Search results for ‘Subject term:"dual diagnosis"’ Sort:
Results 1 - 10 of 12
Facilitators and barriers in dual recovery: a literature review of first-person perspectives
- Authors:
- NESS Ottar, BORG Marit, DAVIDSON Larry
- Journal article citation:
- Advances in Dual Diagnosis, 7(3), 2014, pp.107-117.
- Publisher:
- Emerald
Purpose: The co-occurrence of mental health and substance use problems is prevalent, and has been problematic both in terms of its complexity for the person and of the challenges it poses to health care practitioners. Recovery in co-occurring mental health and substance use problems is viewed as with multiple challenges embedded in it. As most of the existing literature on recovery tends to treat recovery in mental health and substance use problems separately, it is critical to assess the nature of our current understanding of what has been described as “complex” or “dual” recovery. The purpose of this paper is to identify and discuss what persons with co-occurring mental health and substance use problems describe as facilitators and barriers in their recovery process as revealed in the literature. Design/methodology/approach: The method used for this study was a small-scale review of the literature gleaned from a wider general view. Searches were conducted in CINAHL, Psych info, Medline, Embase, SweMed+, and NORART. Findings: Three overarching themes were identified as facilitators of dual recovery: first, meaningful everyday life; second, focus on strengths and future orientation; and third, re-establishing a social life and supportive relationships. Two overarching themes were identified as barriers to dual recovery: first, lack of tailored help and second, complex systems and uncoordinated services. Originality/value: The recovery literature mostly focuses on recovery in mental health and substance use problems separately, with less attention being paid in the first-person literature to what helps and what hinders dual recovery. (Publisher abstract)
Commentary on “Substance abuse recovery after experiencing homelessness and mental illness: case studies of change over time”
- Author:
- WHITLEY Rob
- Journal article citation:
- Journal of Dual Diagnosis, 8(31), July 2012, pp.247-249.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The author comments on a paper by Henwood et al (Ibid p.238) that examined the impact of homelessness on people struggling to overcome dual diagnosis. He congratulates the authors on a well-executed and thoughtful study, the results of which are located in the current literature and concur with many other findings. This commentary discusses the observations in the context of an older literature derived from both medical sociology and social psychiatry. The author believes this approach can stretch and enrich the key findings as well as providing an alternative framework for thinking about recovery from dual diagnosis. He focuses on three factors in recovery: biographical disruption and reconstruction; ontological security; and fresh start experiences. It appears that the paper by Henwood et al indicates a role for all three and that further studies could usefully explore whether these factors are really facilitators of recovery and the interrelation between them.
Recovery in mental health and substance misuse services: a commentary on recent policy development in the United Kingdom
- Authors:
- ROBERTS Marcus, BELL Andy
- Journal article citation:
- Advances in Dual Diagnosis, 6(2), 2013, pp.76-83.
- Publisher:
- Emerald
This article examines the extent to which the two visions of recovery - recovery in mental health and substance misuse services - now being developed in the UK are consistent with each other and question what impact the development of parallel approaches will have on people at the intersections between them. The paper looks first at the origins and current implementation of the two approaches and then examines the commonalities and differences in the context of what they might mean for people using both sets of services simultaneously. The article finds the ideas behind Recovery in mental health and substance misuse services have some differences but significant common ground in focusing on improving quality of life. It points to the need to understand recovery in both services from the perspectives of those who have a dual diagnosis and need support from each service. The paper could be used to develop new approaches to supporting people with a dual diagnosis with a consistent Recovery focus. (Edited publisher abstract)
A preliminary review of an outpatient dual diagnosis recovery group programme
- Authors:
- CHILTON John, PARRISH Margarete, CRONE Diane
- Journal article citation:
- Groupwork, 21(3), 2011, pp.78-91.
- Publisher:
- Whiting and Birch
Estimates suggest that one third of service users in the UK with serious mental illness have concurrent substance misuse conditions or ‘dual diagnoses’. A challenge facing professionals working with people with dual diagnosis involves the integration of both mental health and substance-related practice in order to provide meaningful services to meet the complex spectrum of needs that characterise dual diagnosis. This article discusses an ongoing recovery group therapy programme designed to address the psycho-educational and therapeutic needs associated with dual diagnosis. The group programme comprises 10 weekly hour-long sessions covering different topics facilitated by mental health nurses trained in group therapy. The group participants are required to complete screening instruments pre- and post-group treatment. The findings presented in this article relate to the first 20 participants who completed the first programme. Fourteen of these participants completed the programme. The development of relationships between group members proved to be a powerful influence for positive change. Participants reported improved mental health functions and diminished reliance on substances during the group treatment process. The benefits of groupwork among this population and implications for good practice are discussed.
