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Substance misuse among clients with severe and enduring mental health illness
- Authors:
- HIPWELL Alison E., SINGH Krishna, CLARK Ann
- Journal article citation:
- Journal of Mental Health, 9(1), February 2000, pp.37-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Substance use, in the context of severe and enduring mental illness, is a growing problem and is likely to have implications for the way mental health services are used. This compares service utilisation, psychiatric symptomatology and social support among 16 clients with psychotic illness who were regular substance users, with 16 clients attending the same service who did not use substances. Their use of the day-service was chaotic and reflected social difficulties, such as housing instability, financial, and legal issues rather than mental health problems. The findings highlighted the need for an integrated and accessible service which could provide long-term, intensive and practical support.