Open access

Troubles psychotiques et consommation de substances psychoactives : impacts d’une intervention concertée

Publication: Canadian Journal of Community Mental Health
3 Février 2020

Résumé

Il est reconnu que l’intervention intégrée fait partie des meilleures pratiques auprès des personnes présentant un trouble psychotique en concomitance avec un trouble de l’utilisation des substances (TUS). Une telle intervention a été développée dans la région de Chaudière-Appalaches (Québec) afin de favoriser le rétablissement des personnes aux prises avec ces troubles concomitants. Cet article présente l’évaluation des retombées de la participation au programme pour les usagers. Les résultats indiquent qu’un an après avoir débuté, ils ont diminué leurs visites à l’urgence, leurs hospitalisations et leur consommation de substances et ont amélioré leur santé psychologique et leur qualité de vie.

Abstract

It is well known that integrated intervention is part of the best practices for people having a co-occurring psychotic disorder and a substance use disorder (SUD). Such intervention has been developed in the Chaudière-Appalaches region (Québec) to promote the recovery of people with these concurrent disorders. This article presents the assessment of the benefits for the users of the program. Results show that one year after entering the program, they decreased their visits to the emergency room, their hospitalisations and the substance use. In addition, they improved their psychological health and their quality of life.

Formats available

You can view the full content in the following formats:

