Personal Social Networks and Dual Disorders: A Literature Review and Implications for Practice and Future Research

Abstract

ABSTRACT Objectives: To review and examine the literature on social networks and dual disorders, and the separate literatures on social networks in relation to mental illness and substance abuse respectively, and to consider implications for practice and research. Methods: Papers selected for review included empirical studies of social networks and/or social support of adults with diagnosed substance use and/or mental disorders. Results: Thirty-six studies met the criteria for review which is organized around three themes: structural characteristics of social networks, network composition, and the impact of social networks on treatment and recovery. Conclusions: Social networks function both as a predictor as well as an outcome of mental illness and substance use. Understanding and assessment of social networks is important to understanding addictive behaviors. Further research is needed in the following areas: the role of social networks in readiness for treatment, entry into and participation in treatment, and support for recovery; the impact of treatment and peer support programs on social networks; social networks in relation to a wider range of mental disorders (e.g., depression, anxiety and post traumatic stress disorder); and the impact of race, ethnicity, and gender on social networks of adults with dual disorders. In addition, the role that families play in treatment and recovery as well as the impact of clients' dual disorders upon family members needs examination.