Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Substance misuse in first-episode psychosis: 15-month prospective follow-up study
- Authors:
- WADE D., et al
- Journal article citation:
- British Journal of Psychiatry, 189(3), September 2006, pp.229-234.
- Publisher:
- Cambridge University Press
Well-designed prospective studies of substance misuse in first-episode psychosis can improve our understanding of the risks associated with comorbid substance misuse and psychosis. The aim was to examine the potential effects of substance misuse on in-patient admission and remission and relapse of positive symptoms in first-episode psychosis. The study was a prospective 15-month follow-up investigation of 103 patients with first-episode psychosis recruited from three mental health services. Substance misuse was independently associated with increased risk of in-patient admission, relapse of positive symptoms and shorter time to relapse of positive symptoms after controlling for potential confounding factors. Substance misuse was not associated with remission or time to remission of positive symptoms. Heavy substance misuse was associated with increased risk of in-patient admission, relapse and shorter time to relapse. Substance misuse is an independent risk factor for a problematic recovery from first-episode psychosis
Dual diagnosis capability: moving from concept to implementation
- Authors:
- MINKOFF Kenneth, CLINE Christine A.
- Journal article citation:
- Journal of Dual Diagnosis, 2(2), 2006, pp.121-134.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Dual diagnosis capability (DDC) refers to the notion that every agency/program providing behavioural health services must have a core capacity to provide services to individuals and families with co-occuring mental health and substance misuse issues who are already using services. This American article describes the history and characteristics of dual diagnosis capability (DDC). It then presents an illustration of usual starting paces for the implementation of DDC within agencies/programs engaged in the developmental process. It concludes with consideration of future challenges as DDC becomes better defined and organised through the system of care. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Personality and substance use disorders in young adults
- Authors:
- MORAN Paul, et al
- Journal article citation:
- British Journal of Psychiatry, 188(4), April 2006, pp.374-379.
- Publisher:
- Cambridge University Press
There have been no studies of the co-occurrence of personality and substance use disorders in young community-dwelling adults. The aim was to examine the association between DSM–IV personality disorders and substance use disorders in a large representative sample of young community-dwelling participants. Young Australian adults (n=1520, mean age=24.1 years) were interviewed to determine the prevalence of substance use disorders; 1145 also had an assessment for personality disorder. The prevalence of personality disorder was 18.6% (95% CI 16.5–20.7). Personality disorder was associated with indices of social disadvantage and the likely presence of common mental disorders. Independent associations were found between cluster B personality disorders and substance use disorders. There was little evidence for strong confounding or mediating effects of these associations. In young adults, there are independent associations between cluster B personality disorders and substance use disorders.
Addiction and mood disorders: a guide for clients and families
- Authors:
- DALEY Dennis C., DOUAIHY Antoine
- Publisher:
- Oxford University Press
- Publication year:
- 2006
- Pagination:
- 214p.
- Place of publication:
- Oxford
Millions of individuals diagnosed with severe mental illness also suffer from an equally powerful substance use disorder. If you or someone you love has been diagnosed with dual disorders, this book can help. Addiction and Mood Disorders: A Guide for Clients and Families is designed primarily to educate individuals with dual disorders and their families about mood and addictive use disorders. It not only gives a message of hope, but also provides practical suggestions on ways to manage these disorders. The author provides guidelines and strategies for recovery from dual disorders based on, and adapted from various treatments that have proven effective for addiction, mood disorders, or both. This book is filled with case examples that show growth and positive change, as well as the difficulties many individuals struggling with a dual diagnosis face. Advocating a recovery model in which the affected individual takes responsibility for getting the most out of professional treatment and self-help programs, this book shows that being an active participant is the key to getting the most out of your recovery.
Gender differences in substance-abuse treatment clients with co-occurring psychiatric and substance-use disorders
- Authors:
- MANGRUM Laurel F., SPENCE Richard T., STEINLEY-BUMGARNER Michelle D.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 6(3), August 2006, pp.255-267.