RÉFÉRENCES

Abidi S., Mian I., Garcia-Ortega I., Lecomte T., Raedler T., Jackson K., and Addington D. 2017 Canadian guidelines for the pharmacological treatment of schizophrenia spectrum and other psychotic disorders in children and youth Canadian Journal of Psychiatry 62 9 635 -647
Addington D., Abidi S., Garcia-Ortega I., Homer W.G., and Ismail Z. 2017 Canadian guidelines for the assessment and diagnosis of patients with schizophrenia spectrum and other psychotic disorders Canadian Journal of Psychiatry 62 9 594 -603
Agence de la Santé publique du Canada. (2012). Rapport sur les maladies mentales au Canada. Repéré à http://www.phac-aspc.gc.ca/publicat/miic-mmac/chap_3-fra.php
Astals M., Domingo-Salvany A., Castillo C., Tato J., Vazquez J.M., Martin-Santos R., and Torrens M. 2008 Impact of substance dependance and dual diagnosis on the quality of life of heroin users seeking treatment Substance Use and Misuse 43 5 612 -632
Banerjee, S., Clancy, C. et Crome, I. (2002). Co-existing problems of mental disorder and substance misuse (dual diagnosis): An information manual. Final report to the Department of Health. London: Repéré sur le site du Royal College of Psychiatrists’ Research and Training Unit à http://www.rcpsych.ac.uk/pdf/ddipPracManual.pdf
Bellack S.A. and DiClemente C.C. 1990 Treating substance abuse among patients with schizophrenia Psychiatric Services 50 1 75 -80
Blondeau C., Nicole L., and Lalonde P. 2006 Schizophrénie et réadaptation Interventions spécifiques selon les phases de la maladie. Annales Médico Psychologiques, 164 869–876
Boyer R., Préville M., Légaré G., and Valois P. 1993 La détresse Psychologique dans la population du Québec non Institutionnalisée : Résultats Normatifs de L’enquête Santé Québec [IDPESQ-14 et IDPESQ-29] The Canadian Journal of Psychiatry 38 5 339 -343
Centre Canadien de lutte contre l’alcoolisme et les toxicomanies. (2009). Toxicomanie au Canada : Troubles Concomitants. Centre Canadien de lutte contre l’alcoolisme et les toxicomanies. Ottawa, Ontario.
Crockford D. and Addington D. 2017 Canadian schizophrenia guidelines: Schizophrenia and other psychotic disorders with coexisting substance use disorders Canadian Journal of Psychiatry 62 9 624 -634
Curan G.M., Sullivan G., Williams K., Han X., Collins K., Keys J., and Kotrla K.J. 2003 Emergency department use of persons with comorbid psychiatric and substance abuse disorders Annals of Emergency Medicine 41 5 659 -667
Drake R.E., Luciano A.E., Mueser K.T., Covell N.H., Essock S.M., Xie H., and McHugo G.J. 2016 Longitudinal course of clients with co-occuring schizophrenia-spectrum and substance use disorders in urban mental health centers: A 7-year prospective study Schizophrenia Bulletin 42 1 202 -211
Drake, R.E. et Brunette, M.F. (1998). Complications of severe mental illness related to alcohol and drug use disorders. In Galenter, M. (Ed.), Recent Developments in Alcoholism, Volume 14: The Consequences of Alcoholism. (pp. 285–299). Repéré à https://www.researchgate.net/profile/Jody_Sindelar/publication/13533918_Drinking_Problem_Drinking_and_Productivity/links/00b7d53c843a1595fa000000.pdf#page=310
Dubreucq S., Chanut F., and Jutras-Aswad D. 2012 Traitement intégré de la comorbidité toxicomanie et santé mentale chez les populations urbaines : La situation montréalaise Santé Mentale au Québec 37 1 31 -46
Fuhrer R. and Rouillon F. 1989 La version française de l’échelle CES-D (Center for Epidemiologic Studies-Depression Scale) Description et traduction de l’échelle d’autoévaluation [The French version of the CES-D (Center for Epidemiologic Studies-Depression Scale)]. European Psychiatry 4 3 163 -166
Gossop M., Darke S., Griffiths P., Hando J., Powis B., Hall W., and Strang J. 1995 The Severity of Dependance Scale (SDS): psychometrics properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users Addiction 90 5 607 -614
Horsfall J., Cleary M., Hunt G.E., and Walter G. 2009 Psychosocial treatments for people with co-occurring severe mental illnesses and substance use disorders (dual diagnosis): a review of empirical evidence Harvard Review of Psychiatry 17 1 24 -34
Huber F.-X., Hackert T., and Meeder P.J. 2006 Problems and costs associated with alcohol and drug abuse in emergency medicine European Journal of Health Economics 7 3 196 -198
Ilfeld F.W. 1976 Further validation of a psychiatric symptom index in a normal population Psychological Report 39 3 1215 -1228
Janssen B., Gaebel W., Haerter M., Komaharadi F., Lindel B., and Weinmann S. 2006 Evaluation of factors influencing medication compliance in inpatient treatment of psychotic disorders Psychopharmacology 187 229 -236
King V.L., Kidorf M.S., Stoller K.B., and Brooner R.K. 2000 Influence of psychiatric comorbidity on HIV risk behaviors Journal of Addictive Diseases 19 4 65 -83
Kline-Simon A.H., Weisner C.M., Parthasarathy S., Falk D.E., Litten R.Z., and Merlens J.R. 2014 Five-year healthcare utilisation and costs among lower risk drinkers following alcohol treatment Alcohol Clinical and Experimental Research 38 2 579 -586
Mueser K.T., Deavers F., Penn D.L., and Cassisi J.E. 2013 Psychosocial treatments for schizophrenia Annual Review of Clinical Psychology 9 465 -497
Mueser K.T. and McGurk S.R. 2004 Schizophrenia Lancet 363 9426 2063 -72
Mueser, K.T. et Roe, D. (2016). Schizophrenia disorders. Dans Norcross, J.C., VandenBos, G.R., Freedheim, D.K. et Pole, N. (Eds). APA handbook of clinical psychology: Psychopathology and health, 4, 225–251. Washington, DC, US: American Psychological Association, 636 pp.
Proulx, C. (2014). La clientèle présentant un trouble lié à l’utilisation d’une substance et un trouble de santé mentale sévère et persistant : Bilan critique de trois alternatives de traitements offertes au Québec. (Essai synthèse inédit, Maitrise en intervention en toxicomanie). Université de Sherbrooke, Sherbrooke.
Raistrick D., Dunbar G., and Davidson R. 1983 Development of a questionnaire to measure alcohol dependence [Instrument de mesure – Severity of Alcohol Dependance Data – SADD]. British Journal of Addiction 78 1 89 -95
Santé Canada. (1994). Évaluation des programmes de traitement de la schizophrénie : Une perspective économique médicale. (No. Catalogue: H39-302/1994F). Repéré à http://publications.gc.ca/pub?id=9.679271&sl=0
Schmidt L.M., Hesse M., and Lykke J. 2011 The impact of substance use disorders on the course of schizophrenia—A 15-year follow-up study: Dual diagnosis over 15 years Schizophrenia Research 130(1–3) 228 -233
Tremblay, J., Rouillard, P. et Sirois, M. (2000a). L’Échelle des conséquences de la consommation d’alcool — ÉCCA. Dépistage/évaluation du besoin d’aide — Alcool/Drogues DEBA, Québec : Service de recherche CRUV/CRAT-CA. www.risqtoxico.ca
Tremblay, J., Rouillard, P. et Sirois, M. (2000b). L’Échelle des conséquences de la consommation de drogues– ÉCCD. Dépistage/évaluation du besoin d’aide — Alcool/Drogues DEBA, Québec : Service de recherche CRUV/CRAT-CA. www.risqtoxico.ca
Tremblay, J., Blanchette-Martin, N., Sirois, M., Dorval, J., Drouin, M., et Leblanc, L. (2010). RÉSO : Outil d’évaluation des besoins en réinsertion sociale. [Instrument de mesure - RÉSO]. Québec : Service de recherche CRUV/CRAT-CA. www.risqtoxico.ca.
Tremblay, J., Rouillard, P. et Sirois, M. (2001). Dépistage/évaluation du besoin d’aide — Alcool/Drogues [Instrument de mesure – DEBA-A/D]. Québec : Service de recherche CRUV/CRAT-CA, www.risqtoxico.ca.
Tsuang J., Fong T.W., and Lesser I. 2006 Psychosocial treatment of patients with schizophrenia and substance abuse disorders Addictive Disorders & Their Treatment 5 2 53 -66
van Os J. and Kapur S. 2009 Schizophrenia Lancet 374 9690 635 -645
Whitley R. and Drake R.E. 2010 Recovery: A dimensional approach Psychiatric Services 61 12 1248 -1250
Ziedonis D.M., Smelson D., Rosenthal R.N., Batki S.L., Green A.L., Henry R.J., and Weiss R.D. 2005 Improving the care of individuals with schizophrenia and substance use disorders: Consensus recommendations Journal of Psychiatric Practices 11 5 315 -339

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 38Number 4December 2019
Pages: 31 - 44

History

Version of record online: 3 Février 2020

Mots-clés

  1. Trouble psychotique
  2. dépendance aux substances psychoactives
  3. approche intégrée d’intervention
  4. traitement
  5. qualité de vie

Key Words

  1. psychotic disorder
  2. integrate intervention
  3. substance use disorder
  4. quality of life

Authors

Affiliations

Nadine Blanchette-Martin
Service de recherche en dépendance CIUSSS-CN/CISSS-CA
Francine Ferland
Service de recherche en dépendance CIUSSS-CN/CISSS-CA
Rosalie Genois
Service de recherche en dépendance CIUSSS-CN/CISSS-CA
Chantal Plourde
Université du Québec à Trois-Rivières
François Dallaire
Centre intégré de santé et de services sociaux de Chaudière-Appalaches
Annie Labbé
Centre intégré de santé et de services sociaux de Chaudière-Appalaches

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

View options

PDF

View PDF

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Community Mental Health

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media