Michael T. Compton - Marijuana and Mental Health

Edited by

Michael T. Compton, M.D., M.P.H.

Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family.

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Library of Congress Cataloging-in-Publication Data

Names: Compton, Michael T., editor. | American Psychiatric Association, issuing body.

Title: Marijuana and mental health / edited by Michael T. Compton.

Description: First edition. | Arlington, Virginia : American Psychiatric Association Publishing, [2016] | Includes bibliographical references.

Identifiers: LCCN 2015046389 (print) | LCCN 2015047040 (ebook) | ISBN 9781615370085 (pbk. : alk. paper) | ISBN 9781615370658 ()

Subjects: | MESH: Marijuana Smoking | Mental Disorders | Cannabisdrug effects | Cannabinoids | Marijuana Abuse | Psychoses, Substance-Induced

Classification: LCC RC568.C2 (print) | LCC RC568.C2 (ebook) | NLM QV 77.7 | DDC 362.29/5dc23

LC record available at http://lccn.loc.gov/2015046389

British Library Cataloguing in Publication Data
A CIP record is available from the British Library.

Michael T. Compton, M.D., M.P.H.

INTOXICATION, EFFECTS ON COGNITION AND MOTIVATION, AND ADDICTION

David L. Atkinson, M.D.

FROM PROHIBITION TO THE RISE OF LEGALIZATION

Arthur Robin Williams, M.D., M.B.E.

INDICATIONS, FORMULATIONS, EFFICACY, AND ADVERSE EFFECTS

Thida Thant, M.D.

Elin C. Kondrad, M.D.

Abraham M. Nussbaum, M.D., M.T.S.

RISK FOR SUBSTANCE USE DISORDERS AND ASSOCIATIONS WITH MOOD, ANXIETY, AND OTHER BEHAVIORAL HEALTH DISORDERS

Charles Luther, M.D.

Matthew Lorber, M.D., M.P.A.

Ruth S. Shim, M.D., M.P.H.

FROM REEFER MADNESS TO MARIJUANA USE AS A COMPONENT CAUSE

Claire Ramsay Wan, M.P.H. Michael T. Compton, M.D., M.P.H.

EMERGENCE, EPIDEMIOLOGY, CLINICAL EFFECTS, AND MANAGEMENT

Marc W. Manseau, M.D., M.P.H.

CLINICAL ASSESSMENT AND PSYCHOSOCIAL AND PHARMACOLOGICAL INTERVENTIONS

Garrett M. Sparks, M.D., M.S.

SCHOOL-, FAMILY-, AND COMMUNITY-BASED APPROACHES

W. Alex Mason, Ph.D.

Charles B. Fleming, M.A.

Kevin P. Haggerty, Ph.D., M.S.W.

Medical Director of Day Treatment Psychiatry, Childrens Health; Assistant Professor, Department of Psychiatry, University of TexasSouthwestern, Dallas, Texas

Chairman, Department of Psychiatry, Lenox Hill Hospital, New York, New York; Professor, Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, New York

Research Scientist, Social Development Research Group, University of Washington, Seattle, Washington

Director, Social Development Research Group, University of Washington, Seattle, Washington

Faculty Physician, Saint Joseph Family Medicine Residency, Saint Joseph Hospital, Denver, Colorado

Acting Chief, Child and Adolescent Psychiatry, Department of Psychiatry, Lenox Hill Hospital, New York, New York

Assistant Professor of Psychiatry, Department of Psychiatry, Case Western Reserve School of Medicine, Southwest General Health Center Oakview, Middleburg Heights, Ohio

Clinical Assistant Professor, Department of Psychiatry, New York University School of Medicine, and Attending, Outpatient Psychiatry Clinic, Bellevue Hospital Center, New York, New York

Director of Research, Boys Town National Research Institute for Child and Family Studies, Boys Town, Nebraska

Director, Adult Inpatient Psychiatry Service, Denver Health Adult Inpatient Psychiatry; Assistant Professor and Associate Director of Medical Education, Department of Psychiatry, University of Colorado, Denver, Colorado

Vice Chair, Education and Faculty Development, and Chief of Outpatient Psychiatric Services, Department of Psychiatry, Lenox Hill Hospital, New York, New York; Associate Professor, Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, New York

Assistant Professor, Department of Psychiatry, University of Pittsburgh School of Medicine, and Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pennsylvania

Resident, PGY-III, Department of Psychiatry, University of Colorado, Aurora, Colorado

Candidate for Masters in Medical Sciences, Physician Assistant Program, Tufts University School of Medicine, Boston, Massachusetts

NIDA T32 Fellow, Division on Substance Abuse, Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, New York

Elin C. Kondrad, M.D., and Thida Thant, M.D., report that they have no financial relationships to disclose.

Abraham M. Nussbaum, M.D., M.T.S., receives royalties from American Psychiatric Association Publishing and Yale University Press; he has no past or present financial relationships with marijuana or pharmaceutical industry interests.

Marijuana affects mental health in diverse ways. Whereas some people would argue that marijuana is beneficial to mental health and well-being, there is very little formal research on this, and