Results of a screening survey for co-morbid substance misuse amongst patients in treatment for psychotic disorders: prevalence and service needs in an inner London borough

Article

Weaver, T., Rutter, D., Madden, P., Ward, J., Stimson, G. and Renton, A. 2001. Results of a screening survey for co-morbid substance misuse amongst patients in treatment for psychotic disorders: prevalence and service needs in an inner London borough. Social Psychiatry and Psychiatric Epidemiology. 36 (8), pp. 399-406. https://doi.org/10.1007/s001270170030
TypeArticle
TitleResults of a screening survey for co-morbid substance misuse amongst patients in treatment for psychotic disorders: prevalence and service needs in an inner London borough
AuthorsWeaver, T., Rutter, D., Madden, P., Ward, J., Stimson, G. and Renton, A.
Abstract

There is great concern in the UK, and other countries, about the clinical management of psychosis and substance misuse co-morbidity. However, relatively little is known about the UK prevalence and management of co-morbidity. Method: We implemented a screening survey of patients who were in treatment with an inner London adult mental health service and measured the prevalence of substance misuse amongst 851 psychotic patients. Caseworkers reported substance misuse and assessed clinical management arrangements. Results: Current prevalence of substance misuse was 24.4 % (95% CI: 21.3–27.1). Rates of co-morbidity were higher in males (31 % vs 16 %, χ2 1df=26.0, P < 0.001) and patients over 51 (χ2 3df=50.1, P < 0.001). Adjusted odds of co-morbidity in patients under 51 were 0.19 (95 % CI: 0.10–0.34) and 0.47 for females (95 % CI: 0.32–0.69). Substance misuse interventions were provided to 20 % of co-morbid patients – Only 5 % were compliant. Conclusions: The findings suggest substance misuse may be highly prevalent amongst psychotic patients. Most co-morbid patients do not receive appropriate treatment. The development of evidence-based interventions should be a priority.

Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
PublisherSpringer
JournalSocial Psychiatry and Psychiatric Epidemiology
ISSN0933-7954
Electronic1433-9285
Publication dates
Print01 Aug 2001
Publication process dates
Deposited26 Aug 2022
Accepted02 Apr 2001
Output statusPublished
Digital Object Identifier (DOI)https://doi.org/10.1007/s001270170030
LanguageEnglish
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Metrebian, N., Weaver, T., Pilling, S., Hellier, J., Byford, S., Shearer, J., Mitcheson, L., Astbury, M., Bijral, P., Bogdan, N., Bowden-Jones, O., Day, E., Dunn, J., Finch, E., Forshall, S., Glasper, A., Morse, G., Akhtar, S., Bajaria, J., Bennett, C., Bishop, E., Charles, V., Davey, C., Desai, R., Goodfellow, C., Haque, F., Little, N., McKechnie, H., Morris, J., Mosler, F., Mutz, J., Pauli, R., Poovendran, D., Slater, E. and Strang, J. 2018. Positive reinforcement targeting abstinence in substance misuse (PRAISe): Study protocol for a Cluster RCT & process evaluation of contingency management. Contemporary Clinical Trials. 71, pp. 124-132. https://doi.org/10.1016/j.cct.2018.06.008
Characteristics and pathways of long-stay patients in high and medium secure settings in England; a secondary publication from a large mixed-methods study
Völlm, B., Edworthy, R., Huband, N., Talbot, E., Majid, S., Holley, J., Furtado, V., Weaver, T., McDonald, R. and Duggan, C. 2018. Characteristics and pathways of long-stay patients in high and medium secure settings in England; a secondary publication from a large mixed-methods study. Frontiers in Psychiatry. 9. https://doi.org/10.3389/fpsyt.2018.00140
Transformative learning through university and prison partnership: an evaluation of the Middlesex University and HMP Wandsworth Prison module
Ward, J., Gray, N. and Cracknell, M. 2017. Transformative learning through university and prison partnership: an evaluation of the Middlesex University and HMP Wandsworth Prison module. London Middlesex University.