- Publisher:
- Oxford University Press
The American study examined gender differences in a sample of 213 substance-abuse treatment clients with co-occurring severe and nonsevere psychiatric disorders. Results indicated that women had higher rates of posttraumatic stress disorder. Males displayed greater severity on psychiatric measures and received a greater array of ancillary services during treatment yet reported less social and psychological problem days at admission. Conversely, females presented relatively greater substance-use severity but reported higher levels of psychosocial distress and less problem days related to substance use. These findings suggest gender differences in problem recognition may exist, with males more readily admitting to problems related to substance use and females more open to acknowledging the effects of social and psychiatric problems. The current results have clinical implications for both the assessment process and the treatment programming.
Statewide implementation of integrated dual disorders treatment: the psychiatrist's role
- Authors:
- REYES Christina M. Delos, RONIS Robert J.
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.129-133.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
An emerging role for a psychiatric consultant in the United States is to advance the implementation of evidence-based practices in mental health. This article describes how the Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence employs a psychiatrist to assist in and enhance the statewide implementation of the integrated dual disorders treatment (IDDT) model. The primary consultees include IDDT treatment teams at mental health agencies, county mental health boards, and the state department of mental health. Six roles of the psychiatric consultant are described, including trainer/educator, consultant to teams, consultant to physicians, fidelity reviewer, linkage resource, and role model. Commonly encountered barriers and strategies for success in this psychiatric consultant role are reviewed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Diagnostic inaccuracy and substance abusing patients with comorbid mental disorders a brief report
- Authors:
- KLINE Jeffrey S., MEHLER Katherine A.
- Journal article citation:
- Journal of Dual Diagnosis, 2(3), 2006, pp.101-108.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examined diagnostic errors with patients having comorbid substance abuse and mental disorders, while ruling out the influence of possible confounding subject variables such as chronicity and severity of mental disorder. Veteran inpatients with dual diagnoses were compared to a control group matched except for the presence of substance abuse. Subjects were diagnosed using a structured diagnostic interview and medical records were reviewed for working diagnoses and mental health treatment history. The frequencies of misdiagnoses were identified by comparing clinician working diagnoses to structured interview diagnoses. The results found treating clinicians under-diagnosed the presence of substance induced mental disorders, and alcohol and cocaine abuse. It is concluded that there is a need for more precise diagnostic practices for the substance abusing dually diagnosed patient. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
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.
Cannabis and young people: reviewing the evidence
- Author:
- JENKINS Richard
- Publisher:
- Jessica Kingsley
- Publication year:
- 2006
- Pagination:
- 111p., bibliog.
- Place of publication:
- London
Cannabis is at the centre of ongoing controversial and often confused debate. Opinions on its potential impact on health are sharply divided: some argue that it poses serious risks to mental health and that adolescent use may lead to psychotic illness in young adulthood, or that it acts as a gateway to hard drugs such as cocaine or opiates. Conversely, others point to alcohol or tobacco being far more harmful yet entirely legal. The book aims to shed light on the current debates by reviewing all the available evidence on a range of issues relating to the use of cannabis among children and adolescents and summarizing the main conclusions in clear, jargon-free language. Areas covered include: patterns of cannabis use; changes in usage; young people's views on cannabis; the potential harmful effects, including mental health problems, educational attainment, antisocial behaviour; the family and social factors that can initiate cannabis use; the progression to regular use; the effects of decriminalization.
Evidence-based time-limited treatment of co-occurring substance-use disorders and civilian-related posttraumatic stress disorder
- Authors:
- BACK Sudie E., et al
- Journal article citation:
- Brief Treatment and Crisis Intervention, 6(4), November 2006, pp.283-294.
- Publisher:
- Oxford University Press
Substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) frequently co-occur, and this comorbidity results in a more severe clinical presentation and treatment outcome. Consensus is lacking regarding best practices; however, a number of integrated psychosocial treatments (e.g., Seeking Safety, Substance-Dependence PTSD Therapy, Concurrent Treatment of PTSD and Cocaine Dependence) have shown empirically supported promise in reducing symptoms of both disorders. Very little research has been conducted to date on pharmacological treatments for this dual diagnosis or on assessments. This article reviews the developing literature in this area and discusses future directions for research.