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

Kavanagh, David J., Young, Ross, White, Angela, Saunders, John, Wallis, Jeff, Shockley, Natalie, Jenner, Linda, & Clair, Anne (2004) A brief motivational intervention for substance misuse in recent-onset psychosis. Drug and Alcohol Review, 23, pp. 151-155.

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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.

Impact and interest:

70 citations in Scopus
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54 citations in Web of Science®

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ID Code: 28721
Item Type: Journal Article
Keywords: Motivational intervention, Substance misuse, Early psychosis, Standard care, Treatment outcomes
DOI: 10.1080/09595230410001704127
ISSN: 0959-5236
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Psychiatry (incl. Psychotherapy) (110319)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Mental Health (111714)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 19 Nov 2009 14:44
Last Modified: 29 Feb 2012 23:28

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