When disability benefits make patients sicker.
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Schizophrenia and addiction are two disorders that are difficult to treat, but when combined — resulting in a compound condition, or “dual diagnosis” — each disorder usually complicates the other. Drugs and alcohol may exacerbate hallucinations and delusions, and the cognitive and social deficits of schizophrenia can make people especially vulnerable to substance abuse and less able to benefit from standard treatment of addiction.1,2 Treating patients with dual diagnoses is challenging enough, but it becomes even more daunting when patients use their disability checks to buy drugs and alcohol. In this issue of the Journal, Shaner and colleagues describe . . .
[1] T. Eckman,et al. Disability income, cocaine use, and repeated hospitalization among schizophrenic cocaine abusers--a government-sponsored revolving door? , 1995, The New England journal of medicine.
[2] R. Drake,et al. Treatment of Substance Abuse in Severely Mentally Ill Patients , 1993, The Journal of nervous and mental disease.
[3] R. Drake,et al. Dual diagnosis of major mental illness and substance disorder: an overview. , 1991, New directions for mental health services.