Search results for ‘Subject term:"dual diagnosis"’ Sort:
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[…] you feel there’s nowhere left to go: the barriers to support among women who experience substance use and domestic abuse in the UK
- Author:
- FOX Sarah
- Journal article citation:
- Advances in Dual Diagnosis, 13(2), 2020, pp.57-71.
- Publisher:
- Emerald
Domestic abuse victimisation is a common experience among women with problematic substance use, but support provision for both issues is siloed within the UK. Research on the topic focuses on practitioner responses, dominating women’s voices within research, policy and practice. As such, knowledge about women’s experiences of help-seeking is missing. This study therefore aims to fill a gap in knowledge by exploring the lived experiences of supporting seeking among women impacted by domestic abuse and substance use.Design/methodology/approach: Semi-structured interviews were conducted with 12 women who had a history of co-occurring problematic substance use and domestic abuse. Influenced by interpretive phenomenological analysis and feminist research praxis, the study explored how women with dual needs navigated support and help seeking and the barriers they faced. Findings: The women reported the biggest barrier was the disconnect between substance use and domestic abuse support, including a gap in the communication of information. This resulted in them having to choose which of their needs to seek support for. None of the women received support for their combined experiences, and most of the women never received support for their domestic abuse experiences alone. Originality/value: This is the first piece of research from the UK to explore, in-depth, women’s journey through support for their co-occurring substance use and domestic abuse victimisation. Previous research has not consulted with women to understand how they navigate the complex support systems available. This paper is, therefore, important, because it demonstrates the journeys to services these women take and the barriers they have to overcome. (Publisher abstract)
Developing a therapeutic group programme to address dual diagnosis needs in a medium secure unit
- Author:
- PIEK Nicola
- Journal article citation:
- Advances in Dual Diagnosis, 2(2), June 2009, pp.19-23.
- Publisher:
- Emerald
The prevalence of dual diagnosis in mentally disordered offenders is high. This paper outlines the dual diagnosis needs of service users in a north London secure forensic mental health unit and discusses the development and implementation of a group treatment programme. It describes the three stages of the group work programme and suggests ways to support facilitators and evaluate the effectiveness of the programme.
Service without substance: addressing the gaps in service provision for street homeless people with a dual diagnosis
- Author:
- SHELTER
- Publisher:
- Shelter
- Publication year:
- 2007
- Pagination:
- 4p.
- Place of publication:
- London
This briefing looks at addressing the gaps in service provision for street homeless people with a dual diagnosis. Mental health needs and drug/alcohol use can often be interrelated issues for street homeless people. This briefing looks at addressing both issues through collaborative working between service providers so that street homeless people with a dual diagnosis are provided with integrated treatment and support to address their complex needs.
Living with dual diagnosis and homelessness: marginalized within a marginalized group
- Authors:
- SCHUTZ Christian G., et al
- Journal article citation:
- Journal of Dual Diagnosis, 15(2), 2019, pp.88-94.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Concurrent mental and substance use disorders or dual diagnosis are highly prevalent among individuals experiencing homelessness. Studies have indicated that dual diagnosis leads to poorer health outcomes and higher health service utilization among those affected. This study aims to estimate the prevalence of dual diagnoses among homeless populations in British Columbia (BC), Canada, and understand their characteristics and specific factors associated with dual diagnoses. Methods: The BC Health of the Homeless Survey is a cross-sectional study involving the homeless population of three cities in BC. The survey assessed addiction and concurrent disorders with standardized interviews—the Mini-International Neuropsychiatric Interview Plus, the Maudsley Addiction Profile, and the Brief Symptom Inventory—in a sample of 500 individuals who are homeless living in shelters or on the street. Individuals were characterized into four groups: those without any current mental disorder, those with substance use disorders only, those with mental disorders only, and those with concurrent substance use and mental disorders. Focusing on the concurrent disorder group, multivariate analysis comparing individuals with dual diagnosis to those without concurrent disorders was completed. Results: Consistent with previous studies, individuals with dual diagnoses report more severe physical and psychological symptoms. Among the homeless, they were more likely to be Aboriginal and younger and more likely to not make it into a shelter. They also reported substantially more difficulties in getting the health care service that they need. Conclusions: Within this marginalized group, individuals with dual diagnosis were more likely to be from groups considered to be more vulnerable with more complex needs. They were having more problems accessing even basic support, such as shelters and health care. Without a systematic approach in providing appropriate care to individuals with dual diagnosis, the most vulnerable clients are not only the ones likely to suffer the most but also the ones having the most problems meeting their basic needs. (Edited publisher abstract)
Down syndrome and alzheimer’s disease: issues and implications for social work practice
- Authors:
- FREDERICKSEN Jessica, FABBRE Vanessa D.
- Journal article citation:
- Journal of Gerontological Social Work, 61(1), 2018, pp.4-10.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Owing to recent medical advancements, people with Down Syndrome (DS) are now able to live considerably longer lives and thus experience a variety of complex issues as they age. Alzheimer’s Disease (AD) frequently occurs in older adults who have DS, but few practice guidelines exist to inform social work practice with older adults who have this dual diagnosis. This commentary will highlight the connection between these two conditions within a neurobiological framework and discuss implications for practice based on the available literature on this intersection of ability status, cognitive status, and age. (Publisher abstract)
Personal and relational empowerment: a framework for family recovery
- Authors:
- BUCKLEY-WALKER Kellie, CROWE Trevor P., CAPUTI Peter
- Journal article citation:
- Advances in Dual Diagnosis, 10(1), 2017, pp.25-38.
