Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Tied up like a kipper: mentally disordered offenders and the parole process
- Author:
- FITZGIBBON Diana Wendy
- Journal article citation:
- Prison Service Journal, 179, September 2008, pp.32-35.
- Publisher:
- Her Majesty's Prison Service of England and Wales
This article examines the plight of mentally disordered offenders who are considered by the parole board. The study arose out of the increased focus by the public, government and practitioners on whether parole board decisions, and the risk assessments that inform those decisions, protected the public sufficiently. The Home Office observed three parole board sittings, with each parole board considering 24 prisoner dossiers for all probation areas in England and Wales. The key findings are summarised. It is concluded that mentally disordered offenders continue to be assessed in a more negative manner than others applying for parole licence; and that a preoccupation with risk and dangerousness has resulted in less of a focus on self-harm and suicide.
The emergence of a dual diagnosis pathway within a primary care setting in Cork, Ireland
- Authors:
- CONNOLLY John, MCCARTHY Declan, DEADY Rick
- Journal article citation:
- Advances in Dual Diagnosis, 3(3), August 2010, pp.29-33.
- Publisher:
- Emerald
This article describes the recent integration of mental health and addiction services within a local health service in suburban Cork providing primary, community and continuing care. It details the start of the transformation. Once the clinicians had embraced the co-location of mental health and addiction services this afforded an opportunity to advance the assessment and treatment of dual diagnosis, and the progress to joint-working, assessment and intervention. The authors mention the Irish Mental Health Act (2001), a Vision for Change (2006) and the Transformation Programme (2007-2010), with the latter outlining the radical reformation of health service delivery in Ireland with reference to integration of services, engagement of staff in facilitating change and their attitudes to service provision, and a remapping of staff and resources towards community settings with co-locations preferred. The National Drugs Strategy is quoted making reference to developing specialist expertise in both mental health and addiction. Three service models, serial, parallel and integrated are described and compared in use in other countries including USA, England, Scotland, Wales and Australia. These authors discuss the Irish experience of implementation by quoting verbatim four positive comments from clients, to complement supporting words from previously published literature on this topic. They make recommendations about dual diagnosis training, policy, procedure, ring-fenced funding, steering groups and research and development projects for the future.
A service framework to meet the needs of people with a co-occurring substance misuse and mental health problem
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2007
- Pagination:
- 21p.
- Place of publication:
- Cardiff
The importance of developing seamless services for clients requiring both services cannot be stressed too strongly. Evidence indicates that drug and/or alcohol misuse among people with mental health problems is now commonplace but despite the availability of effective treatments, these services are not as co-ordinated as they might be Joining these services together is important because research shows that treatment for substance misuse problems often reduces psychiatric and mental health problems. Furthermore, substance misuse treatment is associated with decreasing substance use, decreased injecting behaviour and hence a reduction in the risk of HIV and hepatitis transmission, and improvements in other related forensic, psychological and physical problems.
Rough sleeping follow up: mental health and substance misuse services
- Author:
- NATIONAL ASSEMBLY FOR WALES. Equality, Local Government and Communities Committe
- Publisher:
- National Assembly for Wales
- Publication year:
- 2019
- Pagination:
- 14
- Place of publication:
- Cardiff
A report from National Assembly for Wales Equality, Local Government and Communities Committee to investigate the difficulty for rough sleepers of accessing integrated substance misuse and mental health services. The Committee consulted with people with expertise across housing, substance misuse, and health to better understand the gaps in services and potential solutions. It found that cultural issues within organisations, attitudes between different professional groups and lack of leadership were significant barriers to delivering effective services for people with housing, mental health issues and substance misuse. The report makes recommendations covering the areas: the identification and dissemination of good practice; organisational culture and leadership; joint commissioning and funding; and the design and delivery of integrated services. The recommendations include better access to good quality training for staff working with rough sleepers. (Edited publisher abstract)
Coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 41
- Place of publication:
- London
This guideline covers assessing and managing people aged 14 years and over with coexisting severe mental illness and substance misuse. It aims to help healthcare professionals guide people with psychosis with coexisting substance misuse to stabilise, reduce or stop their substance misuse, to improve treatment adherence and outcomes, and to enhance their lives. The guideline is based on the best available evidence and covers: key principles of working with adults and young people with psychosis and coexisting substance misuse, recognising psychosis with coexisting substance misuse, referral from primary care, substance misuse services and inpatient mental health services. It also identifies specific issues relevant for the assessment and treatment of young people. (Edited publisher abstract)
Psychosis with substance misuse in over 14s: assessment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 43
- Place of publication:
- London
Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline covers the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It aims to help healthcare professionals guide people with psychosis who use drugs and/or alcohol, to stabilise, reduce or stop their substance misuse and to improve treatment adherence and outcomes. It offers best practice advice on assessment and management and person centred care. It sets out key priorities for implementation, covering principles of care, recognition of psychosis with coexisting substance misuse, primary care, secondary care mental health services, substance misuse services, inpatient mental health services, staffed accommodation, and specific issues for young people with psychosis and coexisting substance misuse. Accompanying publications include the full guideline 'Psychosis with coexisting substance misuse: assessment and management in adults and young people' (with all the recommendations, details of how they were developed and reviews of the evidence they were based on) and Understanding NICE Guidance (a summary for patients and carers). Includes changes after publication (latest changes: February 2013).
