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

Kavanagh, D. J., Young, R. M., White, A., Saunders, J. B., Wallis, J., Shockley, N., Jenner, L. and Clair, A. (2004) A brief motivational intervention for substance misuse in recent-onset psychosis. Drug And Alcohol Review, 23 2: 151-155.


Author Kavanagh, D. J.
Young, R. M.
White, A.
Saunders, J. B.
Wallis, J.
Shockley, N.
Jenner, L.
Clair, A.
Title A brief motivational intervention for substance misuse in recent-onset psychosis
Journal name Drug And Alcohol Review   Check publisher's open access policy
ISSN 0959-5236
Publication date 2004
Sub-type Article (original research)
DOI 10.1080/09595230410001704127
Volume 23
Issue 2
Start page 151
End page 155
Total pages 5
Editor J. B. Saunders
Place of publication Basingstoke, U.K.
Publisher Taylor & Francis
Collection year 2004
Language eng
Subject C1
321021 Psychiatry
730211 Mental health
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.
Keyword Substance Abuse
Brief Intervention
Comorbidity
Early Psychosis
Harm Reduction
Motivational Interviewing
Schizophrenia
Use Disorder
Alcohol
Health
Abuse
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2005 Higher Education Research Data Collection
School of Medicine Publications
 
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