Center for Health Policy and Research (CHPR) Publications


Substance abuse in schizophrenia: service utilization and costs

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research; Clinical and Population Health Research

Publication Date


Document Type



Adult; Alcoholism; Ambulatory Care; Community Mental Health Services; Cost-Benefit Analysis; Costs and Cost Analysis; Female; Hospitalization; Housing; Humans; Institutionalization; Male; Middle Aged; Schizophrenia; Substance-Related Disorders


Health Services Administration | Health Services Research | Public Health


Utilization and cost of institutional and outpatient services were prospectively measured over 1 year for three groups of schizophrenic patients: current substance abusers, past substance abusers, and those without a history of substance abuse. Current abusers had significantly greater utilization and cost of institutional (hospital and jail) services. Current abusers also had greater utilization of emergency services. There were no significant differences between the groups in utilization and cost of other services, including psychosocial rehabilitation, outpatient treatment (case management, psychotherapy, and psychiatric visits), and housing supports. The implications for developing cost-effective treatments for dually diagnosed individuals are discussed.


J Nerv Ment Dis. 1993 Apr;181(4):227-32.

Journal/Book/Conference Title

The Journal of nervous and mental disease

Related Resources

Link to Article in PubMed