Randomised controlled trial of the clinical and cost-effectiveness of a peer-delivered self-management intervention to prevent relapse in crisis resolution team users: study protocol
Johnson, S., Mason, O., Osborn, D., Milton, A., Henderson, C., Marston, L., Ambler, G., Hunter, R., Pilling, S., Morant, N., Gray, R., Weaver, T., Nolan, F. and Lloyd-Evans, B. 2017. Randomised controlled trial of the clinical and cost-effectiveness of a peer-delivered self-management intervention to prevent relapse in crisis resolution team users: study protocol. BMJ Open. 7 (10). https://doi.org/10.1136/bmjopen-2016-015665
Feasibility trial of a psychoeducational intervention for parents with personality difficulties: The Helping Families Programme
Day, C., Briskman, J., Crawford, M., Harris, L., McCrone, P., McMurran, M., Moran, P., Morgan, L., Scott, S., Stahl, D., Ramchandani, P. and Weaver, T. 2017. Feasibility trial of a psychoeducational intervention for parents with personality difficulties: The Helping Families Programme. Contemporary Clinical Trials Communications. 8, pp. 67-74. https://doi.org/10.1016/j.conctc.2017.08.002
A randomised controlled trial of the clinical and cost-effectiveness of a contingency management intervention for reduction of cannabis use and of relapse in early psychosis (CIRCLE): a study protocol for a randomised controlled trial
Johnson, S., Rains, L., Marwaha, S., Strang, J., Craig, T., Weaver, T., McCrone, P., King, M., Fowler, D., Pilling, S., Marston, L., Omar, R., Craig, M. and Hinton, M. 2016. A randomised controlled trial of the clinical and cost-effectiveness of a contingency management intervention for reduction of cannabis use and of relapse in early psychosis (CIRCLE): a study protocol for a randomised controlled trial. Trials. 17 (1). https://doi.org/10.1186/s13063-016-1620-x
Improving GHB withdrawal with baclofen: study protocol for a feasibility study for a randomised controlled trial
Lingford-Hughes, A., Patel, Y., Bowden-Jones, O., Crawford, M., Dargan, P., Gordon, F., Parrott, S., Weaver, T. and Wood, D. 2016. Improving GHB withdrawal with baclofen: study protocol for a feasibility study for a randomised controlled trial. Trials. 17. https://doi.org/10.1186/s13063-016-1593-9
Transforming summary justice: Modernisation in the lower criminal courts
Ward, J. 2016. Transforming summary justice: Modernisation in the lower criminal courts. London and New York Routledge.
Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services: the TRACK study
Islam, Z., Ford, T., Kramer, T., Paul, M., Parsons, H., Harley, K., Weaver, T., McLaren, S. and Singh, S. 2016. Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services: the TRACK study. BJPsych Bulletin. 40 (3), pp. 142-148. https://doi.org/10.1192/pb.bp.115.050690
An economic evaluation of contingency management for completion of hepatitis B vaccination in those on treatment for opiate dependence
Rafia, R., Dodd, P., Brennan, A., Meier, P., Hope, V., Ncube, F., Byford, S., Tie, H., Metrebian, N., Hellier, J., Weaver, T. and Strang, J. 2016. An economic evaluation of contingency management for completion of hepatitis B vaccination in those on treatment for opiate dependence. Addiction. 111 (9), pp. 1616-1627. https://doi.org/10.1111/add.13385
Northampton Youth Offending Service review panel evaluation
Ward, J. and Warkel, K. 2015. Northampton Youth Offending Service review panel evaluation. London Middlesex University.
Changing prisons in challenging times- reporting from a roundtable seminar
Ward, J. 2015. Changing prisons in challenging times- reporting from a roundtable seminar. School of Law Roundtable Seminar: Changing Prisons in Challenging Times. Middlesex University, London, United Kingdom 16 Mar 2015
Drugs, care and sex work: sex and survival
Ward, J. and Pearson, G. 2016. Drugs, care and sex work: sex and survival. in: Hobbs, D. (ed.) Mischief, Morality and Mobs: Essays in Honour of Geoffrey Pearson London Routledge. pp. 195-207
Transforming 'summary justice' through police-led prosecution and 'virtual courts': is 'procedural due process' being undermined?
