Substance use disorders are highly prevalent among forensic patients. They are associated with many challenges for patients with these problems, including their ability to rehabilitate and successfully move through secure forensic mental health services, as well as increasing risk for recidivism. Traditionally, forensic services have been more adept at focusing on and treating the primary mental health diagnosis alone and have been less likely to prioritise this co-occurring patient need. Opportunities exist to foster effective treatment strategies for substance use disorders, and past research has produced positive outcomes among forensic patients in studies in both Australia and the UK to navigate a new course for patients with these problems. By providing empirically validated, co-produced and culturally competent treatment responses, forensic patients living with substance use disorders will have the opportunity to significantly improve their wellbeing and progress through the system. They will also be more prepared and equipped to face challenges upon discharge into the community, including increased availability of alcohol and other drugs, social stigma and barriers to employment. Moreover, by prioritising effective substance use treatment programs during inpatient rehabilitation, services can reduce the levels of post-discharge recidivism.

中文翻译：

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变化的起源：有精神健康问题的法医患者的物质使用治疗

物质使用障碍在法医患者中非常普遍。对于有这些问题的患者来说，它们与许多挑战有关，包括他们康复和成功通过安全的法医心理健康服务的能力，以及增加的累犯风险。传统上，法医服务更擅长单独关注和治疗初级心理健康诊断，不太可能优先考虑这种同时发生的患者需求。存在促进物质使用障碍有效治疗策略的机会，过去的研究在澳大利亚和英国的法医患者中产生了积极的结果，为有这些问题的患者开辟了新的道路。通过提供经过经验验证、共同产生和具有文化能力的治疗反应，患有物质使用障碍的法医患者将有机会通过该系统显着改善他们的福祉和进步。他们也将更有准备和有能力面对出院后的挑战，包括酒精和其他药物的增加、社会污名和就业障碍。此外，通过在住院康复期间优先考虑有效的物质使用治疗计划，服务可以降低出院后累犯的水平。社会污名和就业障碍。此外，通过在住院康复期间优先考虑有效的物质使用治疗计划，服务可以降低出院后累犯的水平。社会污名和就业障碍。此外，通过在住院康复期间优先考虑有效的物质使用治疗计划，服务可以降低出院后累犯的水平。