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Chapter 9 - Comorbid Substance Use and Mental Illness

Published online by Cambridge University Press:  02 November 2021

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Summary

Psychiatric disorders are much more prevalent in the population with substance use disorders than they are in the general population. The co-existence of mental health and substance use disorders is associated with high levels of mortality and morbidity, linked to exclusion from mainstream services and unmet need. This chapter explores current policy guidance for services in England, focusing on the key themes of ‘no wrong door’ and ‘everyone’s job’. The elements of service organisation and delivery are considered at all levels, including the importance of care planning, communication, engagement, crisis services and training and support for staff. Interventions for co-occurring disorders are reviewed, including psychoeducation, pharmacology and mutual aid approaches. The chapter ends on a note of optimism that greater understanding of comorbid conditions will bring a more rational and equitable approach to this complex issue.

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Publisher: Cambridge University Press
Print publication year: 2021

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