Serious Mental Illness in Heavy Drinkers Is Associated with Poor Treatment Outcomes in Outpatients with Co-occurring Disorders.

Publication Title

Int J Ment Health Addict

Authors

Oladunni Oluwoye
Emily Leickly
Jordan Skalisky
Sterling McPherson, Providence Medical Research Center, Providence Health Care, Spokane, WAFollow
Katherine Hirchak
Debra Srebnik
John M Roll
Richard K Ries
Michael G McDonell

Document Type

Article

Publication Date

6-1-2018

Keywords

Alcohol treatment; Co-occurring disorders; Contingency management; Ethyl glucuronide; Heavy drinking; Serious mental illness

Abstract

The objective of this study was to determine whether the interaction between type of serious mental illness (SMI) and pre-treatment drinking severity, assessed by ethyl glucuronide (EtG), predicts EtG-positive urine samples submitted during treatment in outpatients with co-occurring alcohol dependence and SMI. Seventy-nine participants were randomized to treatment-as-usual or treatment-as-usual and contingency management (CM) targeting alcohol abstinence. Generalized estimating equations were used to assess the interaction of pre-treatment drinking (heavy drinking or light drinking) and SMI diagnosis (major depression, bipolar, or schizophrenia-spectrum disorders) across a 12-week treatment period. In the overall sample, the interaction of drinking severity and SMI diagnosis (

Clinical Institute

Mental Health

Specialty

Behavioral Health

Recommended Citation

Oluwoye, Oladunni; Leickly, Emily; Skalisky, Jordan; McPherson, Sterling; Hirchak, Katherine; Srebnik, Debra; Roll, John M; Ries, Richard K; and McDonell, Michael G, "Serious Mental Illness in Heavy Drinkers Is Associated with Poor Treatment Outcomes in Outpatients with Co-occurring Disorders." (2018). Articles, Abstracts, and Reports. 567.
https://digitalcommons.providence.org/publications/567