Substance Use Disorders

July 2019

Substance use disorders are chronic, multifaceted conditions. Comorbidity is common; close to 99% of individuals with a substance use disorder have one or more comorbid mental disorders or chronic general medical conditions. Individuals with co-occurring substance use and mental disorders often do not seek needed treatment, or if they do, they demonstrate a marginal response and have higher rates of dropping out of treatment. Mental health professionals have the potential to address treatment gaps and advocate for strategies that focus on treatment effectiveness, address stigma, and reduce the negative consequences associated with substance use. Early treatment is best, and for many people, the most effective mental health treatment involves a combination of therapy and medication. Appropriate treatment can save lives and associated costs related to health care, comorbid medical conditions, and societal consequences such as legal issues and jail.

Héctor Colon-Rivera, M.D., M.R.O.
Lisa B. Dixon, M.D., M.P.H.

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Treatment of Substance Use Disorders

Tobacco Cessation Services in Addiction Treatment: What Do Clients Say?
Joseph Guydish, Ph.D., Deborah Yip, B.A., Thao Le, M.P.H., Noah R. Gubner, Ph.D., Denise D. Williams, M.A., Kevin L. Delucchi, Ph.D.
2019, Volume 70, Issue 3, pp. 229–232


Availability of Outpatient Addiction Treatment and Use of Emergency Department Services Among Medicaid Enrollees
Christina M. Andrews, Ph.D., Melissa Westlake, M.S.W., Nikki Wooten, Ph.D.
2018, Volume 69, Issue 6, pp. 729–732


Methadone Maintenance Treatment for Older Adults: Cost and Logistical Considerations
Brandi P. Cotton, Ph.D., M.S.N., William Culbertson Bryson, M.D., M.P.H., Martha L. Bruce, Ph.D., M.P.H.
2018, Volume 69, Issue 3, pp. 338–340

Substance Use and Co-Occurring Disorders

Important Questions About the Impact of Medical Marijuana on People With Serious Mental Illness
Mary F. Brunette, M.D., Jacob T. Borodovsky, Ph.D., Melissa Myers, M.D., Alan J. Budney, Ph.D.
2018, Volume 69, Issue 11, pp. 1181–1183


A Change in Perspective: From Dual Diagnosis to Multimorbidity
Ish P. Bhalla, M.D., and Robert A. Rosenheck, M.D.
2018, Volume 69, Issue 1, pp. 112–116


The Cumulative Burden of Mental, Substance Use, and General Medical Disorders and Rehospitalization and Mortality After an Injury
Douglas F. Zatzick, M.D., Ali Rowhani-Rahbar, M.D., Ph.D., Jin Wang, Ph.D., Joan Russo, Ph.D., Doyanne Darnell, Ph.D., Leah Ingraham, B.S., Lauren K. Whiteside, M.D., M.S., Roxanne Guiney, B.A., Margot Kelly Hedrick, Frederick P. Rivara, M.D., M.P.H.
2017, Volume 68, Issue 6, pp. 596–602


Tobacco Use and Mental Illness: A Wake-Up Call for Psychiatrists
Jill M. Williams, M.D., T. Scott Stroup, M.D., M.P.H., Mary F. Brunette, M.D., Lori E. Raney, M.D.
2014, Volume 65, Issue 12, pp. 1406–1408

Care Models and the Treatment for Addiction

Enhanced Primary Care Treatment of Behavioral Disorders With ECHO Case-Based Learning
Miriam Komaromy, M.D., Judy Bartlett, Ph.D., M.P.H., Kathryn Manis, M.A., Sanjeev Arora, M.D.
2017, Volume 68, Issue 9, pp. 873–875


Peer Recovery Support for Individuals with Substance Use Disorders: Assessing the Evidence
Sharon Reif, Ph.D., Lisa Braude, Ph.D., D. Russell Lyman, Ph.D., Richard H. Dougherty, Ph.D., Allen S. Daniels, Ed.D., Sushmita Shoma Ghose, Ph.D., Onaje Salim, Ed.D., L.P.C., and Miriam E. Delphin-Rittmon, Ph.D.
2014, Volume 65, Issue 7, pp. 853–861

Also featured in Peer Support collection.

Substance Abuse Intensive Outpatient Programs: Assessing the Evidence
Dennis McCarty, Ph.D., Lisa Braude, Ph.D., D. Russell Lyman, Ph.D., Richard H. Dougherty, Ph.D., Allen S. Daniels, Ed.D., Sushmita Shoma Ghose, Ph.D., and Miriam E. Delphin-Rittmon, Ph.D.
2014, Volume 65, Issue 6, pp. 718–726


Residential Treatment for Individuals With Substance Use Disorders: Assessing the Evidence
Sharon Reif, Ph.D., Preethy George, Ph.D., Lisa Braude, Ph.D., Richard H. Dougherty, Ph.D., Allen S. Daniels, Ed.D., Sushmita Shoma Ghose, Ph.D., and Miriam E. Delphin-Rittmon, Ph.D.
2014, Volume 65, Issue 3, pp. 301–312

Barriers and Challenges to Addiction Treatment

Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy
Emma McGinty, Ph.D., M.S., Bernice Pescosolido, Ph.D., Alene Kennedy-Hendricks, Ph.D., Colleen L. Barry, Ph.D., M.P.P.
2018, Volume 69, Issue 2, pp. 136–146


Social Stigma Toward Persons With Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health–Oriented Policies
Alene Kennedy-Hendricks, Ph.D., Colleen L. Barry, Ph.D., M.P.P., Sarah E. Gollust, Ph.D., Margaret E. Ensminger, Ph.D., Margaret S. Chisolm, M.D., Emma E. McGinty, Ph.D., M.S.
2017, Volume 68, Issue 5, pp. 462–469

The Justice System

Factors Associated with Use of Mental Health and Substance Use Treatment Services by Justice-Involved Youths
Juliet C. Yonek, Ph.D., Emily F. Dauria, Ph.D., Kathleen Kemp, Ph.D., Daphne Koinis-Mitchell, Ph.D., Brandon D. L. Marshall, Ph.D., Marina Tolou-Shams, Ph.D.
2019, Volume 70, Issue 7, pp. 586–595

Also featured in the Racial-Ethnic Disparities in Mental Health Care collection.

Civil Commitment for Opioid and Other Substance Use Disorders: Does It Work?
Abhishek Jain, M.D., Paul Christopher, M.D., Paul S. Appelbaum, M.D.
2018, Volume 69, Issue 4, pp. 374–376

Substance Use Disorder and Policy

Ten Years After the ADA Amendment Act (2008): The Relationship Between ADA Employment Discrimination and Substance Use Disorders
Elie G. Aoun M.D., and Paul S. Appelbaum, M.D.
2019, Volume 70, Issue 7, pp. 596–603


VA Disability Compensation and Money Spent on Substance Use Among Homeless Veterans: A Controversial Association
Jack Tsai, Ph.D., and Robert A. Rosenheck, M.D.
2015, Volume 66, Issue 6, pp. 641–644


Association of Housing First Implementation and Key Outcomes Among Homeless Persons with Problematic Substance Use
Clare Davidson, M.S.W., Charles Neighbors, M.B.A., Ph.D., Gerod Hall, Ph.D., M.P.H., Aaron Hogue, Ph.D., Richard Cho, M.Phil., M.C.P., Bryan Kutner, M.P.H., Jon Morgenstern, Ph.D.
2014, Volume 65, Issue 11, pp. 1318–1324