Psychosocial aspects of substance abuse by clients with severe mental illness.


Journal Article (Review)

As the literature on co-occurring substance abuse in persons with severe mental illnesses has evolved, emphasis on biologic and pharmacologic factors has diverted attention from important psychosocial issues. The authors review recent research showing that a) psychosocial risk factors may explain consistently high rates of substance abuse by these persons, b) substance abuse is for most clients a socio-environmental phenomenon embedded in interpersonal activities, and c) both natural recovery processes and effective treatments rely on developing new relationships, activities, coping strategies, and identities. Thus, psychosocial issues are critical in our attempts to understand and address substance abuse in this population.

Full Text

Duke Authors

Cited Authors

  • Drake, RE; Wallach, MA; Alverson, HS; Mueser, KT

Published Date

  • February 2002

Published In

Volume / Issue

  • 190 / 2

Start / End Page

  • 100 - 106

PubMed ID

  • 11889363

Pubmed Central ID

  • 11889363

Electronic International Standard Serial Number (EISSN)

  • 1539-736X

International Standard Serial Number (ISSN)

  • 0022-3018

Digital Object Identifier (DOI)

  • 10.1097/00005053-200202000-00006


  • eng