980s to early 1990s of comorbidity (mental illness plus substance abuse) at the Hawaii State Hospital. For the 1990s, a prevalence rate ranging from 14.2% to 30% was estimated, with the latter figure based on a closer review of the records. A higher proportion of comorbid clients were single, and compared to the non-abusers (i.e., patients diagnosed with only schizophrenia or affective disorder), a higher percentage were male and had an educational level less than high school. There was an increase in the percent of non-abusers and substance abusers, but a decrease in the dual diagnosed. The implications of these findings are discussed.
authors.affiliation: Department of Psychiatry, John A. Burns School of Medicine, Honolulu, Hawaii 96813, USA.
authors.forename: V
authors.initials: V
authors.lastname: Patrick
authors.forename: E S
authors.initials: ES
authors.lastname: Hishinuma
authors.forename: J
authors.initials: J
authors.lastname: Pehm
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006783:Hospitals, State; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D019966:Substance-Related Disorders / Q000453:epidemiology*