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Saturday, July 7, 2007

Underdiagnosis of comorbid mental illness in repeat DUI offenders mandated to treatment
Journal of Substance Abuse Treatment
Article in Press, Corrected Proof 5 July 2007



Repeat offenders for DUI are routinely mandated to undergo alcohol treatment. These individuals have been shown to have high rates of co-occurring psychiatric disorders, which can be important for the conduct and outcomes of alcohol treatment.

The extent to which treatment providers are aware of these disorders and modify treatment accordingly is unknown.

Adjusted rates of underdiagnosis were commonly high: 97.2% of bipolar disorder cases, 67.5% of major depression cases, 100% of obsessive–compulsive disorder cases, and 37.3% of drug use disorder cases remained undiagnosed during treatment. Rates of overdiagnosis were low for all disorders, with the exception of drug use disorders.

These rates of underdiagnosis represent missed opportunities to improve treatment outcomes among repeat DUI offenders.

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Reprint Request E-Mail: gmcmillan@bhrcs.org
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