Ward, J. 2015. Transforming 'summary justice' through police-led prosecution and 'virtual courts': is 'procedural due process' being undermined? The British Journal of Criminology: An International Review of Crime and Society. 55 (2), pp. 341-358. https://doi.org/10.1093/bjc/azu077
Hearing voices simulation: Process and outcomes of training
Patterson, S., Goulter, N. and Weaver, T. 2014. Hearing voices simulation: Process and outcomes of training. Journal of Mental Health Training, Education and Practice. 9 (1), pp. 46-58. https://doi.org/10.1108/JMHTEP-01-2013-0003
Use of contingency management incentives to improve completion of hepatitis B vaccination in people undergoing treatment for heroin dependence: a cluster randomised trial
Weaver, T., Metrebian, N., Hellier, J., Pilling, S., Charles, V., Little, N., Poovendran, D., Mitcheson, L., Ryan, F., Bowden-Jones, O., Dunn, J., Glasper, A., Finch, E. and Strang, J. 2014. Use of contingency management incentives to improve completion of hepatitis B vaccination in people undergoing treatment for heroin dependence: a cluster randomised trial. The Lancet. 384 (9938), pp. 153-163. https://doi.org/10.1016/S0140-6736(14)60196-3
Activity and views of service users involved in mental health research: UK survey
Patterson, S., Trite, J. and Weaver, T. 2014. Activity and views of service users involved in mental health research: UK survey. The British Journal of Psychiatry. 205 (1), pp. 68-75. https://doi.org/10.1192/bjp.bp.113.128637
Influences on recruitment to randomised controlled trials in mental health settings in England: a national cross-sectional survey of researchers working for the Mental Health Research Network
Borschmann, R., Patterson, S., Poovendran, D., Wilson, D. and Weaver, T. 2014. Influences on recruitment to randomised controlled trials in mental health settings in England: a national cross-sectional survey of researchers working for the Mental Health Research Network. BMC Medical Research Methodology. 14 (1), p. 23. https://doi.org/10.1186/1471-2288-14-23
Monitoring and management of metabolic abnormalities: mixed-method evaluation of a successful intervention
Wilson, E., Randall, C., Patterson, S., Emmerson, B., Moudgil, V. and Weaver, T. 2014. Monitoring and management of metabolic abnormalities: mixed-method evaluation of a successful intervention. Australasian Psychiatry. 22 (3), pp. 248-253. https://doi.org/10.1177/1039856214529000
The effect of organisational resources and eligibility issues on transition from child and adolescent to adult mental health services
Belling, R., McLaren, S., Paul, M., Ford, T., Kramer, T., Weaver, T., Hovish, K., Islam, Z., White, S. and Singh, S. 2014. The effect of organisational resources and eligibility issues on transition from child and adolescent to adult mental health services. Journal of Health Services Research & Policy. 19 (3), pp. 169-176. https://doi.org/10.1177/1355819614527439
Are problem-solving courts the way forward for justice?
Ward, J. 2014. Are problem-solving courts the way forward for justice? Howard League for Penal Reform.
Multi-method Evaluation of the Management, Organisation and Staffing (MEMOS) in high security treatment services for people with Dangerous and Severe Personality Disorder (DSPD)
Trebilcock, J. and Weaver, T. 2010. Multi-method Evaluation of the Management, Organisation and Staffing (MEMOS) in high security treatment services for people with Dangerous and Severe Personality Disorder (DSPD). Personality Disorder Team.
Everybody knows that the prisoner is going nowhere: Parole Board members’ views about dangerous and severe personality disorder in England and Wales
Trebilcock, J. and Weaver, T. 2012. Everybody knows that the prisoner is going nowhere: Parole Board members’ views about dangerous and severe personality disorder in England and Wales. International Journal of Criminology and Sociology. 1, pp. 141-150. https://doi.org/10.6000/1929-4409.2012.01.14
‘Talking a different language’: an exploration of the influence of organizational cultures and working practices on transition from child to adult mental health services
McLaren, S., Belling, R., Paul, M., Ford, T., Kramer, T., Weaver, T., Hovish, K., Islam, Z., White, S. and Singh, S. 2013. ‘Talking a different language’: an exploration of the influence of organizational cultures and working practices on transition from child to adult mental health services. BMC Health Services Research. 13. https://doi.org/10.1186/1472-6963-13-254
Punishing drug possession in the magistrates’ courts: time for a rethink
Ward, J. 2013. Punishing drug possession in the magistrates’ courts: time for a rethink. European Journal on Criminal Policy and Research. 19 (4), pp. 289-307. https://doi.org/10.1007/s10610-012-9191-1
The commissioning and provision of advocacy for problem drug users in English DATS; a cross sectional survey
Cargill, T., Weaver, T. and Patterson, S. 2012. The commissioning and provision of advocacy for problem drug users in English DATS; a cross sectional survey. Drugs: Education, Prevention, and Policy. 19 (2), pp. 163-170. https://doi.org/10.3109/09687637.2011.609204
Changing legal characteristics of dangerous and severe personality disorder (DSPD) patients and prisoners
Trebilcock, J. and Weaver, T. 2012. Changing legal characteristics of dangerous and severe personality disorder (DSPD) patients and prisoners. The Journal of Forensic Psychiatry & Psychology. 23 (2), pp. 237-243. https://doi.org/10.1080/14789949.2012.668212
‘It doesn't have to be treatable’: Mental Health Review Tribunal (MHRT) members’ views about Dangerous and Severe Personality Disorder (DSPD)
Trebilcock, J. and Weaver, T. 2012. ‘It doesn't have to be treatable’: Mental Health Review Tribunal (MHRT) members’ views about Dangerous and Severe Personality Disorder (DSPD). The Journal of Forensic Psychiatry & Psychology. 23 (2), pp. 244-260. https://doi.org/10.1080/14789949.2012.668208
Policing public drugs nuisance through the anti-social behaviour legislation: questions and contradictions
Ward, J. 2011. Policing public drugs nuisance through the anti-social behaviour legislation: questions and contradictions. European Journal on Criminal Policy and Research. 17 (4), pp. 323-341. https://doi.org/10.1007/s10610-011-9155-x
One problem among many: drug use among care leavers in transition to independent living
Ward, J., Henderson, Z. and Pearson, G. 2003. One problem among many: drug use among care leavers in transition to independent living. London, UK Home Office Research, Development and Statistics Directorate.
