A brief motivational intervention for substance misuse in recent-onset psychosis.

Abstract:

: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.

journal_name

Drug Alcohol Rev

journal_title

Drug and alcohol review

authors

Kavanagh DJ,Young R,White A,Saunders JB,Wallis J,Shockley N,Jenner L,Clair A

doi

10.1080/09595230410001704127

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

151-5

issue

2

eissn

0959-5236

issn

1465-3362

pii

5MMBUMP3QV35E6U5

journal_volume

23

pub_type

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