Search results for ‘Subject term:"dual diagnosis"’ Sort:
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A novel treatment resource for co-occurring symptoms
- Authors:
- McCALLUM Stacey L., et al
- Journal article citation:
- Advances in Dual Diagnosis, 6(4), 2013, pp.155-167.
- Publisher:
- Emerald
This paper describes the development of a self-directed treatment tool which uses cognitive behavioural therapy techniques to reduce anxiety symptoms in patients seeking treatment for alcohol-related problems. The booklet was formatted for the patients to completed over four weeks, with each week targeting a different CBT technique. Semi-structured interviews were conducted with 15 patients presenting to hospital for alcohol related problems and 10 practitioners working at inpatient, outpatient and residential treatment facilities in Adelaide, South Australia. The majority of patients (80 percent) and practitioners (90 percent) felt the booklet was a practical, usable educational resource for patients sufferening from co-occuring anxiety symptoms in substance abuse facilities. Participants also outlined the limitations of the resource. It was suggested that the booklet would be most suitable for patients with moderate to high cognitive ability, who also exhibit a motivation to change alcohol consumption and have access to additional support. Findings suggest suggest that the booklet may be most useful for improving treatment accessibility and treatment seeking behaviours, rather than reducing practitioner-patient contact. (Edited publisher abstract)
Continuity of care in dual diagnosis treatment: definitions, applications, and implications
- Authors:
- McCALLUM Stacey L., et al
- Journal article citation:
- Journal of Dual Diagnosis, 11(3-4), 2015, pp.217-232.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: To review the current literature on continuity of care in the treatment of people with dual diagnosis. In particular, the review set out to clarify how continuity of care has been defined, applied, and assessed in treatment and to enhance its application in both research and clinical practice. Methods: To identify articles for review, the term “continuity” and combinations of “substance” and “treatment” were searched in electronic databases. The search was restricted to quantitative articles published in English after 1980. Papers were required to discuss “continuity” in treatment samples that included a proportion of patients with a dual diagnosis. Results: A total of 18 non-randomized studies met the inclusion criteria. Analysis revealed six core types of continuity in this treatment context: continuity of relationship with provider(s), continuity across services, continuity through transfer, continuity as regularity and intensity of care, continuity as responsive to changing patient need, and successful linkage of the patient. Patient age, ethnicity, medical status, living status, and the type of mental health and/or substance use disorder influenced the continuity of care experienced in treatment. Some evidence suggested that achieving continuity of care was associated with positive patient and treatment-related outcomes. Conclusions: This review summarises how continuity of care has been understood, applied, and assessed in the literature to date. Findings provide a platform for future researchers and service providers to implement and evaluate continuity of care in a consistent manner and to determine its significance in the treatment of people with a dual diagnosis. (Edited publisher abstract)