European Stars and Stripes (Newspaper) - December 18, 1990, Darmstadt, Hesse                                Study Linskill Nesyto alcohol drug abuse the significant rate of mental disorders among alcoholics and drug abusers May also help a explain the High failure rate of treatment programs. By Sandy Rovner Washington Post finally the largest pcs o population study of mental in toss in  states has demonstrated whal Many a a suspected for a years. A a. Many  who drink of who abuse drugs have an underlying mental illness �?1 and Manyee Orfo suffering from a mental disorder also become Aiea homies and drug abusers. Sometimes one leads , and. Sometimes addiction and mental illness seen to steer trom a . Quot a. A a. Out the overlap of me Tai disorders and substance. Abuse revealed in this study is so striking that the Federal government is now moving to redesign the thrust of treatment programs in Community mental health centers and substance abuse clinics. A unfortunately in this  said Frederick k. Goodwin cd ref of the alcohol drug abuse and mental health administration Adatha the bulk of the mental health treatment system is not sophisticated in the. Detection or treatment of substance abuse and the bulk of substance abuse treatment personnel Are not tuned in to  disorder or treating  to Goodwin the study indicates that it would be Quot Akin to malpractice Quot for psychiatrists treating mental patients to Overlook or ignore a co existing drug or alcohol problem m. The. Study also should ring alarm Bells for Counselor who treat alcoholics and drug addicts the  of men lat disorders among alcoholics and drug abusers May Atso help explain the High failure rate of treatment programs. A. A. /. A Quot As a result of the study Adatha officials Are changing the guidelines for funding treatment and prevention programs in order for states to get Federal funds through the Block Grant program mental health and substance abuse projects will Quot have to include the capacity to diagnose and treat the corresponding conditions Quot said Goodwin. A researchers from the National Institute of mental health which is part of Adatha uncovered the extent of the co existing conditions in their continuing analysis of a special National Survey to assess the prevalence of. ,. Mental problems in the population. Called the menial. Health epidemic logic catchment area Survey the study involves 20.291 people in five cities who were interviewed Over a four year period about their mental health. The new results were reported by Darrel a. Regier clinical research director of nigh and published in  Issue of the journal of the american medical association. Among the study s most important findings. A half the people with a substance abuse problem also  e a diag Esarte Rio Tai  of five a pm a a St us Fei Lorn depression or nun depression. Phi vote to have Annety or pan re use rep 13 percent h Avea disorder known As a Autsema in Sonnha Quot Sculer am r Breut hav e  a. A about it percent o alcohol abusers i .iu1 at East one. To evading mental diner iter. A among parents with pane Merde there a a substance abuse rate Al about up per Eon am eng1 obsessive a a compulsive its about percent a a a people wire smoked Man iia Iid were about i be times More Likely to be schizophrenic. Four times mete Likely to have a de passive or manic depressive illness and eight. Times More Likely to be classified As having antisocial. Personality disorder a a. A in substance abuse treatment centers the Ute of a overlapping disorders is higher than in the gone. Population. Roughly 1 >0 the a percent of the people m ,. Alcohol and drug rehabilitation clinics also have co. A existing mental disorders a probably because in addition to drug or alcohol problems they have other symptoms a that Lead them to seek help. The highest level of co existing mental and substance. A abuse problems occurs in prison populations Regie said. Roughly 90 percent of prisoners with either. Schizophrenia depression or manic depression also Havo a drug or alcohol problem. A. A. A earlier studies have shown that the Rato of these mental disorders among prisoners is four limes that Lound m. The general population indeed. Regier said according id a recent study the los Angeles county jail has More. Seriously mentally ill people in it Shafi any mental Hospital in the United Stales. A a a the co existence of mental illness and substance abuse raises special concerns about children and a. A. Adolescents. An earlier report from the nigh Survey Quot indicated that having a depressive or anxiety disorder in adolescence doubles the likelihood of developing substance abuse problem later.  health  that a Signi Lical number of adolescents with depression or anxiety or both May try to sell medicate with alcohol and drugs instead of seeking treatment for the psychological problem. Going a for therapy still carries a stigma especially Lor Young a people who Are particularly sensitive to peer pressure the tragedy is that anxiety and depression Are the most successfully treated of All mental disorders. Both Regier and Goodwin noted that Many people v a believe Attiat depression is something you should go Ivor. Yourself. A. A Quot people will take pills or a headache a  a sleep problem muscle pain diarrhoea almost anything you can think about Quot said Goodwin Quot but they re not willing to take a Pill Lor depression there is much less of a stigma to take a . Tuesday december 18, 1990 the stars and stripes rage 17