Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Rationalizing risk? The use of non-prescribed substances in severe and enduring mental illness
- Author:
- BARRETT Amanda J.
- Journal article citation:
- Journal of Substance Use, 10(6), December 2005, pp.341-346.
- Publisher:
- Taylor and Francis
A phenomenological study, exploring service users' perspectives using semi- structured interviews was conducted within community and inpatient mental health services in County Durham, UK. Twenty-four service users were originally nominated to participate; 11 were subsequently interviewed. The findings formed the basis of needs analysis exploring future redesign of services, to meet the needs of service users more effectively. Grounded theory was applied using a nine-stage process to analyse data by exposing themes and meaning emerging from interviews. Participants felt that they made objective, informed choices about the costs and benefits of their use of substances. However, their appraisals of risks, positive effects and harm minimization strategies were often flawed and contradictory. The authors conclude that users need services responsive to their individual requirements based upon realistic goals; accurate, understandable information and harm minimization strategies. To achieve this, providers must understand the complex interacting nature of service users' needs and negotiate responsive, achievable packages of care.
Collaborative working to engage in assertive outreach service users in harm reduction
- Author:
- PLACE Charlie
- Journal article citation:
- Advances in Dual Diagnosis, 3(2), May 2010, pp.13-17.
- Publisher:
- Emerald
Assertive outreach teams, established to provide intensive support to people with severe mental illness who have problems engaging with mainstream mental health services, work with some individuals who experience severe problems with psychosis and are also injecting drug users. This article describes, through case discussion, the initial steps made in a city-based assertive outreach service in Leeds to engage this group of service users, in collaboration with agencies that provide harm reduction interventions, to provide an individual harm reduction service to this vulnerable group. It covers identification of need, the dual diagnosis network in Leeds, the practicalities of the collaborative initiative between the assertive outreach worker and the harm reduction agency, and the shared approach. The author concludes that this small-scale pilot achieved its objective of providing harm reduction services to hard to reach individuals with serious and complex problems, and that assertive outreach teams and harm reduction outreach workers share a common ethos and can work well together.
Should we be recovering from ‘dual diagnosis’? Some thoughts on language, expertise and empowerment
- Author:
- ROBERTS Marcus
- Journal article citation:
- Advances in Dual Diagnosis, 3(1), February 2010, pp.8-14.
- Publisher:
- Emerald
People often talk about dual diagnosis with qualification or reservation. This brief article challenges the reader to reflect on the terms ‘dual diagnosis’ and ‘recovery’ and to consider how the language and concepts that inform practice and policy shape the way we think about our work and relate to service users. Short sections are presented, including: dual diagnosis as the language of professionals; recovery – liberating service users from diagnosis; recovery and substance misuse – why recovery won’t spell abstinence; and dual diagnosis from a recovery perspective. The author concludes by asking how far is the language and approach accessible for, and inclusive of, service users, as well as their families.
Good dual diagnosis practice promotes real recovery
- Author:
- Mark B.
- Journal article citation:
- Advances in Dual Diagnosis, 3(1), February 2010, pp.19-22.
- Publisher:
- Emerald
This autobiographical article tells the story of a 33 years male who has a history of schizophrenia and substance misuse. He shares his experiences of recovery, and describes the work done with his dual diagnosis worker and his reintegration into society, with the hope of having a positive impact into the lives of others with similar experiences. He tells how just two years ago he was frightened to go on a 30 minute bus journey to visit friends, but was not afraid to journey across south London to buy cannabis. Now though, he has completely changed his outlook thanks to his access to dual diagnosis services, and now runs a social club for people with histories of mental health, learning disabilities and substance misuse. After describing his experiences, the author outlines some implications for practice such as: de-stigmatising treatment for mental health being vital to recovery; the importance of professionals to plan treatment in conjunction with the service user; and the importance of feeling a sense of achievement during treatment.
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.
Paul's story
- Author:
- KIPPING Cheryl
- Journal article citation:
- Advances in Dual Diagnosis, 2(4), December 2009, pp.24-27.
- Publisher:
- Emerald
Involving service users in the development, delivery and evaluation of services and training provision is now recognised as an essential element of good quality health care. For this article, Cheryl Kipping interviews Paul Paterson, a service user with dual diagnosis who became involved in service user work as a service user consultant, about his experiences of using services and service user involvement. The topics covered include training and development opportunities to equip users for service user involvement roles, challenges encountered in doing service user work, benefits of service user work, and tips for service users and services on service user involvement.
Double trouble: substance misuse, mental health and self-help
- Author:
- CARMERON Alison
- Journal article citation:
- Drugs and Alcohol Today, 7(3), October 2007, pp.25-28.
- Publisher:
- Emerald
The author, from Dual Recovery Anonymous, talks about the complexity of dual diagnosis and tells the story of her experiences as a service users and her own journey of recovery.
Pillar to post: a film about dual diagnosis
- Authors:
- HOLE Ben, (Director), MIND IN CROYDON, (Producer)
- Publisher:
- MIND
- Publication year:
- 2002
- Pagination:
- (23 mins), DVD
- Place of publication:
- Purley
People with a dual diagnosis of both mental health and substance misuse problems are currently considered to be one of greatest challenges to services. The DVD features people with a dual diagnosis and a range of experts who describe the difficulties faced both by services and service users. The film shows that many service users are self-medicating with street drugs because they find such substances more helpful and less damaging than prescribed psychiatric medication. The film argues that the problem is not necessarily due to service users with multiple needs but with services whose approach can be the cause of many more problems for service users.
Thresholds of hope: stories of lacking generosity
- Authors:
- SAELOR Knut Tore, SKATVEDT Astrid
- Journal article citation:
- Social Work in Mental Health, 17(5), 2019, pp.533-550.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hope is a pivotal part of recovery in a broad range of health conditions, including those relating to the field of mental health and substance abuse. People who experience co-occurring mental health and substance-use problems are often bound to use services that are not suited to their needs. This study aims is to explore how service users experience barriers to help and assistance, and to determine the manner by which these barriers may influence their experiences of hope. Data were collected through in-depth interviews with nine participants, and these were analyzed using a thematic approach. This analysis produced the following three overarching themes: “battles with bureaucracy”; “distance, disempowerment, and de-individualization”; and “no clean slates.” (Edited publisher abstract)
Thinking differently? Autism and quality of life
- Authors:
- SMITH Suzanne Jane, et al
- Journal article citation:
- Tizard Learning Disability Review, 24(2), 2019, pp.68-76.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore perceptions of quality of life (QoL) of people with a dual diagnosis of learning disability and autism to facilitate a better understanding for clinical practice and service provision. Design/methodology/approach: Mixed methods were used to gain perceptions of QoL from 20 individuals referred to their local diagnostic service. Individuals completed questionnaires and participated in in-depth interviews which were thematically analysed. Findings: Subjective wellbeing scores were lower than those found in previous research. Social interaction was raised extensively with participants describing both positive and negative perceptions. The need for tailored social support and the value of individual control over environment were raised. Research limitations/implications: The study was small in scale and limited to subjects who had been referred for a diagnostic service. The study identified the need for further investigation, particularly in relation to the social relationships domain of QoL, and the impact of stress and anxiety. Originality/value: This study demonstrated that it is possible to access views from this group and that these views are nuanced. It suggests differences between reported QoL in people with learning disabilities who are and who are not autistic. Service design and individual approaches could be improved by a better understanding of these differences. (Edited publisher abstract)