Sixteen-Year Predictors of Substance Use Disorder Diagnoses for Patients with Mental Health Disorders

作者：Irmiter Cheryl^*; Barry Kristen L; Cohen Kenneth; Blow Fredrick C

来源：Substance Abuse, 2009, 30(1): 40-46.

DOI：10.1080/08897070802608770

• Comorbid medical issues
• dual diagnosis
• inpatient psychiatric care
• psychiatric diagnosis
• substance use disorders

Individuals with substance use disorders (SUDs). including co-occurring disorders, are among the highest-risk populations for medical and psychiatric rehospitalizations, and are often un-derdiagnosed at initial hospitalization. This study examined predictors for these individuals at baseline hospitalization and subsequent rehospitalizations. Three groups were compared from a sample of individuals admitted to inpatient psychiatry (1982 to 1987) with at least one rehospitalization within a 16-year period. Multivariate logistical regressions were used to determine associations with predictor variables. The data showed that individuals' diagnosed with a SUD after baseline hospitalization were more likely to have more medical hospitalizations and to be diagnosed with schizophrenia compared to those who were diagnosed with a SUD, including co-occurring disorders, at baseline. The results of this study indicate the importance of substance use screening to enhance service resources and treatment outcomes for medically and psychiatrically complex populations.

• 出版日期2009
• 单位西北大学