Citation

Eriksson A, Alm C, Palmstierna T, Berman AH, Kristiansson M, Gumpert CH. Ment. Health Subst. Use 2013; 6(1): 15-28.

Copyright

(Copyright © 2013, Informa - Taylor and Francis Group)

DOI

10.1080/17523281.2012.678879

PMID

unavailable

Abstract

There is an urgent need to improve assessment and treatment among offenders with mental health problems and substance misuse (the "triply troubled"). An examination of the usefulness of the recently published Addiction Severity Index version 6 (ASI-6; Cacciola, J.S., Alterman, A.I., Habing, B., & McLellan, A.T. (2011). Recent status scores for version 6 of the Addiction Severity Index (ASI-6). Addiction, 106, 1588-1602) in classifying offenders with mental health problems and substance misuse was undertaken. A total of 207 offenders with suspect mental disorder and substance misuse about to go through a forensic psychiatric evaluation in Sweden were interviewed with the ASI-6. Data were cluster analyzed. Four distinct clusters emerged: (1) "less troubled" (n = 35), (2) "severely triply troubled" (n = 30), (3) "triply troubled with medical problems (n = 52) and (4) "working triply troubled" (n = 87). The ASI-6 proved useful in the classification of offenders with mental health problems and substance misuse. The authors suggest that the ASI-6 be used in research on the classification of the triply troubled. © 2013 Copyright Taylor and Francis Group, LLC.

Language: en

Keywords

adolescent; crime; adult; human; Sweden; female; male; Comorbidity; Substance use; Mental health; forensic psychiatry; psychosis; Assessment; suicide attempt; interview; substance abuse; article; major clinical study; mental disease; personality disorder; priority journal; hallucination; patient coding; anxiety disorder; offender; cluster analysis; Addiction Severity Index; Dual diagnosis; Addiction Severity Index version 6; ASI-6; Co-existing problems