Comorbid mental disorders : prevalence and impact on institutional outcomes / Lynn A. Stewart & Geoff Wilton. : PS83-3/379E-PDF

"The results of a Correctional Service of Canada (CSC) national mental health survey (N = 1,108) were used to determine prevalence rates of comorbid disorders among incoming federal male offenders and to examine outcomes associated with patterns of comorbidity during their incarceration. Results indicated that few male offenders with mental disorders in our population suffer from a single disorder. Nearly 70% with a mental disorder met criteria for at least one other diagnosis. For example, offenders with personality disorders comprise at least 48% of the incoming male population and 66% of these men have a co-occurring substance use disorder (SUD). Similarly, over 50% of the incoming male population had a current substance use disorder, and of these, two-thirds (68%) also met criteria for a co-occurring personality disorder. In summary, federal male offenders with a mental disorder typically have at least two other concurrent disorders. These results suggest that the outcomes for offenders with a mental disorder as well as their treatment needs cannot be fully understood without consideration of the high rates and impact of comorbid personality and substance abuse disorders"--Executive summary, p. iii, iv.

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