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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
 
BMC Psychiatry. 2011; 11: 93.
Published online May 23, 2011. doi:  10.1186/1471-244X-11-93
PMCID: PMC3120743
A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres
Linda E Wüsthoff,corresponding author1 Helge Waal,1 Torleif Ruud,2,3 and Rolf W Gråwe1,4
1Norwegian Centre for Addiction Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
2Department of Research and Development at the Division Mental Health Services, Akershus University Hospital, Lørenskog, Norway
3Institute of Clinical Medicine, University of Oslo, Oslo, Norway
4Department of Research and Development at the Alcohol and Drug Treatment Health Trust in Central Norway, Trondheim, Norway
corresponding authorCorresponding author.
Linda E Wüsthoff: l.e.wusthoff/at/medisin.uio.no; Helge Waal: helge.waal/at/medisin.uio.no; Torleif Ruud: torleif.ruud/at/medisin.uio.no; Rolf W Gråwe: rolf.w.grawe/at/rus-midt.no
Received September 13, 2010; Accepted May 23, 2011.
Abstract
Background
Epidemiological studies have consistently established high comorbidity between psychiatric disorders and substance use disorders (SUD). This comorbidity is even more prominent when psychiatric populations are studied. Previous studies have focused on inpatient populations dominated by psychotic disorders, whereas this paper presents findings on patients in Community Mental Health Centres (CMHCs) where affective and anxiety disorders are most prominent. The purpose of this study is to compare patients in CMHCs with and without SUD in regard to differences in socio-demographic characteristics, level of morbidity, prevalence of different diagnostic categories, health services provided and the level of improvement in psychiatric symptoms.
Methods
As part of the evaluation of the National Plan for Mental Health, all patients seen in eight CMHCs during a 4-week period in 2007 were studied (n = 2154). The CMHCs were located in rural and urban areas of Norway. The patients were diagnosed according to the ICD-10 diagnoses and assessed with the Health of the Nation Outcome Scales, the Alcohol Use Scale and the Drug Use Scale.
Results
Patients with SUD in CMHCs are more frequently male, single and living alone, have more severe morbidity, less anxiety and mood disorders, less outpatient treatment and less improvement in regard to recovery from psychological symptoms compared to patients with no SUD.
Conclusion
CMHCs need to implement systematic screening and diagnostic procedures in order to detect the special needs of these patients and improve their treatment.
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