Substance Misuse in Psychosis

Hermine L. Graham is a consultant clinical psychologist, Head of the Combined Psychosis and Substance Use (COMPASS) Programme in Northern Birmingham, UK, and an Honorary Research Fellow with the School of Psychology, University of Birmingham. In a managerial and clinical research capacity she is developing and evaluating an integrated treatment and service model for people with severe mental health problems who use alcohol/drugs problematically. She has published articles within this area and provides national and international consultancy/advice on service and policy developments for this client group. Her clinical and research interests include the application of cognitive therapy for people with combined psychosis and substance use. A publication that reflects this is her paper, "The Role of Dysfunctional Beliefs in Individuals Who Experience Psychosis and Use Substances: Implications for Cognitive Therapy and Medication Adherence" (1998), Behavioural and Cognitive Psychotherapy, 26, 193-208.

The prevalence of substance abuse in the severely mentally ill is higher than that in the general population, making this a serious issue for clinicians. Integrated treatment, although the most widely adopted approach, is subject to tremendous variation in its operationalisation, especially throughout different parts of the world.

Substance Misuse in Psychosis presents the latest international developments and practical treatment interventions that can be used with co-morbid individuals and their families. Different social and cultural contexts are described and contrasted, along with treatment approaches that have been tailored to address the needs of the severely mentally ill. A final section considers sub-groups, e.g. the young, the homeless, outlining the special issues that need to be considered when providing services for these groups.

This book provides an opportunity for clinicians, researchers, and service providers to become informed about the most important clinical and research issues related to people with psychosis and substance abuse. It updates and outlines practical treatment interventions and approaches that can be used with these individuals and their families.

About the Editors.
List of Contributors.

Preface.

Acknowledgements.

Part I Social and Psychological Perspectives of Problem Substance Use Among those with Psychosis.

Introduction ( Max J. Birchwood).

Chapter 1 Substance Misuse in Psychosis: Contextual Issues ( Jenny Maslin).

Chapter 2 Temporal Order and Aetiology ( Martin Hambrecht and Heinz H¨afner).

Chapter 3 Substance Misuse and Psychosis in Context: The Influences of Families and Social Networks ( Alex Copello).

Chapter 4 Sociological Aspects of Substance Misuse among People with Severe Mental Illness ( Martin J. Commander).

Chapter 5 A Cognitive Conceptualization of Concurrent Psychosis and Problem Drug and Alcohol Use ( Hermine L. Graham).

Part II Integrated Service Delivery Models.

Introduction ( Kim T. Mueser).

Chapter 6 Integrated Dual Disorder Treatment in New Hampshire (USA) ( Kim T. Mueser and Robert E. Drake).

Chapter 7 The Combined Psychosis and Substance Use (COMPASS) Programme: An Integrated Shared-care Approach ( Hermine L. Graham, Alex Copello, Max J. Birchwood, Jenny Maslin, Dermot McGovern, Jim Orford and George Georgiou).

Chapter 8 An Integrated Treatment Approach to Substance use in an Early Psychosis Programme ( Jean Addington).

Chapter 9 An Inpatient-Based Service Model ( Richard N. Rosenthal).

Part III Treatments for Substance Misuse in Psychosis.

Introduction ( Alex Copello).

Chapter 10 Assessment Considerations ( Douglas L. Noordsy, Debra V. McQuade and Kim T. Mueser).

Chapter 11 Cognitive-Behavioural Integrated Treatment Approach for Psychosis and Problem Substance Use ( Hermine L. Graham, Alex Copello, Max J. Birchwood, Jim Orford, Dermot McGovern, Jenny Maslin and George Georgiou).

Chapter 12 Relapse Prevention for Patients with Bipolar and Substance Use Disorders ( Roger D. Weiss, Shelly F. Greenfield and Grace O'Leary).

Chapter 13 Family Intervention for Substance Misuse in Psychosis ( Christine Barrowclough).

Chapter 14 Start Over and Survive: A Brief Intervention for Substance Misuse in Early Psychosis ( David J. Kavanagh, Ross Young, Angela White, John B. Saunders, Natalie Shockley, Jeff Wallis and Anne Clair).

Chapter 15 Pharmacological Management of Substance Misuse in Psychosis ( Ed Day, George Georgiou and Ilana Crome).

Part IV Special Populations.

Introduction ( Hermine L. Graham).

Chapter 16 Cannabis and First-Episode Psychosis: The CAP Project ( Jane Edwards, Mark Hinton, Kathryn Elkins and Olympia Athanasopoulos).

Chapter 17 Comorbid severe Mental Health Problems and Substance Abuse in Forensic Populations ( Alison Beck, Tom Burns and Tim Hunt).

Chapter 18 Integrated Treatment Outcomes for Homeless Persons with Severe Mental Illness and Co-Occurring Substance Use Disorders ( Susan A. Pickett-Schenk, Michael Banghart and Judith A. Cook).

Chapter 19 Issues in Comorbidity and HIV/AIDS ( Lisa Razzano).

Part V The Evolving Evidence Base.

Chapter 20 Cochrane Review of Treatment Outcome Studies and its Implications for Future Developments ( Ann Ley and David Jeffery).

Epilogue: Future Directions.

Concluding Remarks ( Hermine L. Graham, Alex Copello, Max J. Birchwood and Kim T. Mueser).

Index.

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