Psychiatric and Substance Abuse Comorbidity among a Large Sample of Texas Offenders. Dr James Freeman, Prof Jane Maxwell & Prof Jeremy Davey ICADTS Oslo August 2010 . CRICOS No. 00213J. Summary. Overview of problem
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Psychiatric and Substance Abuse Comorbidity among a Large Sample of Texas Offenders
Dr James Freeman, Prof Jane Maxwell & Prof Jeremy Davey
ICADTS Oslo August 2010
CRICOS No. 00213J
Freeman, J., Maxwell, J., & Davey, J. (in press). Unraveling the Complexity of Driving While Intoxicated: a Study into the Prevalence of Psychiatric and Substance Abuse Comorbidity. Accident Analysis and Prevention.
- Sustained depressed mood, significant weight loss, insomnia or hypersomnia, fatigue, diminished ability to think or concentrate as well as suicide ideation
- Uncontrollable worry that is extremely upsetting and stressful, anxiety significantly affects social and vocational functioning, is ongoing
- Extreme mood instability, self-destructive habits, suicide ideation, etc
Depression 13.7% Depression 6.3%
Bipolar 7.8% Bipolar 2.8%
Anxiety 2.7% Anxiety 1.2%
Schizophrenia 0.9% Schizophrenia 1.0%
Need to ensure the use of effective and widely-used mental health and substance abuse screening methods for individuals who are first arrested for a DUI offence, rather than delay such processes until those at risk re-offend and/or possibly experience a deterioration in their condition;
Under diagnosis of mental health issues remains a concern
8 year lag between symptom onset and diagnosis
Under diagnosis has clear implications for relapse
Shorter periods of untreated illness have better outcomes
In regards to DUI treatment, we need to ensure we look beyond just alcohol-related issues to identify and treat other factors
Questions? Sample of Texas Offenders
Mark your Diaries!
International Council on Alcohol, Drugs and Traffic Safety Conference (T2013)
August 2013, Brisbane Convention and Exhibition Centre