eCite Digital Repository

Psychosocial interventions for people with both severe mental illness and substance misuse


Hunt, GE and Siegfried, N and Morley, K and Sitharthan, T and Cleary, M, Psychosocial interventions for people with both severe mental illness and substance misuse, Schizophrenia Bulletin, 40, (1) pp. 18-20. ISSN 0586-7614 (2013) [Refereed Article]

DOI: doi:10.1093/schbul/sbt160


Over 50% of people with a severe mental illness also use illicit drugs and/or alcohol at hazardous levels. This review is based on the findings of 32 randomized controlled trials which assessed the effectiveness of psychosocial interventions, offered either as one-off treatments or as an integrated or nonintegrated program, to reduce substance use by people with a severe mental illness. The findings showed that there was no consistent evidence to support any one psychosocial treatment over another. Differences across trials with regard to outcome measures, sample characteristics, type of mental illness and substance used, settings, levels of adherence to treatment guidelines, and standard care all made pooling results difficult. More quality trials are required that adhere to proper randomization methods; use clinically valuable, reliable, and validated measurement scales; and clearly report data, including retention in treatment, relapse, and abstinence rates. Future trials of this quality will allow a more thorough assessment of the efficacy of psychosocial interventions for reducing substance use in this challenging population.

Item Details

Item Type:Refereed Article
Keywords:psychosocial interventions/Cochrane review/dual diagnosis
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Cleary, M (Professor Michelle Cleary)
ID Code:108885
Year Published:2013
Web of Science® Times Cited:10
Deposited By:Health Sciences
Deposited On:2016-05-09
Last Modified:2018-03-16

Repository Staff Only: item control page