A brief motivational intervention for substance misuse in recent-onset psychosis
Data(s) |
01/06/2004
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Resumo |
Substance misuse is common in early psychosis, and impacts negatively on outcomes. Little is known about effective interventions for this population. We report a pilot study of brief intervention for substance misuse in early psychosis (Start Over and Survive: SOS), comparing it with Standard Care (SC). Twenty-five in-patients aged 18-35 years with early psychosis and current misuse of non-opioid drugs were allocated randomly to conditions. Substance use and related problems were assessed at baseline, 6 weeks and 3, 6 and 12 months. Final assessments were blind to condition. All 13 SOS participants who proceeded to motivational interviewing reported less substance use at 6 months, compared with 58% (7/12) in SC alone. Effects were well maintained to 12 months. However, more SOS participants lived with a relative or partner, and this also was associated with better outcomes. Engagement remained challenging: 39% (16/41) declined participation and 38% (5/13) in SOS only received rapport building. Further research will increase sample size, and address both engagement and potential confounds. |
Identificador | |
Publicador |
Taylor & Francis Ltd. |
Relação |
DOI:10.1080/09595230410001704127 Kavanagh, David J., Young, Ross, White, Angela, Saunders, John, Wallis, Jeff, Shockley, Natalie, Jenner, Linda, & Clair, Anne (2004) A brief motivational intervention for substance misuse in recent-onset psychosis. Drug and Alcohol Review, 23, pp. 151-155. |
Fonte |
Faculty of Health; Institute of Health and Biomedical Innovation; School of Psychology & Counselling |
Palavras-Chave | #110319 Psychiatry (incl. Psychotherapy) #111714 Mental Health #Motivational intervention #Substance misuse #Early psychosis #Standard care #Treatment outcomes |
Tipo |
Journal Article |