The Role of Co-Occurring Substance Abuse and Mental Illness in Violence Workshop Summary (1999) / Chapter Skim
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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
Pages 1-7
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treatment programs; public perceptions of substance abuse, mental illness, and violence; and opportunities for future research and developments. The workshop concluded with a discussion of the role the Institute might play in shaping policies for research, training, treatment, and services.
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Temporal patterns of comorbidity revealed that anxiety disorders and conduct problems tended to precede alcohol and drug problems, whereas affective disorders both preceded and postdated the onset of substance abuse disorders. Depression was reported equally often before and after the onset of alcohol or drug abuse.
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For this reason, the bureau has implemented a comprehensive program to manage and provide appropriate care for mentally ill prisoners. MODEL TREATMENT PROGRAMS The treatment of patients with co-occurring mental illness and substance abuse presents special challenges.
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Recognizing the importance of treatment programs, the bureau encourages inmates to participate by offering them a variety of incentives. The workshop participants agreed that treatment needs to be provided within a broader medical, social, and personal context.
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The people surveyed expected that persons with drug abuse, alcohol abuse, and schizophrenia would be dangerous, but would be more of a threat to themselves than to others. The survey also showed that respondents distinguished among the mental health problems in terms of their support for legally coerced treatment.
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In the judgement of the workshop participants, comorbidity associated with violence presents special challenges to the criminal justice system, the public health system, social services agencies, local governments, and communities. To deal with these challenges, participants suggested that the efforts of these organizations need to be coordinated.
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Despite the increased attention now being given to "outpatient commitment" of persons with chronic mental illness, the significance of substance abuse and its concurrent treatment is rarely given specific attention. Workshop discussions pointed out that incarceration has become a critical juncture for people with a mental illness and that interventions are needed to prevent their going to jail.
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