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Substance misuse in the severely mentally ill

Published online by Cambridge University Press:  02 January 2018

Roch Cantwell  and
Glynn Harrison
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Comorbidity and dual diagnosis have a fashionable, and thus ephemeral, ring that belies their relevance to day-to-day practice. The topic has been increasingly addressed in North American literature where there is a recognition of the extent of substance misuse in the severely mentally ill, and the need to find ways of effectively managing its consequences. Substance misuse may colour the diagnosis, management and prognosis of major mental illness and can adversely affect the relationship between staff and patients. Despite its common occurrence, it frequently remains undetected (Ananth et al, 1989). With burgeoning research interest, there is some consensus as to how to manage the problem, but, as yet, little agreement on the precise nature of causal relationships.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 2 , Issue 3 , May 1996 , pp. 117 - 124
Copyright
Copyright © The Royal College of Psychiatrists 1996 

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