A national survey of substance misuse and treatment outcome in psychiatric patients in medium security
Title:
A national survey of substance misuse and treatment outcome in psychiatric patients in medium security
Author:
Scott, Fiona Whyte, Sean Burnett, Rachel Hawley, Carol Maden, Tony
Appeared in:
The journal of forensic psychiatry & psychology
Paging:
Volume 15 (2004) nr. 4 pages 595-605
Year:
2004-12
Contents:
This is the first national study of outcome in medium security, based on all 959 discharges between 1/4/97 and 31/3/98. Case notes were used to collect data about demographic and clinical characteristics, including substance misuse. Criminal and hospital records, plus a questionnaire sent to the responsible consultant, were used to measure outcome in the 12 months following discharge. Drug use was common, with more than three quarters (76%) of the patients ever having used any drug, including 51% with a clinically significant drug problem and 40% with alcohol problems. There were strong associations between substance misuse and age, ethnicity, diagnosis and length of stay. Patients with substance misuse problems were significantly more likely to be re-convicted during the follow up period but were not significantly more likely to be re-hospitalized. Those with alcohol problems had significantly more re-admissions than those without. Formal substance misuse treatment programmes were rare in the units surveyed, and our findings suggest that there is a large unmet need for services among mentally disordered offenders in medium security.