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Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services.
Psychiatr Rehabil J 2015; 38(1):16-23PR

Abstract

OBJECTIVE

Despite the number of studies investigating co-occurring disorders, and more recently, co-occurring disorders and criminal offending, few studies have considered samples from forensic mental health services. The present study was conducted to investigate the relationship between mental illness, substance use disorders, antisocial personality disorder, and offending.

METHOD

The prevalence of co-occurring disorders was investigated in 130 male offenders who had contact with the statewide forensic mental health service in Victoria, Australia. Offense histories and severity of offending were compared among participants diagnosed with a single mental illness (or no mental illness), co-occurring mental illness and substance use, and co-occurring disorders plus antisocial personality disorder.

RESULTS

The majority of participants had co-occurring mental and substance use disorders; a significant minority met the criteria for antisocial personality disorder. Participants with co-occurring mental illness and substance use disorders, and those who had an additional diagnosis of antisocial personality disorder, were responsible for more serious and frequent offending than those with mental illness alone.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Forensic mental health services must take into account the effect that co-occurring disorders have on clients' functioning and offending. Those who work with people with psychiatric disabilities and co-occurring substance use disorders must ensure that the substance disorders are addressed to help ensure recovery from the mental illness and to reduce the likelihood of offending. (PsycINFO Database Record

Authors+Show Affiliations

Centre for Forensic Behavioral Science, Swinburne University of Technology.Centre for Forensic Behavioral Science, Swinburne University of Technology.Centre for Forensic Behavioral Science, Swinburne University of Technology.Centre for Forensic Behavioral Science, Swinburne University of Technology.Centre for Forensic Behavioral Science, Swinburne University of Technology.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25799303

Citation

Ogloff, James R P., et al. "Co-occurring Mental Illness, Substance Use Disorders, and Antisocial Personality Disorder Among Clients of Forensic Mental Health Services." Psychiatric Rehabilitation Journal, vol. 38, no. 1, 2015, pp. 16-23.
Ogloff JR, Talevski D, Lemphers A, et al. Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Psychiatr Rehabil J. 2015;38(1):16-23.
Ogloff, J. R., Talevski, D., Lemphers, A., Wood, M., & Simmons, M. (2015). Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Psychiatric Rehabilitation Journal, 38(1), pp. 16-23. doi:10.1037/prj0000088.
Ogloff JR, et al. Co-occurring Mental Illness, Substance Use Disorders, and Antisocial Personality Disorder Among Clients of Forensic Mental Health Services. Psychiatr Rehabil J. 2015;38(1):16-23. PubMed PMID: 25799303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. AU - Ogloff,James R P, AU - Talevski,Diana, AU - Lemphers,Anthea, AU - Wood,Melisa, AU - Simmons,Melanie, PY - 2015/3/24/entrez PY - 2015/3/24/pubmed PY - 2015/12/17/medline SP - 16 EP - 23 JF - Psychiatric rehabilitation journal JO - Psychiatr Rehabil J VL - 38 IS - 1 N2 - OBJECTIVE: Despite the number of studies investigating co-occurring disorders, and more recently, co-occurring disorders and criminal offending, few studies have considered samples from forensic mental health services. The present study was conducted to investigate the relationship between mental illness, substance use disorders, antisocial personality disorder, and offending. METHOD: The prevalence of co-occurring disorders was investigated in 130 male offenders who had contact with the statewide forensic mental health service in Victoria, Australia. Offense histories and severity of offending were compared among participants diagnosed with a single mental illness (or no mental illness), co-occurring mental illness and substance use, and co-occurring disorders plus antisocial personality disorder. RESULTS: The majority of participants had co-occurring mental and substance use disorders; a significant minority met the criteria for antisocial personality disorder. Participants with co-occurring mental illness and substance use disorders, and those who had an additional diagnosis of antisocial personality disorder, were responsible for more serious and frequent offending than those with mental illness alone. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Forensic mental health services must take into account the effect that co-occurring disorders have on clients' functioning and offending. Those who work with people with psychiatric disabilities and co-occurring substance use disorders must ensure that the substance disorders are addressed to help ensure recovery from the mental illness and to reduce the likelihood of offending. (PsycINFO Database Record SN - 1559-3126 UR - https://www.unboundmedicine.com/medline/citation/25799303/Co_occurring_mental_illness_substance_use_disorders_and_antisocial_personality_disorder_among_clients_of_forensic_mental_health_services_ L2 - http://content.apa.org/journals/prj/38/1/16 DB - PRIME DP - Unbound Medicine ER -