Substance Abuse And Mental Illness

A difficult challenge to the juvenile justice system and child welfare system is working with adolescents with comorbid difficulties, causing these adolescents to becoming at risk for incarceration and involvement with the juvenile and adult justice system. The juvenile justice system appears to be having a challenging time in determining how to respond and treat adolescents with mental health and substance use. "Many

According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows

Many people have turned to substance abuse or experience chemical dependency for a variety of reasons. Nurses experience chemical dependency as well. According to Kunyk (2013), “healthcare professionals, including nurses, are also potentially vulnerable to substance use disorders regardless of any special knowledge, skills or insights they might have owing to their education and professional experiences” (p. 54). This paper will define what chemical dependency is, report causes of chemical dependency in nurses, describe behaviors associated with chemical dependency, and explain what needs to be done upon reentry into the work place.

The human and economic toll of co-occurring mental health and substance abuse disorders in this country demands immediate attention. Though the problems associated with co-occurring disorders have long been acknowledged and discussed, there has been little consensus about how to accomplish needed system change. In this time period, there are many different disorders and illnesses that go unnoticed, and unknown.

There is also research, which reveals that around 75% of those in programs for substance use disorder, also require treatment for co-occurring mental health disorder. Furthermore, individuals reporting mental health problems report a higher alcohol consumption rate at higher risk levels. Not only does this show a high rate of mental health and substance use co-inhabiting in massive numbers of patients, but also indicates that there is a need for not just treating substance use disorder but also treating mental health disorders as well. The co-occurrence of mental health and substance use is known commonly as Dual Diagnosis. It is estimated that dual diagnosis effects between 30% and 90% of those in substance use treatment (Crome, etc.

Addiction to drugs and alcohol has taken epidemic scale in the recent decades, the number of people affected by this disease has been increasing steadily and the age of drug and alcohol use initiation has sadly been decreasing, children as young as 12 years old are reported as addicts. The Substance Abuse and Mental Health Services Administration (SAMHSA) estimated that 22.5 million Americans aged 12 and older self-reported needing treatment for alcohol or illicit drug use in 2014. Drug abuse and mental health disorders are commonly seen as coexisting conditions. They are among the top conditions that cause disability and carry a high burden in society.

Substance related disorders include mental and behavioural disorders due to use of alcohol, opioid, cannabis, sedatives or hypnotics, cocaine, tobacco, stimulants such as caffeine, multiple drug use and use

Individuals who suffer with mental illnesses are more likely to abuse drugs. According to the National Bureau of Economic Research there is a “Definite connection between mental illness and the use of addictive substances.” Alone people who are afflicted with some sort of mental illness, are thought to consume 38 percent of all alcohol, 44 percent of all cocaine, and 40 percent of cigarettes. There are many reasons and theory's to why this trend occurs. Depending on the case, the involvement of drugs can cause mental illness. Drugs such as meth, cocaine, and heroine, can change the way a brain works. The use of these drugs, and others can cause a multitude of different mental illness's, ranging from depression or anxiety, all the way to schizophrenia and cognitive impairment. In other circumstances, an individual may turn to drugs to help them manage their symptoms. Another reason is that mental illness, and addiction are caused

The National Institute on Drug Abuse is a government-based organization that makes it their goal to understand the causes of drug abuse as well as other factors that contribute to complete comprehension of the issue. On past studies in substance abuse regarding specifically mental health, the Institute states that “...people with severe mental illness were about 4 times more likely to be heavy alcohol users… and 4.6 times more likely to use... drugs at least 10 times in their lives” (“Severe mental” 1). These shown statistics prove that the chances of someone dealing with substance abuse are relatively higher if that person has a severe mental illness, rather than not have one at all. It can be concluded, in conjunction with these findings, that victims of the illness use these substances as a means of coping with their disorder. If McCandless had as severe of a mental illness as DID, it would be safe for one to assume that he would also abuse alcohol and drugs, as well.

According to Treatment Improvement Protocol No. 43 (2005), a mental disorder is defined as a disease of the mind or a brain disorder. According to SAMHSA (2016), more than eighteen percent of US citizens age 18 and older live with a brain disorder combined with another problem. To put it another way, almost 1/5th of the US population lives with mental illness and either a substance use disorder or some other issue (SAMHSA, 2016). A co-occurring problem is defined as the coexistence of both a substance use disorder and mental health problem (SAMSHA, 2016). Other examples of co-occurring problems include pathological gambling, eating disorders and those previously stated are all treatable with proper evaluation, assessment and interventions

Mental illness or substance use is a factor that can have an impact on an individual’s quality of life. With a combination of both disorders, the effects can be more threatening to an individual’s well-being. Mental illness and substance use disorder co-occur at a high rate, and when both are present, the dually diagnosed faces many challenges that can significantly impair the individual’s quality of life. “Individuals who have the presence of co-occurring disorders have more severe symptoms, impairment, poorer functioning and worse prognosis than those who only have one disorder,” (Substance Abuse & Mental Health

Studies from the 1980’s and 1990’s found that 50-75% of substance abuse client’s had some type of co-occurring mental illness, and 20-50% of mental illness client’s had co-occurring substance abuse disorder (David Capuzzi, 2008, p. 174). Besides its relationship to mental illness, substance abuse was found to drastically complicate treatment outcomes for those with a mental illness (David Capuzzi, 2008, p. 174). The more that is learned about concurrent disorders, the more it is expected that substance abuse and mental health occur together. However people who have a concurrent disorder are sometimes misidentified, because

Substance abuse disorder, or what is referred to now as substance use disorder, is a condition where reliance to various substances, may it be licit or illicit, continues to permeate the lives of the sufferer, even to the point that this reliance is detrimental to the person’s life. This definition is merely an oversimplification of the said disorder. In reality, the criteria for substance use disorder has been “defined and redefined over the past several decades and these definitions have now achieved international acceptance” (Oxford, 2012). As an evidence, the recently published DSM-5 has made major revisions to the definition of substance use disorder; the revisions are the removal of the relation of substance-use with the law, the addition of craving as one of the criterion, and the elimination of the dependence symptoms (Fitzgerald, 2012, p. 609). Nonetheless, despite these efforts to improve the diagnosis for substance use disorder, several critics argued that the aforementioned syndrome is inappropriate to be classified as a mental health disorder. From this criticism, it is then necessary to define what a mental disorder is and what the criteria are to be classified as such. Upon defining the meaning of mental health disorder, it is now then possible to conclude whether substance abuse is a mental disorder or not.

Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems

Mental illness is another major reason why individuals start using drugs and eventually become dependent. Chronic drug abuse may occur in concurrence with any mental illness identified in the American Psychiatric Association (DSMIV). Some common serious mental disorders associated with chronic substance abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), and generalized anxiety disorder (National Drug Intelligence Center). Some people may use drugs on a regular basis as ways to self- medicate themselves if they are dealing with any