title: Predictors of psychiatric hospitalization for adults with co-occurring substance and mental disorders as compared to adults with mental illness only.
abstract: Predictors of psychiatric hospitalization, predisposing, enabling and need, of adults with co-occurring mental and substance disorders were compared to predictors for adults with a mental illness only. Research participants were 1613 users of crisis intervention services. Findings using Cox regression show that dually-diagnosed individuals were more likely to be hospitalized. Enabling and need factors were important predictors for both groups. Disruptive behavior was a predictor for dually-diagnosed clients but not for clients with mental illness only. Findings suggest that outpatient mental health services are less well equipped to address a psychiatric crisis when it was accompanied by substance use issues.
authors.affiliation: Department of Pediatrics, Case Western Reserve University, Cleveland, OH 44106-7164, USA. mxo7@po.cwru.edu
authors.forename: Meeyoung Oh
authors.initials: MO
authors.lastname: Min
authors.forename: David E
authors.initials: DE
authors.lastname: Biegel
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Johnsen
mesh_terms: D000328:Adult; D015331:Cohort Studies; D015897:Comorbidity; D003710:Demography; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D008875:Middle Aged; D011446:Prospective Studies; D019966:Substance-Related Disorders / Q000453:epidemiology*