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From famine to feast as dual diagnosis features in new UK government policy and strategy
- Author:
- HAMILTON Ian
- Journal article citation:
- Advances in Dual Diagnosis, 10(3), 2017, pp.120-122.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to outline the latest policy announcements by the UK Government and how they relate to people who have co-occurring mental health and substance use problems. Design/methodology/approach: A rapid review was undertaken of policy, strategy and guidance. Findings: All three publications are united by their ambition to improve the care and treatment for people who have developed problems with substances and their mental health. The challenge will be to realise these ambitions in an environment where financial and human resources are contracting. Originality/value: It is important for clinicians, commissioners of treatment and researchers to be kept informed of policy development and how these initiatives will affect people with mental health and substance use problems. (Publisher abstract)
The 10 most important debates surrounding dual diagnosis
- Author:
- HAMILTON Ian
- Journal article citation:
- Advances in Dual Diagnosis, 7(3), 2014, pp.118-128.
- Publisher:
- Emerald
This paper reflects on the progress made to date in advancing knowledge and understanding of the relationship between substance use and mental health. The author draws on the available literature, identifying key contributions from a variety of fields which have helped to shape the understanding of the issues in relation to dual diagnosis. The ten key themes are identified: the definition of the term dual diagnosis; prevelence and incidence; assessment; cognitive functioning; the reasons behind the relationship between substance misuse and mental health; contrasting perspectives; integrated care; identity and stigma; staff attitudes; and philosophy of treatment. (Edited publisher abstract)
Assessment of deaf dually diagnosed clients
- Authors:
- WALLS Rebecca, HAMILTON Ian
- Journal article citation:
- Advances in Dual Diagnosis, 5(1), 2012, pp.32-37.
- Publisher:
- Emerald
It is estimated that about 40% of deaf people will experience a mental health problem at some point in their life compared with 25% of the general population. There have also been suggestions that substance misuse may be greater in the mentally ill deaf population compared with the hearing mentally ill population. This article explores assessment issues for deaf people who have a co-occurring mental health and substance use problem. It draws on the expertise of a clinician who works with this client group and the available literature on the topic. Dual diagnosis for Deaf British Sign Language (BSL) users has not been well researched. Deaf people may be unable to access some forms of assessment/treatment due to compromised cognition, understanding of concepts, and material not being accessible in an appropriate format. The authors consider an approach which may be of particular use in assessing this minority group. Although current techniques can be adapted such as cognitive-behavioural integrated treatment (C-BIT), there is a need for further research to evaluate and develop appropriate screening and assessment instruments for this client group.
Substance use 2: nursing assessment, management and types of intervention
- Author:
- HAMILTON Ian
- Journal article citation:
- Nursing Times, 14.7.09, 2009, pp.14-17.
- Publisher:
- Nursing Times
The second part of an article which examines how nurses can assess patients with substance misuse problems and look at the treatment options with them. Part 1 examined the extent of the problem, commonly used drugs and why people use them.
Ensuring integrated treatment for people with mental health and substance use problems
- Author:
- HAMILTON Ian
- Journal article citation:
- Nursing Times, 23.3.10, 2010, pp.12-15.
- Publisher:
- Nursing Times
The prevalence of dual diagnosis is high among those who access mental health and addiction services. Definitions of dual diagnosis, the prevalence of the condition and the reasons why people with mental illness use substances are briefly examined. Methods of assessment, the importance of integrated treatment and issues that need to be considered in management plans for this group, such as drug interactions and treatment approaches are also discussed.