Impact of Unrestricted Drug Use on Psychiatric and Behavioral Disorders: Exploring Mental Health Effects in The United States


1Excel Onajite Ernest-Okonofua, 2Franklin Ibadin, 3Ogheneyemarho Great Oyiborhoro, 4Aminu Sufu Mahmud, 5Ifeoma Theodora Abengowe, 6Peter Iroro Akpohwaye
1-6 Igbinedion University, Nigeria,Igbinedion University, Nigeria,Igbinedion University, Nigeria
1-6 University of South Alabama USA, Igbinedion University, Nigeria, Glasgow caledonian university, Scotland
DOI : https://doi.org/10.58806/ijmir.2025.v2i3n01

Abstract

Background: Illicit substance abuse in the United States remains a public health concern as a survey shows that 59% of the population aged 12 or older use illicit substances in a year. Legal highs such as marijuana, opioids, synthetic cannabis, and other substances are responsible for high addiction rates and mental illness. Issues like legalisation, online drugs, and polydrug use only make these issues worse. Special groups are particularly vulnerable to getting treatment hence making the effects of substance use not only societal but individual as well.
Aim: This research aims to establish the correlation between the use of drugs without prescription and mental illness. It also details how the availability of drugs affects mental health and looks at how to prevent or treat the problem effectively.
Methodology: A cross-sectional survey design was employed, and the quantitative data collected from 378 participants was analysed. Data was collected with the help of online questionnaires, including participants’ background information, their drug-taking behaviour, and psychiatric disorders. Descriptive analysis was performed utilising the SPSS statistical tool to compare the data sets.
Results: The study shows a positive correlation between substance use and the presence of psychiatric disorders, including anxiety, depression and psychosis. The participants well understand these links and there was an appreciation of early intervention and integrated care models of treatment. However, there are still gaps in the treatment, especially among the marginalised groups of society.
Analysis: The study highlights the need to increase awareness of the disease, improve treatment access, and to deliver specific interventions. Approaches that address education, equal access to treatment, and stigma are essential interventions for addressing the two risks posed by substance use and related mental health effects.

Keywords:

Substance Abuse, Mental Health Disorders, Integrated Care, Drug Accessibility, Public Awareness

References:


1) Alam, Md. K. (2020). A Systematic Qualitative Case study: questions, Data collection, NVivo Analysis and Saturation. Qualitative Research in Organizations and Management: An International Journal, 16(1), 1–31. https://doi.org/10.1108/QROM-09-2019-1825

2) Azofeifa-Ujueta, A. (2023). Assessing and Characterizing Marijuana Use Disorders (DSM-5)—National Survey on Drug Use and Health, United States, 2020. Western Michigan University.

3) Azofeifa, A. (2019). Driving under the influence of marijuana and illicit drugs among persons aged≥ 16 years—United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 68.

4) Alegría, M., & G. Frank, R. (2024). Google Scholar. Google.com. https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&as_ylo=2020&q=Policymakers+should+prioritize+funding+for+programs+that+combine+mental+health+and+substance+abuse+treatment&btnG=

5) Ali, A. M., Alkhamees, A. A., Hori, H., Kim, Y., & Kunugi, H. (2021). The Depression Anxiety Stress Scale 21: Development and Validation of the Depression Anxiety Stress Scale 8-Item in Psychiatric Patients and the General Public for Easier Mental Health Measurement in a Post COVID-19 World. International Journal of Environmental Research and Public Health, 18(19), 10142. https://doi.org/10.3390/ijerph181910142

6) Aljarallah, N. A., Almuqbil, M., Alshehri, S., Khormi, A. M. S., AlReshaidan, R. M., Alomran, F. H., Fawzan Alomar, N., Alshahrani, F. F., Alshammari, M. S., Alsanie, W. F., Alhomrani, M., Alamri, A. S., & Asdaq, S. M. B. (2023). Satisfaction of patients with health care services in tertiary care facilities of Riyadh, Saudi Arabia: A cross-sectional approach. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1077147

7) Amaro, H., Sanchez, M., Bautista, T., & Cox, R. (2021). Social vulnerabilities for substance use: Stressors, socially toxic environments, and discrimination and racism. Neuropharmacology, 188(188). https://doi.org/10.1016/j.neuropharm.2021.108518

8) Bercaw, L. E., Levinson, A., Fletcher, D., Shuman, S. B., Hughes, S., Peddada, S., & Walsh, E. G. (2022). Assessing Disparities in Medicaid Home- and Community-Based Services: A Systematic Review. Journal of Aging & Social Policy, 1–20. https://doi.org/10.1080/08959420.2022.2081424

9) Casella, G., & Berger, R. (2024). Statistical Inference. Google Books.
https://books.google.com.pk/books?hl=en&lr=&id=cqUIEQAAQBAJ&oi=fnd&pg=PP1&dq=Inferential+statistical+methods&ots=BSdsOCwENX&sig=CF8MzG6aBGHy7P3qo9SE_VmYicw&redir_esc=y#v=onepage&q&f=false

10) Crummy, E. A., O’Neal, T. J., Baskin, B. M., & Ferguson, S. M. (2020). One is not enough: understanding and modeling polysubstance use. Frontiers in Neuroscience, 14, 569.

