Home > Psychosis with coexisting substance misuse overview (Dual diagnosis).

National Institute for Health and Care Excellence. [NICE] (2015) Psychosis with coexisting substance misuse overview (Dual diagnosis). London: NICE. NICE Pathways

URL: http://pathways.nice.org.uk/pathways/psychosis-wit...


This pathway covers assessment and management of psychosis with coexisting substance misuse in adults and young people.

 

The term psychosis is used to describe a group of severe mental health disorders characterised by the presence of delusions and hallucinations that disrupt a person's perception, thoughts, emotions and behaviour. The main forms of psychosis are schizophrenia, bipolar disorder or other affective psychosis.

 

Substance misuse is a broad term encompassing, in this pathway, the harmful use of any psychotropic substance, including alcohol and either legal or illicit drugs. Such use is usually, but not always, regarded as a problem if there is evidence of dependence. However, substance misuse can be harmful without dependence, especially among people with coexisting psychosis.

 

Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. Substance misuse among individuals with psychiatric disorders is associated with significantly poorer outcomes than for individuals with a single disorder

Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder harm reduction
Source:NICE
Date:2015
Publisher:NICE
Corporate Creators:National Institute for Health and Care Excellence
Place of Publication:London
EndNote:View
Subjects:G Health and disease > State of health > Mental health
G Health and disease > Substance related disorder > Dual diagnosis (comorbidity)
G Health and disease > Substance related disorder > Substance related mental disorder
J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for substance use
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
T Demographic characteristics > Adolescent / youth (teenager / young person)
VA Geographic area > Europe > United Kingdom

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