Search results for ‘Subject term:"access to services"’ Sort:
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Understanding and overcoming barriers to substance abuse treatment access for people with mental retardation
- Author:
- SLAYTER Elspeth M.
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 7(2), 2008, pp.63-80.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
People with learning disabilities have experienced greater levels of freedom and access to community living in the USA over the past 40 years, and this includes access to alcohol and illicit drugs. Although the risks attendant on substance abuse are known to be greater for those with learning disabilities, there is insufficient good quality knowledge about accessible and effective treatment approaches. People with learning disabilities also face barriers in accessing treatment because of: the fragmentation of substance abuse and mental health/learning disability service provision; the lack of knowledge and expertise on concurrent treatment approaches; paradigm clashes between the rights/empowerment approach to learning disability and the abstinence/responsibility approach to substance abuse; and the lack of clinical knowledge and tools. The implications for research and social work practice are discussed.
Do we really understand the substance misuse needs of black and minority ethnic (BME) communities
- Author:
- DUFFIN Michelle
- Journal article citation:
- Community Safety Journal, 6(4), December 2007, pp.42-44.
- Publisher:
- Pavilion
The author draws on research undertaken by Perpetuity in the East Midlands and the east of England to gain in sight into the substance misuse needs of black and minority ethnic communities.
Multiple disadvantage and co-occurring substance use and mental health conditions
- Author:
- MAKING EVERY ADULT MATTER
- Publisher:
- Making Every Adult Matter
- Publication year:
- 2022
- Pagination:
- 20
- Place of publication:
- London
Substance use and mental health needs are two of the primary concerns for many people experiencing multiple disadvantage. People who experience both issues at the same time (also known as "co-occurring conditions" or "dual diagnosis") find it difficult or impossible to access the right support for their needs. Appropriate support for people with cooccurring conditions remains an unresolved challenge for many local areas. Without appropriate support, individuals' health, wellbeing and trust in services can be drastically harmed. In this briefing, we: 1. Examine the prevalence of co-occurring conditions among people experiencing multiple disadvantage; 2. Explore the existing national guidance around supporting people with cooccurring conditions; 3. Investigate the barriers to accessing support for co-occurring conditions; 4. Investigate the enablers to accessing support for co-occurring conditions; 5. Recommend improvements in policy, commissioning and local practice for people with co-occurring conditions. This briefing is informed by conversations with local areas from across the MEAM Approach and Fulfilling Lives networks, providing an in-depth understanding of the difficulties faced by support. In addition, a survey of local strategic leads across the networks was carried out exploring the scale and nature of the challenge of cooccurring conditions, access to and quality of services, as well as good practice in local areas. Overall, the picture appears to be that access to appropriate support remains extremely difficult, leading to poor health, wellbeing, housing and offending outcomes and significant levels of unmet need for these individuals. Systems that keep the commissioning, design and delivery of substance use treatment and mental health services separate from one another inevitably struggle to meet the needs of people experiencing co-occurring conditions. However, despite repeated challenges and frustrations, professionals are passionate about trying to tackle these issues and as a result improvements are being developed and good practice is emerging in some local areas. (Edited publisher abstract)
A joint thematic inspection of community-based drug treatment and recovery work with people on probation: a joint inspection led by HM Inspectorate of Probation
- Authors:
- HM INSPECTORATE OF PROBATION, CARE QUALITY COMMISSION
- Publisher:
- HM Inspectorate of Probation
- Publication year:
- 2021
- Pagination:
- 84
- Place of publication:
- Manchester
Probation services across England and Wales supervise nearly 156,000 people in the community. HM Inspectorate of Probation estimates that almost 75,000 of these individuals have a drugs problem, yet fewer than 3,000 people were referred by probation services to specialist drug misuse treatment in 2019/2020. HM Inspectorate of Probation partnered with the Care Quality Commission to examine how probation services supervise this cohort. Inspectors found: too few people on probation receive help to tackle drugs misuse – and when referrals are made, the quality of services is often not good enough; funding for treatment has reduced and criminal justice programmes to identify and refer people for treatment have “withered on the vine”; very few drug users on probation are being tested for drug use – just one in six of the inspected sample of known users; key information is missing, not captured properly or used to commission services – probation services were unable to tell inspectors how many Class A drug users were on their caseload or how many were in treatment; six out of 10 magistrates that the Inspectorate surveyed said they were not confident probation was delivering the necessary treatment. (Edited publisher abstract)
Availability of integrated care for co-occurring substance abuse and psychiatric conditions
- Authors:
- DUCHARME Lori J., KNUDSEN Hannah K., ROMAN Paul M.