Meanings of recovery from the perspective of people with dual diagnosis
- Authors:
- HIPOLITO Maria Mananita S., CARPENTER-SONG Elizabeth, WHITLEY Rob
- Journal article citation:
- Journal of Dual Diagnosis, 7(3), July 2011, pp.141-149.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines the notion of recovery, based on the perspectives of people with dual diagnosis living in recovery communities. Recovery communities seek to create intentional, safe, relationship-centred communities for people living with co-occurring mental illness and substance use disorders in shared or congregate housing sites. The findings reported in this paper were obtained as part of an ongoing ‘Creating Communities’ research project that aims to examine the impact of the communities on processes of recovery. As part of this study, focus groups have been conducted with residents at 4-month intervals. This analysis draws on data collected in 2009 and 2010 into meanings of recovery. The findings reveal that recovery is a multifaceted concept for individuals living with co-occurring disorders. The analysis yielded 3 dimensions of the meaning of recovery: acknowledgment; present orientation; and transformation and growth.
Contrasting maintenance and recovery approaches to the care of people with dual diagnosis
- Authors:
- KIPPING Cheryl;, SIMPSON Leroy
- Journal article citation:
- Advances in Dual Diagnosis, 3(1), February 2010, pp.15-18.
- Publisher:
- Emerald
The article, in question/answer format, outlines the experiences of service user Leroy Simpson after an interview with the author. He remembers that his experiences of service provision have been mixed: some services have promoted what he refers to as the ‘maintenance’ approach, whereas others have taken a ‘recovery’ approach. Leroy is a strong advocate of the recovery approach and is now involved in delivering recovery training. In this interview, the author finds out more about how Leroy's experiences have shaped his views and his own recovery.
Initiating and maintaining a recovery process – experiences of persons with dual diagnosis
- Authors:
- SKOGENS Lisa, VON GREIFF Ninive, TOPOR Alain
- Journal article citation:
- Advances in Dual Diagnosis, 11(3), 2018, pp.101-113.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the internal and social factors that persons with experience from severe mental illness and alcohol and other drugs problems, and who have received treatment for these problems, describe as important for initiating and maintaining a recovery process. Design/methodology/approach: In total, 40 persons were interviewed and asked to describe factors they perceived as important for initiating and maintaining recovery. The software Nvivo was used to categorise data in internal and social factors with subcategories. Findings: There is significant variation in how recovery emerged but involved in general having a proper social situation and finding meaning in life. Initially, the majority had a marginalised situation with need of assistance with housing, employment, financial and social support. Research limitations/implications The change process in the investigated group is interpreted as related to individual resources rather than belonging to a group defined as having “double trouble”. Practical implications: The study implies that in addition to professional help to handle diagnosed problems, the group in focus also need support and interventions that address individual complex needs. Social implications: Supporting activities/peer support seem to be important for those lacking support from family. At the same time, it is important to recognise the risk of being forced into a recovery identity which might lead to worsening the situation for those who do not fit into this. Originality/value: By using the same design as in previous studies, comparisons with other groups are possible while still keeping the qualitative meaning of the investigated factors. (Edited 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)
Substance abuse recovery after experiencing homelessness and mental illness: case studies of change over time
- Authors:
- HENWOOD Benjamin, et al
- Journal article citation:
- Journal of Dual Diagnosis, 8(31), July 2012, pp.238-246.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors examined how consumers with dual diagnosis who were formerly homeless, but now living in supportive housing, understand their recovery from substance abuse or dependence. Their aims were to discover what can be learned about substance misuse recovery from consumers considered to be doing well, how past substance abuse fits into their present-day narratives, and how policies of harm reduction versus abstinence are considered to affect recovery efforts. As part of a federally funded study in New York, 38 individuals (84% male, mean age 51 years) who met criteria for having achieved a measure of success in mental health recovery were purposively sampled from two supportive housing agencies; one using harm reduction and the other an abstinence model. In-depth interviews and case study analysis were used to focus on substance abuse recovery in the larger context of participants’ lives. Recovery from substance abuse was depicted as occurring either through discrete decisions or gradual processes; achieving recovery was distinct from maintaining recovery. Themes related to achievement included: pivotal events and people; maturation; institutionalisation. Central themes to maintaining recovery were: housing; self-help; the influence of significant others. These findings revealed a complex picture of overcoming substance abuse that largely took place outside formal treatment and was heavily dependent on broader contexts.
Can 12 step fellowship and cognitive behaviour therapy work together? A hypothesis on an integrated treatment approach for mild dual diagnosis
- Author:
- BROWN Cameron
- Journal article citation:
- Advances in Dual Diagnosis, 5(3), 2012, pp.115-121.
- Publisher:
- Emerald
Focusing on people with substance misuse disorder and mild mental health problems, such as mood and anxiety disorders, this article reviews research on the application of particular approaches in addiction treatment. It looks at the use of cognitive behaviour therapy and the 12 step fellowship approach (principles for recovery from addictive or other behavioural problems originally developed by Alcoholics Anonymous) in treatment of clients with substance abuse disorder and mild mental illness. The article discusses how the treatments may work together and be supportive of each other, such as the use of social reinforcement, and proposes a collaborative approach between the 2 techniques. While noting that there is no previous research on the application of cognitive behaviour therapy and 12 step treatment modalities working together in a structured manner, the author argues that using the 2 approaches together may help clients with mild mental health disorders and substance abuse more than an either-or or non-integrated approach.