Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Assessment of mental health problems in people with Down syndrome: key considerations
- Author:
- SPENDELOW Jason S.
- Journal article citation:
- British Journal of Learning Disabilities, 39(4), December 2011, pp.306-313.
- Publisher:
- Wiley
Individuals diagnosed with Down syndrome, the most common genetic cause of intellectual disability, are also vulnerable to numerous medical problems. This research review examined the literature relevant to the assessment of psychiatric and behavioural problems in people with Down syndrome. An electronic search was conducted for English-language article published between 1980 and 2010. Search terms included: Down syndrome; psychiatric; depression; anxiety; cognitive; and dementia. Findings revealed that adequate assessment within this population required knowledge, not only of epidemiological findings with respect to psychiatric and behavioural problems, but also an understanding of other important areas including psychometrics, neurocognitive functioning, dementia and other medical issues. The review concluded that a multi-method approach to assessment, using appropriate psychometric tools, is necessary in the assessment of psychiatric and behavioural problems. Further investigation of the behavioural manifestations of underlying medical conditions would assist clinical formulation.
Using information technology to evaluate the detection of co-occurring substance use disorders amongst patients in a state mental health system: implications for co-occurring disorder state initiatives
- Authors:
- HUANG Fredrick Y., et al
- Journal article citation:
- Community Mental Health Journal, 44(1), February 2008, pp.11-27.
- Publisher:
- Springer
The current study describes a system-wide method of evaluating detection strategies for co-occurring disorders within a state mental health system. Information technology was used to merge administrative datasets from the New Jersey mental health and substance abuse systems and identify individuals treated in both systems. The study measured a 53% detection rate of substance use disorders amongst adult patients in the mental health system with particularly low detection rates in acute settings (49.0%) and among female (43.7%), older (36.2%), and psychotic patients (43.6%). The methodology described here could help evaluate critical aspects of ongoing state co-occurring disorder quality improvement initiatives.
Management of severe mental illness and substance misuse
- Author:
- WATTS Malcolm
- Journal article citation:
- Nursing Times, 3.4.07, 2007, pp.28-29.
- Publisher:
- Nursing Times
Growing numbers of people suffering from severe mental illness have a coexisting substance use disorder - increasingly termed dual diagnosis or SMISUD. This article outlines the prevalence and the complexity of the condition, as well as assessment and care planning.
Mental health and substance use problems among patients in substance use disorder treatment as reported by patients versus treatment personnel
- Authors:
- BERGLY Tone H., HAGEN Roger, GRAWE Rolf W.
- Journal article citation:
- Journal of Substance Use, 20(4), 2015, pp.282-287.
- Publisher:
- Taylor and Francis
Objective: This study examines and compares mental health and substance use problems among patients in substance use disorder treatment as reported by both patients and treatment personnel, and explores the feasibility of the quadrant model in addressing severity of mental health and substance use based on reports by treatment personnel. Methods: Patients receiving inpatient substance use treatment at clinics in Norway were recruited for the study; 85 completed a cross-sectional survey. Treatment personnel completed a separate survey and gathered information from patient charts. Results: While there were minor differences in the patient and personnel reported prevalence of mental disorders in general (34 and 41%, respectively), there were significant differences in reported affective disorders and personality disorders. Based on the quadrant model, 70.2% of the patients had a high severity of substance use and low severity of mental health problems, while 21.4% had high severity of both. Conclusions: The differences in reports of mental disorders are important, and future research should aim to increase the validity and reliability of reported mental health problems among patients with substance use disorders. The quadrant model does seem to be a feasible model in addressing the severity of such co-occurring disorders. (Edited 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.
Understanding addiction behaviours: theoretical and clinical practice in health and social care
- Author:
- RASSOOL G, Hussein
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2011
- Pagination:
- 312p.
- Place of publication:
- Basingstoke
This multi-disciplinary book is a comprehensive introduction to substance misuse and the activities which can lead to excessive and addictive behaviour. It covers pharmacological addictions, including both legal and illegal substances, and also covers non-pharmacological dependencies such as internet addiction, eating disorders, gambling and sexual addiction – which are often absent from the literature on addiction. Drawing on a large evidence base, this book includes: coverage of eleven types of addictive substances and activities, outlining signs, symptoms, adverse consequences and assessment and intervention strategies for each; a range of engaging reflective activities and case studies to link theoretical discussion directly to practice; analysis of the broader context of addiction, including dual diagnosis and harm reduction, and issues relating to diversity and service provision. The book is designed for anyone seeking to understand the nature of addiction for contemporary practice.
Assessment and management of psychosis with coexisting substance misuse: summary of NICE guidance
- Authors:
- KENDALL Tim, et al
- Journal article citation:
- British Medical Journal, 2.4.11, 2011, pp.760-762.
- Publisher:
- British Medical Association
This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on the assessment and management of psychosis and coexisting substance misuse in adults and young people.
Assessing and treating co-occurring disorders in adolescents: examining typical practice of community-based mental health and substance use treatment providers
- Authors:
- LICHTENSTEIN David P., SPIRITO Anthony, ZIMERMANN Rupa P.
- Journal article citation:
- Community Mental Health Journal, 46(3), June 2010, pp.252-257.
- Publisher:
- Springer
Treatment providers from both substance use and mental health settings were interviewed to examine their common practices regarding the assessment and treatment of co-occurring depression and substance use disorders in young people. About 93% of treatment providers reported treating adolescents with these co-occurring conditions. However, few providers reported using formal assessment practices (23–30%) or treatment protocols for co-occurrence (10%). Providers in mental health settings (particularly psychologists) were more likely than those in substance use settings to formally assess for depression but less likely to do so for substance use. Findings are considered with regard to implications for assessment and treatment outcomes in this high-risk population.
Methadone maintenance therapy in the United States: a case example of dual diagnosis
- Author:
- CAMPOPIANO Melinda
- Journal article citation:
- Advances in Dual Diagnosis, 3(3), August 2010, pp.11-16.
- Publisher:
- Emerald
The model of methadone maintenance therapy (MMT) available in USA has been influential in promoting the development of MMT elsewhere (e.g. UK). This paper catalogues its origins, progression and current applications. The author hopes that by reviewing existing evidence which supports methadone dosing practice in particular, and therapeutic interventions in general, the article will help agencies attempting to start new, or change their existing, MMT programmes. Topics discussed include demographics, social and economic risk factors, the impact of co-occurring mental health problems including psychoses (dual diagnosis) and multi-substance misuse, substance misuse counselling, relapse prevention and motivational interviewing. The author concludes that although evidence-based good practices have much to offer, evidence supporting specific therapeutic interventions is weak. She calls for more research to establish clinically meaningful outcomes, rather than relying on the historical and value-laden practices which are currently common.