- Journal article citation:
- Community Mental Health Journal, 42(4), August 2006, pp.363-375.
- Publisher:
- Springer
The co-occurrence of psychiatric conditions and substance abuse presents significant challenges for behavioural healthcare providers. The need for integrated care has received substantial recent attention from clinical, research, and funding entities. However, the availability of integrated care has been low, carrying potential adverse implications for quality of care and treatment outcomes. This article describes the prevalence and key correlates of the availability of integrated care for co-occurring conditions within public and private-sector addiction treatment programs in the United States. Several organizational attributes, caseload characteristics, and service provision patterns were associated with the availability of integrated care.
No show means no help
- Author:
- -
- Journal article citation:
- Community Care, 25.05.06, 2006, pp.38-39.
- Publisher:
- Reed Business Information
A panel give their advice on the case of young man who has substance misuse and mental health problems who fails to engage with services. They ask whether services are accessible enough.
The stakes are high: the impact of parental substance misuse on children
- Author:
- GORIN Sarah
- Journal article citation:
- Childright, 219, September 2005, pp.14-16.
- Publisher:
- Children's Legal Centre
Suggests that the problem of parental substance misuse, particularly parental alcohol abuse, has yet to be widely reflected in policy and practice. Estimates the extent of the problem. Outlines the factors that influence the impact upon a child's health and development. Explores a range of ways in which children's lives can be affected by parental substance misuse. Outlines the range of sources of support available to affected children. Describes barriers to children accessing professional help and considers how these can be overcome. Outlines problems faced by those who provide support services. Calls for greater recognition of the impact of parental alcohol misuse.
Battered and boozed
- Author:
- PEARL Joanna
- Journal article citation:
- Community Care, 22.7.04, 2004, pp.38-39.
- Publisher:
- Reed Business Information
Analyses links between domestic violence and substance use and how many services fail women through ignorance of the link between domestic violence and substance use. Reports on the Stella Project, which aims to support organisations to work effectively with women affected by both, and the Nia Project (formerly Hackney Women's Aid) which provides a refuge where women are not automatically excluded if they disclose drug or alcohol use.
What families need to know: caring for someone with an alcohol or drug problem who is seriously ill
- Author:
- WRIGH Sam
- Publisher:
- Adfam
- Publication year:
- 2021
- Pagination:
- 6
- Place of publication:
- London
This new resource is aimed at families caring for someone with a substance use problem that is seriously ill. Many people in the UK have some kind of substance use problem, and many families will include at least one person who is experiencing problems with alcohol and/or illicit or prescription drugs. This isn’t just a problem for the person who is drinking or using drugs. It can also have serious adverse effects on the rest of the family. Many families try to cope with this burden on their own. They may not know where to get help, feel ashamed, or perhaps have tried to get help before and had poor experiences. This document aims to help them to navigate their difficult and complex situation and get the right help, including specialist support. (Edited publisher abstract)
Differential gateways, facilitators, and barriers to substance use disorder treatment for pregnant women and mothers: a scoping systematic review
- Authors:
- CHOI Sugy, et al
- Journal article citation:
- Journal of Addiction Medicine, early cite 10 August 2021,
- Publisher:
- Lippincott Williams and Wilkins
- Place of publication:
- Baltimore
Objectives: Access to substance use disorder (SUD) treatment is complex, and more so for pregnant women and mothers who experience unique barriers. This scoping systematic review aimed to summarize contemporary findings on gateways, facilitators, and barriers to treatment for pregnant women and mothers with SUD. Methods: This study used the scoping review methodology and a systematic search strategy via MEDLINE/PubMed and Google Scholar. The search was augmented by the similar article lists for sources identified in PubMed. Scholarly and peer-reviewed articles that were published in English from 1996 to 2019 were included. A thematic analysis of the selected studies was used to summarize pathways to SUD treatment and to identify research gaps. Results: The analysis included 41 articles. Multiple gateway institutions were identified: health care settings, social service agencies, criminal justice settings, community organizations, and employers. Some of the identified facilitators and barriers to SUD treatment were unique to pregnant women and mothers (eg, fear of incarceration for child abuse). Both personal (emotional support and social support) and child-related factors (loss of children, suspension or termination of parental rights, the anticipation of reuniting with children) motivated women to seek treatment. Major access barriers included fear, stigma, charges of child abuse, inconvenience, and financial hardship. Conclusions: There has been progress in implementing different types of interventions and treatments for that were attentive to pregnant women and mothers’ needs. This study developed a conceptual model that characterized women's pathways to treatment by deciphering women's potential engagement in gateway settings. (Edited publisher abstract)