Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness
Abstract The objective of this study was to identify long-term factors associated with substance use problem among individuals affected by severe mental illness. Prospective data come from the 1994, 1998, and 2000 waves of the Maryland Mental Health Outcomes Survey conducted among a sub-cohort of ad...
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| Veröffentlicht in: | Addictive behaviors 2009-09, Vol.34 (9), p.757-763 |
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| creator | Schladweiler, Krista Alexandre, Pierre K Steinwachs, Donald M |
| description | Abstract The objective of this study was to identify long-term factors associated with substance use problem among individuals affected by severe mental illness. Prospective data come from the 1994, 1998, and 2000 waves of the Maryland Mental Health Outcomes Survey conducted among a sub-cohort of adult Medicaid recipients affected by serious mental illness. We estimated factors associated with alcohol and drug problem, as well as a hierarchy of substance use problem severity constructed from the alcohol and drug problem outcomes. Drug problem was the strongest factor associated with alcohol problem, and vice versa. Conceptualizing alcohol and drug problem separately, and as a hierarchy of severity, revealed distinct profiles of significant factors. Further research is warranted to explore the utility of modeling substance use problem in terms of a hierarchy of severity. |
| doi_str_mv | 10.1016/j.addbeh.2009.05.006 |
| format | Article |
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Prospective data come from the 1994, 1998, and 2000 waves of the Maryland Mental Health Outcomes Survey conducted among a sub-cohort of adult Medicaid recipients affected by serious mental illness. We estimated factors associated with alcohol and drug problem, as well as a hierarchy of substance use problem severity constructed from the alcohol and drug problem outcomes. Drug problem was the strongest factor associated with alcohol problem, and vice versa. Conceptualizing alcohol and drug problem separately, and as a hierarchy of severity, revealed distinct profiles of significant factors. Further research is warranted to explore the utility of modeling substance use problem in terms of a hierarchy of severity.</description><identifier>ISSN: 0306-4603</identifier><identifier>EISSN: 1873-6327</identifier><identifier>DOI: 10.1016/j.addbeh.2009.05.006</identifier><identifier>PMID: 19487082</identifier><identifier>CODEN: ADBED9</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Adults ; Alcohol problem ; Alcoholism - epidemiology ; Alcoholism - psychology ; Baltimore - epidemiology ; Clinical outcomes ; Diagnosis, Dual (Psychiatry) ; Drug problem ; Drug use ; Epidemiologic Methods ; Female ; Humans ; Male ; Maryland - epidemiology ; Medicaid ; Medicaid - statistics & numerical data ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health ; Middle Aged ; Psychiatric Status Rating Scales ; Psychiatry ; Severe mental illness ; Substance use problem severity ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; United States ; Young Adult</subject><ispartof>Addictive behaviors, 2009-09, Vol.34 (9), p.757-763</ispartof><rights>Elsevier Ltd</rights><rights>2009 Elsevier Ltd</rights><rights>Copyright Pergamon Press Inc. 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Prospective data come from the 1994, 1998, and 2000 waves of the Maryland Mental Health Outcomes Survey conducted among a sub-cohort of adult Medicaid recipients affected by serious mental illness. We estimated factors associated with alcohol and drug problem, as well as a hierarchy of substance use problem severity constructed from the alcohol and drug problem outcomes. Drug problem was the strongest factor associated with alcohol problem, and vice versa. Conceptualizing alcohol and drug problem separately, and as a hierarchy of severity, revealed distinct profiles of significant factors. Further research is warranted to explore the utility of modeling substance use problem in terms of a hierarchy of severity.</description><subject>Adult</subject><subject>Adults</subject><subject>Alcohol problem</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - psychology</subject><subject>Baltimore - epidemiology</subject><subject>Clinical outcomes</subject><subject>Diagnosis, Dual (Psychiatry)</subject><subject>Drug problem</subject><subject>Drug use</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Maryland - epidemiology</subject><subject>Medicaid</subject><subject>Medicaid - statistics & numerical data</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Severe mental illness</subject><subject>Substance use problem severity</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>United States</subject><subject>Young Adult</subject><issn>0306-4603</issn><issn>1873-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhiMEotvCP0DI4p4wzoc_LkioailSKw7A2XLsSdeLEy92UrT_Hke7aoELJx88884787xF8YZCRYGy97tKW9vjtqoBZAVdBcCeFRsqeFOypubPiw00wMqWQXNWnKe0A6A179qXxRmVreAg6k0Rr7WZQ0xEpxSM0zNa8svNW5KWPs16MkiWhGQfQ-9xJHoM0z250_Hg9WTJHVpntLMEpxi8R8w6w4BmVekPJGF0YUlkxGnWnjjvJ0zpVfFi0D7h69N7UXy_vvp2eVPefvn0-fLjbWm6tp1LBATNOtabtmlASC6srBvZDz2vmaTM6lZL2fXIOzYIEEMjaoaUMjMIhgybi-LDUXe_9CNak01E7dU-ujH7V0E79ffP5LbqPjyomkMngGeBdyeBGH4umGa1C0ucsmdVUyEF55LmovZYZGJIKeLwOICCWkGpnTqCUisoBZ3KoHLb2z_NPTWdyDy5x3yiB4dRJeMw87Au5gMrG9z_JvwrYLybMi7_Aw-YHlehKtUK1Nc1LGtWQOacUC6a31phvXQ</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Schladweiler, Krista</creator><creator>Alexandre, Pierre K</creator><creator>Steinwachs, Donald M</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>20090901</creationdate><title>Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness</title><author>Schladweiler, Krista ; Alexandre, Pierre K ; Steinwachs, Donald M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-e0e0a656bc43308978d9239bfb726916da4a995be756f808f3826e116cf86e6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Alcohol problem</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - psychology</topic><topic>Baltimore - epidemiology</topic><topic>Clinical outcomes</topic><topic>Diagnosis, Dual (Psychiatry)</topic><topic>Drug problem</topic><topic>Drug use</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maryland - epidemiology</topic><topic>Medicaid</topic><topic>Medicaid - statistics & numerical data</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatry</topic><topic>Severe mental illness</topic><topic>Substance use problem severity</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schladweiler, Krista</creatorcontrib><creatorcontrib>Alexandre, Pierre K</creatorcontrib><creatorcontrib>Steinwachs, Donald M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schladweiler, Krista</au><au>Alexandre, Pierre K</au><au>Steinwachs, Donald M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness</atitle><jtitle>Addictive behaviors</jtitle><addtitle>Addict Behav</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>34</volume><issue>9</issue><spage>757</spage><epage>763</epage><pages>757-763</pages><issn>0306-4603</issn><eissn>1873-6327</eissn><coden>ADBED9</coden><abstract>Abstract The objective of this study was to identify long-term factors associated with substance use problem among individuals affected by severe mental illness. 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| identifier | ISSN: 0306-4603 |
| ispartof | Addictive behaviors, 2009-09, Vol.34 (9), p.757-763 |
| issn | 0306-4603 1873-6327 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Adults Alcohol problem Alcoholism - epidemiology Alcoholism - psychology Baltimore - epidemiology Clinical outcomes Diagnosis, Dual (Psychiatry) Drug problem Drug use Epidemiologic Methods Female Humans Male Maryland - epidemiology Medicaid Medicaid - statistics & numerical data Mental disorders Mental Disorders - epidemiology Mental Disorders - psychology Mental health Middle Aged Psychiatric Status Rating Scales Psychiatry Severe mental illness Substance use problem severity Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology United States Young Adult |
| title | Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness |
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