11) Drew, J. M., & Martin, S. (2021). A national study of police mental health in the USA: stigma, mental health and help-seeking behaviors. Journal of Police and Criminal Psychology, 36(2), 295-306.

12) Drupp, Moritz A, Kornek, U., Meya, J. N., & Sager, L. (2021). Inequality and the Environment: The Economics of a Two-Headed Hydra. Econstor.eu. http://hdl.handle.net/10419/248992

13) Hayes, A. F. (2020). Statistical Methods for Communication Science. Routledge. https://doi.org/10.4324/9781410613707

14) Jemberie, W. B., Stewart Williams, J., Eriksson, M., Grönlund, A.-S., Ng, N., Blom Nilsson, M., Padyab, M., Priest, K. C., Sandlund, M., Snellman, F., McCarty, D., & Lundgren, L. M. (2020). Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00714

15) Larkin Jr, P. J., & Madras, B. K. (2019). Opioids, overdoses, and cannabis: is marijuana an effective therapeutic response to the opioid abuse epidemic. Geo. JL & Pub. Pol'y, 17, 555.

16) MI Naples . (2021, March 8). About | HeinOnline. HeinOnline. https://heinonline.org/HOL/LandingPage?handle=hein.journals/rutjulp19&div=15&id=&page=

17) MM Rahman . (2023). Sample Size Determination for Survey Research and Non-Probability Sampling Techniques: A Review and Set of Recommendations | Journal of Entrepreneurship, Business and Economics. Www.scientificia.com. https://www.scientificia.com/index.php/JEBE/article/view/201

18) McCabe, S. E., West, B. T., Jutkiewicz, E. M., & Boyd, C. J. (2017). Multiple DSM‐5 substance use disorders: A national study of US adults. Human Psychopharmacology: Clinical and Experimental, 32(5), e2625.

19) McCann, J. D. (2020). Do no good: how controlled substance regulations prohibit the use of telemedicine to provide medication-assisted therapy for opioid use disorder. Tulsa L. Rev., 56, 313.

20) McCollister, K., Yang, X., Sayed, B., French, M. T., Leff, J. A., & Schackman, B. R. (2017). Monetary conversion factors for economic evaluations of substance use disorders. Journal of substance abuse treatment, 81, 25-34.

21) Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus, 18(1), 16-24.

22) Na, B., Jiwon, J., & Park. (2024). APA PsycNet. Apa.org. https://psycnet.apa.org/fulltext/2022-40012-001.html

23) Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., Ibrahim, N., & Shafurdin, N. S. (2021). Risk and protective factors of drug abuse among adolescents: A systematic review. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11906-2

24) Okagbue, H. I., Oguntunde, P. E., Obasi, E. C. M., & Akhmetshin, E. M. (2021). Trends and usage pattern of SPSS and Minitab Software in Scientific research. Journal of Physics: Conference Series, 1734(1), 012017. https://doi.org/10.1088/1742-6596/1734/1/012017

25) Pallant , J. (2020). SPSS Survival Manual. Google Books. https://books.google.com.pk/books?hl=en&lr=&id=2DYbEQAAQBAJ&oi=fnd&pg=PP1&dq=SPSS+&ots=CoRvaXu7f3&sig=dqfYW9i7u3PihckuOazxtVlF-uc&redir_esc=y#v=onepage&q=SPSS&f=false

26) Preuss, C. V., Kalava, A., & King, K. C. (2019). Prescription of controlled substances: benefits and risks.

27) Price, A. (2020). Online Gambling in the Midst of COVID-19: a Nexus of Mental Health Concerns, Substance Use and Financial Stress. International Journal of Mental Health and Addiction, 20(1). https://doi.org/10.1007/s11469-020-00366-1

28) Reilly, M. (2021). Health Disparities and Access to Healthcare in Rural vs. Urban Areas. Theory in Action, 14(2), 6–27. https://doi.org/10.3798/tia.1937-0237.2109

29) Salmanzadeh, H., Ahmadi-Soleimani, S. M., Pachenari, N., Azadi, M., Halliwell, R. F., Rubino, T., & Azizi, H. (2020). Adolescent Drug exposure: a Review of Evidence for the Development of Persistent Changes in Brain Function. Brain Research Bulletin, 156(1), 105–117. https://doi.org/10.1016/j.brainresbull.2020.01.007

30) Thapar, A., Eyre, O., Patel, V., & Brent, D. (2022). Depression in young people. The Lancet, 400(10352), 617–631. https://doi.org/10.1016/s0140-6736(22)01012-1

31) van. (2023). Tackling Addiction with Integrated Care. Open Journal of Therapy and Rehabilitation, 11(03), 122–147. https://doi.org/10.4236/ojtr.2023.113010

32) World Health Organization. (2020). Operational Framework for Primary Health Care Transforming Vision Into Action. https://iris.who.int/bitstream/handle/10665/337641/9789240017832-eng.pdf