An unholy alliance: substance abuse and social exclusion among assertive outreach patients.

Abstract:

OBJECTIVE:To investigate the relationship between social exclusion and outcomes of mentally ill patients with substance abuse problems receiving assertive outreach treatment in London. METHOD:Analysis was conducted on data on 580 patients from the 'Pan-London Assertive Outreach Study (PLAO)'. Data were collected using clinician-rated scales of alcohol and drug abuse in the last 6 months before baseline. Outcomes - hospitalization and compulsory hospitalization- were assessed over a 9-month follow-up period. RESULTS:The analysis identified a group of patients with substance abuse who suffer from social exclusion and forensic problems (n = 77, 15.8%), and had poorer outcomes than the rest of the patients in terms of hospitalization (52% vs. 36% respectively) and compulsory (39% vs. 22% respectively) hospitalization. CONCLUSION:There is a distinct group of patients whose treatment requires social inclusion and forensic expertise. Future research into which model of service is suitable for these patients and in what setting is recommended.

journal_name

Acta Psychiatr Scand

authors

Fakhoury WK,Priebe S,PLAO Study Group.

doi

10.1111/j.1600-0447.2005.00740.x

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

124-31

issue

2

eissn

0001-690X

issn

1600-0447

pii

ACP740

journal_volume

114

pub_type

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