Center for Healthcare Improvement for Addictions, Mental Illness and Medically Vulnerable Populations (CHAMMP), University of Washington at Harborview Medical Center, Seattle, WA 98104-2499, USA.
J Subst Abuse Treat. 2010 Apr;38(3):231-44. doi: 10.1016/j.jsat.2009.12.005. Epub 2010 Feb 4.
This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004-2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed.
本回顾性队列研究调查了共同发生的物质使用和精神障碍（COD）的风险因素，以及 COD 和亲密伴侣暴力（IPV）受害在女性中的影响，以及男性中的 IPV 相关逮捕对 1 年物质滥用治疗结果的影响。研究样本包括 2004-2007 年在华盛顿州公共资助的物质滥用治疗机构入院的患者。COD 在入院时与高物质使用和 IPV 风险状况相关联。COD 使男性和女性完成治疗的几率分别降低了 30%，使男性和女性重新接受治疗的风险分别增加了 9%和 12%。IPV 也降低了女性完成治疗的几率，并增加了男性重新接受治疗的风险。与没有 COD 的男性相比，患有 COD 的男性因与物质相关的犯罪被捕的可能性较小，但在随访期间因与暴力相关的犯罪被捕的可能性更大。讨论了这些发现的意义。
