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The Role of Co-Occurring Substance Abuse and Mental Illness in Violence: Workshop Summary The Role of Co-Occurring Substance Abuse and Mental Illness in Violence Workshop Summary June 8, 1999 Division of Neuroscience and Behavioral Health INSTITUTE OF MEDICINE
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The Role of Co-Occurring Substance Abuse and Mental Illness in Violence: Workshop Summary NATIONAL ACADEMY PRESS 2101 Constitution Avenue, N.W. Washington, DC 20418 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I.Shine is president of the Institute of Medicine. Support for this project was provided by Policy Research Associates, Inc., under Subcontract Agreement No. 300-4550-00. The views presented in this report are those of the Institute of Medicine Board on Neuroscience and Behavioral Health and are not necessarily those of the funding agency. Additional copies of this Workshop Summary are available from the Division of Neuroscience and Behavioral Health, Institute of Medicine, 2101 Constitution Avenue, N.W., Washington, DC 20418; call (202) 334-3387. The full text of this Workshop Summary is available on line at: www.nap.edu/readingroom. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 1999 by the National Academy of Sciences. All rights reserved. Printed in the United States of America The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
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The Role of Co-Occurring Substance Abuse and Mental Illness in Violence: Workshop Summary BOARD ON NEUROSCIENCE AND BEHAVIORAL HEALTH JOSEPH T.COYLE (Chair), Harvard Medical School ELLEN FRANK (Vice-Chair), University of Pittsburgh School of Medicine RICHARD J.BONNIE, University of Virginia School of Law WILLIAM E.BUNNEY, University of California at Irvine MARGARET A.CHESNEY, University of California at San Francisco School of Medicine DENNIS CHOI, Washington University School of Medicine RICHARD G.FRANK, Harvard Medical School ANN GRAYBIEL, Massachusetts Institute of Technology BEATRIX A.HAMBURG, Cornell University Medical College BEVERLY B.LONG, World Federation for Mental Health, Atlanta, Georgia STEVEN M.MIRIN, American Psychiatric Association, Washington, D.C. STEVEN M.PAUL, Lilly Research Laboratories, Indianapolis, Indiana RHONDA J.ROBINSON-BEALE, Blue Cross/Blue Shield of Michigan, Southfield ALLEN D.ROSES, Glaxo Wellcome Incorporated, Research Triangle Park, North Carolina STEPHEN WAXMAN, Yale Medical School KENNETH B.WELLS, Neuropsychiatric Institute, University of California at Los Angeles NANCY S.WEXLER, Columbia University ANNE B.YOUNG, Massachusetts General Hospital, Boston Institute of Medicine Board on Neuroscience and Behavioral Health Staff TERRY C.PELLMAR, Director LINDA V.LEONARD, Administrative Assistant Copy Editor MICHAEL EDINGTON Health Sciences Section Staff CHARLES H.EVANS, JR., Head (until June 1999) ELAINE LAWSON, Program Officer (until September 1999) LINDA DEPUGH, Administrative Assistant (until July 1999)
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The Role of Co-Occurring Substance Abuse and Mental Illness in Violence: Workshop Summary Acknowledgments This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council's Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making the published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their participation in the review of this report: Rene L.Binder, Langley Porter Psychiatric Institute; Ann M.Graybiel, Massachusetts Institute of Technology; Herbert D.Kleber, Columbia University College of Physicians and Surgeons; and Wilkie A.Wilson, Duke University Medical Center. While the individuals listed above have provided constructive comments and suggestions, it must be emphasized that responsibility for the final content of this report rests entirely with the Board on Neuroscience and Behavioral Health and the Institute of Medicine.