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Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates
- Authors:
- VINCENTE Benjamin, et al
- Journal article citation:
- British Journal of Psychiatry, 184(4), April 2004, pp.299-305.
- Publisher:
- Cambridge University Press
The Composite International Diagnostic Interview was administered to a stratified random sample of 2978 individuals from four provinces representative of the country’s population. Six-month and 1-month prevalence rates were estimated. Demographic correlates, comorbidity and service use were examined. Nearly a fifth of the Chilean population had had a psychiatric disorder during the preceding 6 months. The 6-month and 1-month prevalence rates were 19.7% and 16.7% respectively. For the 6-month prevalence the five most common disorders were simple phobia, social phobia, agoraphobia, major depressive disorder and alcohol dependence. Less than 30% of those with any psychiatric diagnosis had a comorbid psychiatric disorder and the majority of them had sought treatment from mental health services. Current prevalence studies are useful indicators of service needs. People with comorbid psychiatric conditions have high rates of service use. The low rate of comorbidity in Chile merits further study.
Co-occuring disorders among jail inmates: bridging the treatment gap
- Author:
- YOUNG Diane S.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 3(3), 2003, pp.63-85.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper presents findings based on a retrospective review of health and mental health records of 359 mentally ill jail inmates. Regardless of demographic group, substance-related disorders and the most prevalent disorder. Sixty-seven percent of the sample had a substance-related disorder, 37% an adjustment disorder, 23% a mood disorder, and 12% had schizophrenia or another psychotic disorder. Comorbidity was extensive with close to 45% of the sample having both a substance-related disorder and an additional major mental illness. Study findings indicate that there is a great need to strengthen services and create jail-community linkages for inmates with comorbid mental health and substance abuse disorders. Innovative programme and resource information are provided. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Better or worse: a longitudinal study of the mental health of adults living in private households in Great Britain; report based on surveys carried out by the Office for National Statistics in 2000 and 2001...
- Editors:
- SINGLETON Nicola, LEWIS Glyn
- Publisher:
- Great Britain. Office for National Statistics,|Stationery Office
- Publication year:
- 2003
- Pagination:
- 170p.,tables.
- Place of publication:
- London
The longitudinal study described in this report involved an 18-month follow-up of people interviewed in the 2000 Psychiatric Morbidity Survey. The original sample included people aged 16–74 years residing in private households in England, Wales and Scotland. The mental disorders covered in the study were common mental disorders and substance misuse. The aims of the study were to investigate: the proportion who recovered from the common mental disorders of depression and anxiety approximately 18 months after initial assessment and the socio-demographic and social factors that are associated with recovery; the proportion without current disorder in the original survey who were found to have disorder 18 months later (an episode onset) and the factors associated with this change; the onset and recovery from suicidal thoughts and factors associated with these changes; the onset and cessation of substance misuse (cigarette smoking, alcohol misuse and drug misuse) and factors associated with these changes; the treatment and care received for mental disorders in the follow-up period in primary care, secondary care and other services and factors associated with this; in a sub-sample, the met and unmet needs for social and medical care were also investigated; and non-clinical outcomes related to the course of the disorder including employment, physical health and other indicators of quality of life.
Mental illness, substance abuse, demographics and offending: dual diagnosis in the suburbs
- Authors:
- WRIGHT Steve, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 13(1), April 2002, pp.32-52.
- Publisher:
- Routledge
High rates of offending and violence have been found in patients with co-morbid severe mental illness and substance misuse. This study compares offending and violence rates in patients with dual diagnosis (DD) and patients with psychosis only, drawing on a demographically representative population.Forty patients with severe mental disorders were interviewed in a geographically defined catchment area in Croydon, Surrey. DD patients were more likely to report a lifetime history of both offending and violence than patients with psychosis only (although gender may play a greater role than substance misuse). Few instances of recent violence were found, and no between-group differences were detected. The medical case records of DD patients were significantly more likely to contain a lifetime history of non-substance misuse-related offending, but not violence. However, the extent to which substance misuse contributes to violence and offending independently of contextual variables requires further investigation.