内容简介
Theprevalenceofsubstanceabuseintheseverelymentallyillishigherthanthatinthegeneralpopulation,makingthisaseriousissueforclinicians.Integratedtreatment,althoughthemostwidelyadoptedapproach,issubjecttotremendousvariationinitsoperationalisation,especiallythroughoutdifferentpartsoftheworld.SubstanceMisuseinPsychosispresentsthelatestinternationaldevelopmentsandpracticaltreatmentinterventionsthatcanbeusedwithco-morbidindividualsandtheirfamilies.Differentsocialandculturalcontextsaredescribedandcontrasted,alongwithtreatmentapproachesthathavebeentailoredtoaddresstheneedsoftheseverelymentallyill.Afinalsectionconsiderssub-groups,e.g.theyoung,thehomeless,outliningthespecialissuesthatneedtobeconsideredwhenprovidingservicesforthesegroups.
作者简介
HermineL.Grahamisaconsultantclinicalpsychologist,HeadoftheCombinedPsychosisandSubstanceUse(COMPASS)ProgrammeinNorthernBirmingham,UK,andanHonoraryResearchFellowwiththeSchoolofPsychology,UniversityofBirmingham.Inamanagerialandclinicalresearchcapacitysheisdevelopingandevaluatinganintegratedtreatmentandservicemodelforpeoplewithseverementalhealthproblemswhousealcohol/drugsproblematically.Shehaspublishedarticleswithinthisareaandprovidesnationalandinternationalconsultancy/adviceonserviceandpolicydevelopmentsforthisclientgroup.Herclinicalandresearchinterestsincludetheapplicationofcognitivetherapyforpeoplewithcombinedpsychosisandsubstanceuse.Apublicationthatreflectsthisisherpaper,“TheRoleofDysfunctionalBeliefsinIndividualsWhoExperiencePsychosisandUseSubstances:ImplicationsforCognitiveTherapyandMedicationAdherence”(1998),BehaviouralandCognitivePsychotherapy,26,193–208.AlexCopelloisaconsultantclinicalpsychologist,HeadofthePsychologyAddictionSpecialitywithinNorthernBirminghamMentalHealthTrust,andLecturerinClinicalPsychologyattheSchoolofPsychology,UniversityofBirmingham.HeisapractisingclinicianandtheleadprofessionalfortheAddictionResearchandDevelopmentProgrammefortheTrust.Inaddition,heisoneoftheprincipalinvestigatorsonanMRC-fundedUKmultisitestudyevaluatingalcoholtreatment.Hehasbeeninvolvedindevelopingasocialnetwork-basedtreatmentthatwillbeevaluatedinthisstudy.Hisresearchandclinicalinterestsincludetheimpactofaddictionuponfamilies;theevaluationofservicesforalcoholanddrugusers,bothinprimarycareandspecialistsettings;andtheuseofqualitativeresearchmethods.Hehasalsobeeninvolvedininternationalcross-culturalresearchassessingtheimpactofaddictiononfamiliesinMexicoandAustralia.Hepublishesextensivelyinanumberofscientificjournalsandhasco-authoredthebookLivingwithDrink:WomenWhoLivewithProblemDrinkers(1998).MaxJ.BirchwoodisDirectoroftheEarlyInterventionServiceandDirectorofResearchandDevelopmentforNorthernBirminghamMentalHealthTrust,andProfessorofMentalHealthattheUniversityofBirmingham,UK.Hisclinicalandresearchinterestshavecentredaroundthedevelopmentofmethodsofpromotingindividuals’controlovertheirpsychoticsymptoms,includingtheapplicationofcognitivetherapytopsychoticsymptoms,asinacutepsychosis,andtherecognitionandcontrolofearlywarningsignsofrelapse.Hehaspublishedwidelyintheseareasandisaprominentfigurewithinthisfield.HisbooksincludePsychologicalManagementofSchizophrenia(1994),CognitiveTherapyforHallucinations,DelusionsandParanoia(1996),EarlyInterventioninPsychosis(2000)andSchizophrenia(2001).Heiscurrentlyinvolvedinthedevelopmentofcommunity-basedearlyinterventionforpeoplewithpsychosisacrosstheUKandispatrontotheNationalSchizophreniaFellowshipintheUK.KimT.MueserisaProfessorintheDepartmentsofPsychiatryandCommunityandFamilyMedicineattheDartmouthMedicalSchoolinNewHampshire,USA.Heisanactivecontributortoresearchandthedevelopmentofclinicalmethodsforthetreatmentofcomorbidseverementalillnessandsubstanceuse,haspublishednumerousarticleswithinthisarea,andprovidesresearchconsultancy/advicetoanumberofservices.Hisclinicalandresearchinterestsincluderesearchonthetreatmentofpersonswithseverementalillness,andsubstanceusedisorders,familytreatmentandsocialskillstrainingforseverementalillness,andotheraspectsofpsychiatricrehabilitation.Hehasco-authoredseveralbooks,includingSocialSkillsTrainingforPsychiatricPatients(1989),CopingWithSchizophrenia:AGuideforFamilies(1994),BehaviouralFamilyTherapyforPsychiatricDisorders,2ndedn,1999),andSocialSkillsTrainingforSchizophrenia(1997).--ThistextreferstothePaperbackedition.