- Publisher:
- Emerald
Purpose: Caring for a person with a substance use disorder (SUD) and/or mental health disorder (MHD) represents a significant burden for family members. The features of “carers/family members” experiences reflect trauma signatures. Consequently, working through this trauma for carers corresponds with psychological recovery, empowerment processes and intrapersonal/interpersonal needs. The purpose of this paper is to outline a framework called the “personal and relational empowerment (PRE)” framework which enables family support practitioners to help family members to be able to take control of their own lives, develop meaningful relationships and live purposeful and fulfilling lives, regardless of whether the person with the SUD and/or MHD is in recovery or not. Design/methodology/approach: This paper critically reviews existing frameworks for carer recovery, through a systematic literature search, and proposes a “PRE” alternative to redress the shortfalls in these existing frameworks. Findings: The PRE framework takes a multi-level needs-based approach to understand carer recovery. This framework links the concepts – psychological recovery, empowerment processes and intrapersonal/interpersonal needs. Practical implications: The PRE framework recognises the importance of recovery support practitioners being able to balance the immediate carer crisis intervention needs responses with personal growth and well-being supporting interventions. Originality/value: The PRE framework of family recovery attempts to answer the need to broaden the focus on the family journey to better reflect the principles and practices of contemporary SUD and/or MHD recovery-based support. (Publisher abstract)
Fulfilling lives: a guide to the new policy environment for multiple needs
- Author:
- ROBERTS Marcus
- Publishers:
- Making Every Adult Matter, Revolving Doors Agency
- Publication year:
- 2013
- Pagination:
- 37
- Place of publication:
- London
This document provides a comprehensive overview of recent policy changes for multiple needs across health, mental health, homelessness, substance misuse and criminal justice. Sections include: an overview of relevant policy themes and initiatives; mapping of the new local (and regional) policy environment, including policy structures and bodies; consideration of the financial context and new approaches to purchasing and commissioning of services; and an overview of independent initiatives on multiple needs and sector specific information and resources. (Edited publisher abstract)
Intellectual disability and mental health: is psychology prepared?
- Authors:
- RAZZA Nancy J., et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(6), 2014, pp.381-389.
- Publisher:
- Emerald
Purpose: The purpose of this paper is threefold: to document the relationship between intellectual disability (ID) and psychopathology; to raise awareness of the ongoing lag in professional training for psychologists in the area of mental health treatment for people with intellectual disabilities; and, to provide recommendations for advancing professional education and, ultimately, adequate mental health treatment availability for people with intellectual disabilities. Design/methodology/approach: The paper reviews the literature on prevalence of mental health problems in people with intellectual disabilities. At the same time, the paper reviews the training of psychologists relative to the burgeoning growth in awareness of the mental health needs of people with intellectual disabilities. Findings: The paper concludes that ID is a significant risk factor for psychopathology. In addition, the paper concludes that the education of psychologists regarding the mental health needs of people with intellectual disabilities is insufficient. The authors document the need for incorporating research and treatment advances related to intellectual disabilities and mental health into to the professional training of psychologists. The paper also describe the potential this training holds for improving both the lives of people with intellectual disabilities and the overall competence of psychologists. Practical implications: This paper provides a literature-based rationale for the need to include education in the mental health needs of people with intellectual disabilities into the general training of mental health professionals. In addition, it provides specific recommendations for how such training can be incorporated into graduate psychology programmes. (Edited publisher abstract)
A way through the woods: opening pathways to mental health care for women with multiple needs
- Author:
- ANDERSON Sarah
- Journal article citation:
- Advances in Dual Diagnosis, 4(2), 2011, pp.63-74.
- Publisher:
- Emerald
Women with co-occurring mental health and substance misuse problems, and offenders in particular, often struggle to access appropriate mental health support. This paper describes a pilot project designed to increase understanding of the mental health needs of these women and the barriers they face in accessing and sustaining engagement with appropriate care. Key principles and early findings are presented from a partnership project based in the Anawim Women's Centre in the West Midlands, in which a mental health nurse (MHN) was seconded to the centre one day a week. Early findings, based on eight months of one pilot project in which 22 women were seen, suggest mental health needs are largely trauma-based and co-occurring substance misuse problems are common. The MHN negotiated a pathway into secondary care with community mental health team managers. However it appears that women with multiple problems can struggle to engage with traditionally structured primary care services and fail to access the holistic support they need. Principles established for working with this group included: provision in a women-only space; a focus on engagement; flexibility; holistic support and empowering women and voluntary sector staff. Practical implications are outlined for commissioners and service managers of mental health care services for vulnerable women.
Closing the gap: a capability framework for working effectively with people with combined mental health and substance use problems (dual diagnosis)
- Author:
- HUGHES Liz
- Publisher:
- University of Lincoln. Centre for Clinical and Academic Workforce Innovation
- Publication year:
- 2006
- Pagination:
- 25p., bibliog.
- Place of publication:
- Mansfield
This report highlights how people with combined mental health problems represent a third of mental health service users, half of substance use service users, and 70% of prisoner. Their needs are high and treatment outcomes are poor. This report suggests that rather than seeing people with dual diagnosis as having two main problems, it may be more useful to acknowledge that they have complex needs including physical health, social issues such as housing, relationship and family problems, risk of suicide, victimisation and violence. They face social exclusion and often have difficulty accessing appropriate services due to their complex presentations. One of the main problems is the lack of skills and knowledge in the workforce to address their complex needs in an integrated and effective way. This report describes the development of a dual diagnosis framework to assist in the implementation of the ‘Department of Health Dual Diagnosis Practice Implementation Guide (2002)’. It highlights the roles and responsibilities of the various agencies involved in providing care, and establishes core competencies required to deliver effective care. The Framework is divided into three sections: values and attitudes, utilising knowledge and skills; and practice development. There are three levels to each capability: core, generalist and specialist.