Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Sharing the knowledge
- Author:
- -
- Journal article citation:
- Mental Health Today, July 2004, pp.24-26.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Describes the development and implementation of the Pan London dual diagnosis project which aims to ensure all frontline NHS mental health staff have training in dual diagnosis.
Drug and alcohol workers' view of positive psychology in the treatment of coexisting problems
- Authors:
- GOMEZ Katalin Ujhelyi, et al
- Journal article citation:
- Advances in Dual Diagnosis, 12(3), 2019, pp.145-160.
- Publisher:
- Emerald
Purpose: Positive psychology (PP) interventions have been suggested to be beneficial in the treatment of dual diagnosis (DD). The purpose of this paper is to investigate the perspective of psychosocial intervention (PSI) workers to explore the potential of a positive strengths-based approach in DD recovery. Design/methodology/approach: A qualitative approach was employed with PSI workers who attended and observed a positive intervention delivered to DD clients. A focus group explored what these practitioners are already doing that resembles PP and their opinion regarding the utility of such interventions in recovery. Findings: Findings revealed that practitioners were already engaging in positive practice, however, randomly and infrequently with limited impact. Although this new approach was found valuable, potential challenges were identified and a possible discrepancy between staff views of clients and clients’ views of themselves in terms of their potential was detected. Research limitations/implications: The study involved a small and homogeneous sample. Further research is necessary to investigate staff views and ways of integrating PP with traditional treatment. Practical implications: Rather than merely attending to the psychological problems and dealing with symptoms, it is also necessary to directly target well-being to enable people to flourish with consideration of their readiness to change. Originality/value: Addressing a gap in the literature, the present study explored positive themes in current practice and forms part of the evaluation of a newly developed strengths-based approach for individuals with coexisting problems. (Edited publisher abstract)
Dual diagnosis training for the criminal justice workforce
- Authors:
- HUGHES Liz, et al
- Journal article citation:
- Advances in Dual Diagnosis, 3(2), May 2010, pp.32-38.
- Publisher:
- Emerald
A significant number of offenders have both mental health and substance use problems. This article describes a training project involving higher education and service providers, established to develop and evaluate the feasibility of training in dual diagnosis interventions for staff working in the criminal justice system. The development of the training programme was based on Skills for Health learning design principles, using a competence-based approach, and the training was delivered to 58 staff from a range of services in the criminal justice sector. The article describes the learning design principles, the method used, the course timetable and dual diagnosis for criminal justice course workbook, and presents and discusses feedback on and evaluation of the course and the implications of the feedback for future development of such workforce training initiatives.
The role of staffing stability in the implementation of integrated dual disorders treatment: an exploratory study
- Authors:
- WOLTMANN Emily M., WHITELY Rob
- Journal article citation:
- Journal of Mental Health, 16(6), December 2007, pp.757-769.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Integrated dual disorders treatment (IDDT) is an efficacious treatment for people with a co-occurring serious mental illness (SMI) and substance abuse disorder. Little is known about the ability of routine mental health centres to implement IDDT. Workforce issues may impede agencies' ability to implement IDDT. The aim was to investigate the relationship between staffing stability and implementation of IDDT and to examine strategies undertaken by agencies to overcome staffing barriers during implementation This study uses data from an IDDT implementation demonstration project to examine the relationship between staffing challenges and both fidelity to the practice model and penetration rate. Challenges and strategies related to staffing instability are investigated via thematic analyses of qualitative data. The majority of agencies implementing IDDT had staffing challenges, and four out of eleven teams almost completely turned over within 1 year. When this occurred, a drop in penetration or fidelity was often observed. Training infrastructure appeared to be important in the ability of agencies to sustain implementation during times of staffing instability, as was replacing departing staff with more appropriate clinicians While challenging to overcome, agencies were often able to work through staffing problems to achieve reasonable fidelity in the face of team turnover.