Psychosis with coexisting substance misuse: assessment and management in adults and young people
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 387p., bibliog.
- Place of publication:
- London
Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline was developed to advise on the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have direct contact with, and make decisions concerning the care of, adults and young people with psychosis who use drugs and/or alcohol. It sets out the clinical practice and research recommendations, with details of how they were developed and reviews of the evidence they were based on. It describes the evidence that underpins the recommendations, covering experience of care, assessment and care pathways, service delivery models for people with psychosis and coexisting substance misuse, psychological and psychosocial interventions, pharmacological and physical interventions, and young people with psychosis and coexisting substance misuse. Accompanying publications include the NICE guideline (a version of the guideline with all the recommendations), and Understanding NICE Guidance (a summary for patients and carers).
A missed opportunity?: community sentences and the mental health treatment requirement
- Authors:
- KHANOM Husnara, SAMELE Chiara, RUTHERFORD Max
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2009
- Pagination:
- 44p., bibliog.
- Place of publication:
- London
The Mental Health Treatment Requirement (MHTR) is one of 12 options (‘requirements’) available to sentencers when constructing a Community Order or a Suspended Sentence Order. The MHTR can be given to an offender with mental health problems who does not require immediate compulsory hospital admission under the Mental Health Act. If they give their consent, the MHTR requires them to receive mental health treatment for a specified period. This report is based on an exploratory research project to examine the way in which the Mental Health Treatment Requirement is issued and the processes involved. It's secondary aims were: to explore the views of sentencers and identify the main problems that have prevented them from issuing the MHTR at the point of sentencing; to examine the Drug Rehabilitation Requirement for any lessons its operation may provide for improving the MHTR; to consider whether the MHTR is an effective, suitable and therapeutic form of diversion for offenders with mental health problems and to explore inter-agency working. Fifty six professionals working in the courts, in probation and in health services were interviewed about their experiences and knowledge of the MHTR. Results found many professionals lacked direct experience of the MHTR, and some were not aware of it at all. Professionals also had varied views about the purpose of the MHTR and the criteria for who should receive an MHTR were not clear.
Addressing substance misuse in a medium secure unit
- Authors:
- OWEN Rossi, et al
- Journal article citation:
- Drugs and Alcohol Today, 8(3), September 2008, pp.17-21.
- Publisher:
- Emerald
Individuals diagnosed with severe mental illness have higher rates of alcohol and substance misuse than the general population. In forensic psychiatry, the effect of comorbid substance misuse on offending behaviour is particularly pertinent. At a regional secure unit in North Wales, a group of inpatients was set up to provide education on alcohol and substance misuse over a course of six informal meetings, and then to evaluate participants' attitudes towards substance misuse. Of the six participants, five reported that their knowledge of substances had increased, and that they had no intention to use drugs again after discharge. Staff and client participants also suggested useful future topics for the group.
The triangular treatment paradigm in dual-diagnosis clients with a mental illness
- Authors:
- SIMS John, IPHOFEN Ron, PAYNE Kevin
- Journal article citation:
- Journal of Substance Use, 8(2), June 2003, pp.112-118.
- Publisher:
- Taylor and Francis
This article looks at the role of the specialist dual diagnosis worker in North Wales and how the appointee to this role had been able to facilitate the seamless transition of these individuals through the 'system' of mental health care. This process has been facilitated by the development of an Integrated Pathway of Care, which has been devised by the authors and called the Triangular Treatment Paradigm.