ArticlePLOS mental health2026
Cocaine use disorder, mental health diagnoses, and serious mental illness characteristics in mental health treatment.
Article in PLOS mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Service utilization patterns in cocaine use disorder: A data-driven study.Drug and alcohol dependence reports · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Over half of treatment-seeking individuals with a cocaine use disorder have a co-occurring mental health disorder. Mental health disorder symptoms may impact an individual's functioning so severely that they are classified as a serious mental illness (SMI). However, there is variability in defining SMI, including the duration of symptoms, functional impairment, or specific diagnoses such as schizophrenia. This study answered the following questions among a national sample of adults with cocaine use disorder who received services from mental health treatment facilities from 2013 to 2021 (N = 359,500): [1] what are most diagnosed mental health disorders, [2] what is the percentage of SMI, and [3] are some mental health diagnoses associated with the designation of SMI? Binary logistic regression identified mental health diagnoses associated with SMI. The sample was primarily male (n = 184,312; 51.3%) and the largest racial group was Black or African American (n = 149,080; 41.5%). The most endorsed mental health disorder diagnoses in the sample include depressive disorders (n = 115,347; 32.1%), bipolar disorders (n = 94,591; 26.3%), and schizophrenia or other psychotic disorders (n = 86,298; 24.0%). Anxiety disorders, bipolar disorders, conduct disorders, dementia/delirium, depressive disorders, personality disorders, pervasive developmental disorders, schizophrenia or other psychotic disorders, trauma-or stressor-related disorders, and other mental health disorders were associated with SMI. Diagnoses most associated with SMI were schizophrenia or other psychotic disorders (Adjusted odds ratio = 20.188; 95% Confidence Interval = 19.533, 20.865), bipolar disorders (Adjusted odds ratio = 7.257; 95% Confidence Interval = 7.085, 7.433), and depressive disorders (Adjusted odds ratio = 4.855; 95% Confidence Interval = 4.754, 4.957). This study provides a snapshot of the recent landscape of mental health disorders and SMI among individuals with a cocaine use disorder who received treatment from mental health facilities from 2013 to 2021. Significant comorbidity was identified, including multiple diagnoses and SMI.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.