Tracking care leavers as they move to independence.
Ward, J. and Pearson, G. 2003. Tracking care leavers as they move to independence. Economic and Social Research Council.
Flashback: drugs and dealing in the golden age of the London rave scene.
Ward, J. 2010. Flashback: drugs and dealing in the golden age of the London rave scene. Cullompton, UK Willan Publishing.
Residents’ perceptions of water quality improvements following remediation work in the Pymme’s Brook catchment, north London, UK
Faulkner, H., Green, A., Pellaumail, K. and Weaver, T. 2001. Residents’ perceptions of water quality improvements following remediation work in the Pymme’s Brook catchment, north London, UK. Journal of Environmental Management. 62 (3), pp. 239-254. https://doi.org/10.1006/jema.2001.0435
Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study
Singh, S., Paul, M., Ford, T., Kramer, T., Weaver, T., McLaren, S., Hovish, K., Islam, Z., Belling, R. and White, S. 2010. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study. The British Journal of Psychiatry. 197 (4), pp. 305-312. https://doi.org/10.1192/bjp.bp.109.075135
Young people’s perceptions of risk
Ward, J. and Bayley, M. 2007. Young people’s perceptions of risk. in: Thom, B., Sales, R. and Pearce, J. (ed.) Growing up with risk London Policy Press. pp. 37-56
Drug consumption in London - A city of diverse and changing scenes
Ward, J. and Thom, B. 2009. Drug consumption in London - A city of diverse and changing scenes. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies England Ashgate. pp. 39-56
Quantities, quality, costs and sources.
Moskalewicz, J., Ward, J. and Thom, B. 2009. Quantities, quality, costs and sources. in: Eisenbach-Stangl, I., Moskalewicz, J. and Thom, B. (ed.) Two worlds of drug consumption in late modern societies. Ashgate. pp. 247-280
Researching drug sellers: an 'experiential' account from 'the field'
Ward, J. 2008. Researching drug sellers: an 'experiential' account from 'the field'. Sociological research online. 13 (1), pp. 31-42. https://doi.org/10.5153/sro.1673
Drug use and drug dealing in the rave club culture
Ward, J. 2007. Drug use and drug dealing in the rave club culture. PhD thesis Goldsmiths College (University of London) Goldsmiths College
Broadening the discussion on sexual exploitation: ethnicity, sexual exploitation and young people
Ward, J. and Patel, N. 2006. Broadening the discussion on sexual exploitation: ethnicity, sexual exploitation and young people. Child Abuse Review. 15 (5), pp. 341-350.
Some practical and ethical issues encountered while conducting tracking research with young people leaving the 'care' system
Ward, J. and Henderson, Z. 2003. Some practical and ethical issues encountered while conducting tracking research with young people leaving the 'care' system. International Journal of Social Research Methodology. 6 (3), pp. 255-259. https://doi.org/10.1080/1364557032000091851
Review essay
Ward, J. 2001. Review essay. Policy Studies. 22 (2), pp. 135-142. https://doi.org/10.1080/01442870120096376
Opportunities for research: Changing Youth Transitions—new risks and vulnerabilities
Ward, J. 1998. Opportunities for research: Changing Youth Transitions—new risks and vulnerabilities. Drugs: Education, Prevention, and Policy. 5 (1), pp. 105-107. https://doi.org/10.3109/09687639809035776
Substance use among young people 'looked after' by social services
Ward, J. 1998. Substance use among young people 'looked after' by social services. Drugs: Education, Prevention, and Policy. 5 (3), pp. 257-267. https://doi.org/10.3109/09687639809034087
The Bentham unit: a pilot remand and assessment service for male mentally disordered remand prisoners. II: Report of an independent evaluation
Weaver, T., Taylor, F., Cunningham, B. and Maden, A. 1997. The Bentham unit: a pilot remand and assessment service for male mentally disordered remand prisoners. II: Report of an independent evaluation. The British Journal of Psychiatry. 170 (5), pp. 462-466. https://doi.org/10.1192/bjp.170.5.462