Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-25T21:36:36.288Z Has data issue: false hasContentIssue false

Substance use and psychosis in the Territory

Published online by Cambridge University Press:  05 May 2015

Tricia Nagel*
Affiliation:
Northern Territory Clinical School, Flinders University of South Australia

Abstract

There is increasing worldwide recognition of the social and economic burden of psychotic illness. Substance use disorders frequently complicate the treatment of psychosis and are associated with increased readmission rates, decreased compliance, and increased violence and suicide risk. The Northern Territory of Australia has a scattered remote population – 25% of whom are Indigenous people. There are increasing rates of drug use across the Territory, and hospital admission rates have been gradually increasing. Psychotic disorders are the most frequent cause of hospital admissions, and substance abuse complicates the majority of these admissions. It is imperative that comprehensive treatment programs are established, integrating services, and utilising culturally appropriate cost-effective strategies.

Type
Articles
Copyright
Copyright © University of Papua New Guinea and Massey University, New Zealand/Aotearoa 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

ABS. (1998c). Mental Health and Wellbeing: Profile of Adults, Australia, 1997. cat no 4326.0. Canberra: Australian Bureau of Statistics Google Scholar
Addington, J. & Duchak, C. (1997). Reasons For Substance Use In Schizophrenia, Acta Psychiatrica Scandanavica; 96. 329333.CrossRefGoogle Scholar
Bebbington, B.E. (1995). The content and context of compliance. International Clinical Psychopharmacology, Vol 9, Supplement 5.CrossRefGoogle ScholarPubMed
Bertram, S. & O'Reilly, B. (1998). Summary of the 1996 Australian Secondary Students Alcohol and Drug Survey Northern Territory. Darwin: Government Printing Service.Google Scholar
Brunette, M.F., Mueser, K.T., Xie, H. & Drake, R.E. (1997). Relationships between symptoms of schizophrenia and substance abuse. The Journal Of Nervous And Mental Disease, 185; 1320.CrossRefGoogle ScholarPubMed
Condon, J. R., Warman, G. & Arnold, L. (eds.). (2001). The Health and Welfare of Territorians. Darwin: Epidemiology Branch, Territory Health Services.Google Scholar
Dixon, L. (1999). Dual diagnosis of substance use in schizophrenia. Schizophrenia Research, 3, supp S93-S100.Google Scholar
Drake, R.E., Osher, F.C. & Wallach, M. A. (1991). Homelessness and Dual Diagnosis. American Psychologist 46, 11491158.CrossRefGoogle ScholarPubMed
Fenton, W. (2001). Comorbid Conditions in Schizophrenia. Current Opinion in Psychiatry, 14 (1), 1723.CrossRefGoogle Scholar
Gupta, S., Hendricks, S.. Kenkel, A.M., Bhatia, S.C. & Haffke, E.A. (1995). Relapse In Schizophrenia – Is There A Relationship To Substance Abuse? Schizophrenia Research, 20, 153156.CrossRefGoogle Scholar
Jablensky, A., McGrath, J., Herrman, H., Castle, D., Gureje, O., Morgan, V. & Korten, A. (1999). People living with psychotic illness: An Australian study 1997-1998. Canberra: Commonwealth Department of Health and Aged Care.Google Scholar
Johns, A. (2001). Psychiatric effects of cannabis. The British Journal of Psychiatry, 178, 116122.CrossRefGoogle ScholarPubMed
Judd, L.L. (1998). Mood disorders in schizophrenia: epidemiology and comorbidity Journal of Clinical Psychiatry, 16, 24.Google Scholar
McEvoy, J.P. (2000). Schizophrenia, substance misuse and smoking. Current Opinion in Psychiatry, 13(1), 1519.CrossRefGoogle Scholar
Mueser, K.T. & Bond, G.R. (2000). Psycho social treatment approaches for schizophrenia Current Opinion in Psychiatry, 13(1), 2735.CrossRefGoogle Scholar
Murray, C.J.L., & Lopez, A.D. (1996). The Global Burden of Disease. Cambridge, MA: Harvard University Press.Google ScholarPubMed
Nagel, T.M.. Mills, R., & Adams, M. (1995). Evaluation of Urban Mental Health Service Delivery to Aboriginal People. Darwin: RANZCP Dissertation.Google Scholar
O'Reilly, B. & Rysavy, P. (2001). Northern Territory Drug Trends 2000: Findings of the Illicit Drug Reporting System. NDARC Technical Report No 104. Sydney: National Drug and Alcohol Research Centre.Google Scholar
Parker, R.. (1999). An Audit of Coronial Records for the “Top End” of the Northern Territory comparing factors in Aboriginal suicide against other suicides in the region. Darwin: RANZCP Dissertation.Google Scholar
Radomsky, E.D., Haas, G.L., Mann, J.J., & Sweeney, J.A. (1999). Suicide behaviour in patients with schizophrenia and other psychotic disorders. The American Medical Journal, 156(10), 1590–595.Google ScholarPubMed
Regier, D.A., Farmer, M.E., Rae, D.S., Locke, B.Z., Keith, S.J., Judd, L.L. & Goodwin, F.K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiological Catchment Area (ECA) Study. Journal of the American Medical Association, 264, 25112518.CrossRefGoogle ScholarPubMed
Teeson, M. & Burns, L., (Eds). (2001). National Comorbidity Project. Canberra: Commonwealth Department of Health and Aged Care.Google Scholar