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Enhancing outcomes for persons with co-occurring disorders through skills training and peer recovery support.

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Title: Enhancing outcomes for persons with co-occurring disorders through skills training and peer recovery support.
Authors: O'Connell, Maria J., Flanagan, Elizabeth H., Delphin-Rittmon, Miriam E., Davidson, Larry
Source: Journal of Mental Health. Feb2020, Vol. 29 Issue 1, p6-11. 6p. 2 Charts.
Subjects: Substance abuse prevention, Convalescence, Criticism, Hospital care, Hospital admission & discharge, Outpatient services in hospitals, Patients, Psychoses, Social integration, Social participation, Social skills education, Comorbidity, Affinity groups, Social support, Randomized controlled trials, Discharge planning, Treatment effectiveness, Human research subjects, Patient selection, Patient readmissions, Adults
Abstract: Background: "Recovery supports", often provided by persons in recovery themselves, have emerged over the last decade as important components of recovery-oriented systems of care for persons with substance use disorders. Aims: This study assesses the benefit of adding peer recovery supports to the care of adults with co-occurring psychosis and substance use. Method: 137 adults with both disorders who had at least one prior admission within the past year were recruited during an index hospitalization into a randomized trial of standard care vs skills training with and without a peer-led social engagement program. Participants were assessed at admission and at three and nine months post-discharge on symptoms, functioning, substance use, and other factors. Results: At three months, skills training was effective in reducing alcohol use and symptoms, with the addition of peer-led support resulting in higher levels of relatedness, self-criticism, and outpatient service use. At nine months, skills training was effective in decreasing symptoms and inpatient readmissions and increasing functioning, with the addition of peer support resulting in reduced alcohol use. Conclusions: Adding peer-led support may increase engagement in care over the short term and reduce substance use over the longer-term for adults with co-occurring disorders. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Enhancing outcomes for persons with co-occurring disorders through skills training and peer recovery support.
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  Data: <searchLink fieldCode="AR" term="%22O'Connell%2C+Maria+J%2E%22">O'Connell, Maria J.</searchLink><br /><searchLink fieldCode="AR" term="%22Flanagan%2C+Elizabeth+H%2E%22">Flanagan, Elizabeth H.</searchLink><br /><searchLink fieldCode="AR" term="%22Delphin-Rittmon%2C+Miriam+E%2E%22">Delphin-Rittmon, Miriam E.</searchLink><br /><searchLink fieldCode="AR" term="%22Davidson%2C+Larry%22">Davidson, Larry</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Feb2020, Vol. 29 Issue 1, p6-11. 6p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse+prevention%22">Substance abuse prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Criticism%22">Criticism</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+services+in+hospitals%22">Outpatient services in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Social+integration%22">Social integration</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills+education%22">Social skills education</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Affinity+groups%22">Affinity groups</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Human+research+subjects%22">Human research subjects</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+selection%22">Patient selection</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+readmissions%22">Patient readmissions</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: "Recovery supports", often provided by persons in recovery themselves, have emerged over the last decade as important components of recovery-oriented systems of care for persons with substance use disorders. Aims: This study assesses the benefit of adding peer recovery supports to the care of adults with co-occurring psychosis and substance use. Method: 137 adults with both disorders who had at least one prior admission within the past year were recruited during an index hospitalization into a randomized trial of standard care vs skills training with and without a peer-led social engagement program. Participants were assessed at admission and at three and nine months post-discharge on symptoms, functioning, substance use, and other factors. Results: At three months, skills training was effective in reducing alcohol use and symptoms, with the addition of peer-led support resulting in higher levels of relatedness, self-criticism, and outpatient service use. At nine months, skills training was effective in decreasing symptoms and inpatient readmissions and increasing functioning, with the addition of peer support resulting in reduced alcohol use. Conclusions: Adding peer-led support may increase engagement in care over the short term and reduce substance use over the longer-term for adults with co-occurring disorders. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=141719002
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638237.2017.1294733
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 6
    Subjects:
      – SubjectFull: Substance abuse prevention
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Criticism
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Psychoses
        Type: general
      – SubjectFull: Social integration
        Type: general
      – SubjectFull: Social participation
        Type: general
      – SubjectFull: Social skills education
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Discharge planning
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Human research subjects
        Type: general
      – SubjectFull: Patient selection
        Type: general
      – SubjectFull: Patient readmissions
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: Enhancing outcomes for persons with co-occurring disorders through skills training and peer recovery support.
        Type: main
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            NameFull: O'Connell, Maria J.
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            NameFull: Flanagan, Elizabeth H.
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            NameFull: Delphin-Rittmon, Miriam E.
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            NameFull: Davidson, Larry
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              Text: Feb2020
              Type: published
              Y: 2020
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              Value: 09638237
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              Value: 29
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            – TitleFull: Journal of Mental Health
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