A pilot study of dual diagnosis training in prisons
- Author:
- HUGHES Elizabeth
- Journal article citation:
- Journal of Mental Health Workforce Development, 1(4), 2006, pp.5-14.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
People with dual diagnosis have complex needs and vulnerabilities that may lead to incarceration in prisons. This article reports on a pilot training programme for dual diagnosis which was developed and piloted in five London prisons. The training was based on training needs assessment of prison staff and consultation with service users. The course was evaluated by a brief questionnaire that included items on attitudes, self-efficacy and knowledge about working with dual diagnosis. The evaluation revealed that all workers, no matter what method of training they received increased their perception of their skills (self-efficacy) and increased their attitudes. Knowledge remained the same (although the pre-training scores were high). There was no difference between the two types of training when mean scores were compared at post-training. It is concluded that the training pilot was evaluated positively and did indicate that it has some effect on attitudes and self-efficacy.
Double the drama
- Author:
- MILLER Alison
- Journal article citation:
- Community Care, 19.12.02, 2002, pp.34-35.
- Publisher:
- Reed Business Information
Profiles an innovative drama workshop which helps staff empathise with their clients who both misuse drugs and have mental health problems. It was one of the winners of the recent Community Care awards.
Therapeutic communities for the treatment of drug users
- Editors:
- RAWLINGS Barbara, YATES Rowdy
- Publisher:
- Jessica Kingsley
- Publication year:
- 2001
- Pagination:
- 272p.,diags.,bibliogs.
- Place of publication:
- London
Collection of essays on the use of concept-based therapeutic communities in the treatment of drug users. Topics include the history and development worldwide of therapeutic communities; the experience of being a staff member, a resident or both; therapeutic communities in prison; work with dual diagnosis residents; resettlement of ex-residents; and research into the effectiveness of the therapeutic community approach.
Combined severe mental health and substance use problems: what are the training and support needs of staff working with this client group?
- Authors:
- MASLIN Jenny, et al
- Journal article citation:
- Journal of Mental Health, 10(2), April 2001, pp.131-140.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Seeks to assess the training and support requirements of staff within mental health and substance misuse services who work with this client group in an inner city area of the UK. A questionnaire was completed by 136 staff members across community based services. The results showed that the majority of the staff surveyed: already had experience of working with clients with combined severe mental health and substance use problems; rated the importance to their clinical practice of issues in this area very highly; expressed a high level of interest in working with this client group; and very much felt it was part of their role to do so. However, staff identified a number of training and service needs to help them in working with these clients. Establishing better links between the mental health and substance misuse services was seen as essential to provide integrated care.
Working with people with dual diagnosis in the voluntary sector: training and support needs of practitioners
- Authors:
- SCOTT Helen, et al
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(9), May 2001, pp.297-301.
- Publisher:
- Pavilion
People with dual diagnosis are likely to be among the most demanding of clients encountered by mental health practitioners. Reports the findings of an evaluation of four voluntary sector projects funded by the Department of Health to develop their services to this group, with a particular focus on the staff. The majority of the staff had no formal qualifications in mental health, which may well have contributed both to their high burn-out levels and to the limited range of interventions they offered clients. Concludes that considerable further investment in staff training may be needed if such services in both the voluntary and statutory sectors are to be effective.
Survey of staff perceptions of illicit drug use among patients in a medium secure unit
- Authors:
- DOLAN Mairead, KIRWAN Helen
- Journal article citation:
- Psychiatric Bulletin, 25(1), January 2001, pp.14-17.
- Publisher:
- Royal College of Psychiatrists
This study is a survey of staff perceptions of illicit drug among in-patients in a medium secure unit. Results showed that sixty per cent of staff were aware of drug misuse on the unit. Less than one-third of staff were clear about the unit's policy for dealing with in-patient drug use and few have had adequate training in the management of patients with dual diagnoses. Strategies for dealing with drug misuse appear to focus on security rather than therapeutic issues. Services need to provide adequate training for staff on the management of patients with co-morbid substance misuse, introduce patient education programmes and develop and disseminate clear policies that emphasise both therapy and security.