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Update in smoking and mental illness: a primary care perspective
- Author:
- LASSER Karen E.
- Journal article citation:
- Journal of Dual Diagnosis, 5(2), April 2009, pp.191-196.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The 1991-92 National Comorbidity Survey (NCS) found that 41% of people with a mental illness in the previous month were current smokers, that people with mental illness were twice as likely to smoke as those without, and that heavy smoking was rare in people without mental illness. People with a current mental illness smoked 44% of all cigarettes in the USA, and the paper briefly explores explanations of why smoking rates, and thus smoking-related death rates, are so high in this population. Data from the NCS indicate that those with mental illness are able to stop smoking, though the rates are lower than in the general population, and the author argues that they should be included in clinical trials of smoking cessation medications.
A guide for the management of dual diagnosis for prisons
- Authors:
- GREAT BRITAIN. Department of Health, GREAT BRITAIN. Ministry of Justice
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 29p.
- Place of publication:
- London
Dual diagnosis, the co-existence of mental health and substance misuse problems, has a higher prevalence in prisons than in the general community. This document provides good practice guidance to commissioners and practitioners on its management in a prison setting. It discusses definition, responsibility, the legal framework, current practice in the prison service, what works, recommended approaches, good practice, continuity of care and therapeutic issues. An appendix gives guidance on consent and confidentiality.
Co-morbid post-traumatic stress disorder and opioid dependence syndrome
- Author:
- MOSELHY Hamdy Fouad
- Journal article citation:
- Journal of Dual Diagnosis, 5(1), January 2009, pp.30-40.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
An interview-based study was conducted with 70 participants in a large UK urban addiction treatment centre using the Maudsley Addiction Profile, the Severity of Dependence Scale, the Impact of Events Scale and ICD-10 clinical criteria. Nearly a third of the participants met ICD-10 criteria for post-traumatic stress disorder, with clinically significant levels of intrusive (45%) and avoidant (65.7%) symptoms reported. Participants reported a higher perceived rate of childhood threat to life from sexual abuse, physical abuse and witnessing physical fights between parents. In adulthood the main traumatic events were physical injuries and rape.
Development of the NIDA-Funded center on substance abuse and mental illness
- Authors:
- SINGER Mark I., KOLA Lenore A., BIEGEL David E.
- Journal article citation:
- Social Work Research, 32(4), December 2008, pp.281-286.
- Publisher:
- Oxford University Press
This article describes one school's effort to establish a social work research development centre in the area of coexisting drug and mental disorders (dual disorders), within the context of the social work profession's efforts to compete more effectively for federal research grants. This centre was funded as part of a successful application in response to the National Institute on Drug Abuse's announcement of support for a Social Work Research Development Program stressing the development of social work research in drug abuse intervention and services research. The centre builds on the school's previous research and training experiences in the area of co-occurring drug and mental disorders. The centre’s purpose, structure, and institutional impact are described, with particular attention to the challenges faced in both its formation and its operation and the lessons learned that could generalize to other similar efforts.
Dual diagnosis education by distance learning
- Author:
- LEWIS Tabitha
- Journal article citation:
- Advances in Dual Diagnosis, 1(2), December 2008, pp.13-18.
- Publisher:
- Emerald
One year on since Middlesex University launched the UK's first dual diagnosis distance learning course, it is about to launch a second dual diagnosis course as an 'e-learning' package. This article discusses why the university took this approach, what it developed and whether dual diagnosis can be taught at a distance.
'We can't walk away': interview with a carer
- Author:
- -
- Journal article citation:
- Advances in Dual Diagnosis, 1(2), December 2008, pp.29-31.
- Publisher:
- Emerald
'Sarah', whose brother made an unprovoked attack on their father, describes what it is like to care for a person with dual diagnosis.
The AC-COD Screen: rapid detection of people with the co-occurring disorders of substance abuse, mental illness, domestic violence, and trauma
- Authors:
- CHERRY Andrew L., et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(1), 2007, pp.35-53.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A 2002 survey by the USA’s Substance Abuse and Mental Health Services Administration found that over 23% of adults with a serious mental illness were also substance abusers, while over 20% of substance abusers had a serious mental illness. This paper discusses the development of an integrated screening instrument based on 17 common behavioural health questions covering mental health, addiction, domestic violence and trauma. Evaluation of the pilot testing of the instrument with 234 people who approached either a mental health or addiction treatment centre shows that the three subscales have acceptable internal consistency. Although further testing is needed, the AC-COD Screen appears to be a promising approach to identifying people likely to have co-occurring disorders who should be fully assessed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Starting a dual diagnosis anonymous meeting: the role of the clinician
- Author:
- ROUSH Sean
- Journal article citation:
- Journal of Dual Diagnosis, 4(2), 2008, pp.158-169.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Substance abusers with a comorbid mental health condition often find it very difficult to engage in traditional 12-step, peer support programmes although prior research indicates that, like other substance abusers, they can benefit from a combination of outpatient treatment and a 12-step group. This paper describes a collaboration between a mental health professional (the author) and a 12-step group member to develop a specialised Dual Diagnosis Anonymous approach as a modified form of the basic 12-step format. Potential risks from professional involvement in a self-help group are identified, and the clinician is advised never to chair meetings and to withdraw as soon as group stability is achieved. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Consumer evaluation of dual focus mutual aid
- Authors:
- MAGURA Stephen, et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(2), 2008, pp.170-185.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Double Trouble in Recovery (DTR) is a 12-step mutual aid programme designed to promote recovery from co-occurring substance abuse and mental health disorders. Clients of DTR groups associated with a New York psychiatric day care service were anonymously surveyed eight months (19 respondents) and 20 months (61 respondents) after DTR was implemented. DTR was favourably received, and attendance was significantly associated with increased self-efficacy for recovery and positive changes in recovery-oriented behaviours. These associations were independent of overall satisfaction with the combined day treatment/DTR programme. Although no causal inferences can be derived from this small cross-sectional study, it does show that DTR can be successfully implemented in a day care setting and is associated with improvements in recovery-oriented beliefs and behaviours. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Reflections on the role of the specialist dual diagnosis clinician
- Authors:
- TRIPPIER Justine, PARKER Stephen
- Journal article citation:
- Advances in Dual Diagnosis, 1(1), August 2008, pp.14-19.
- Publisher:
- Emerald
This article explains the service model devised in one London borough to help and support people with dual diagnosis. As well as discussing management, decision-making and training issues, the authors outline what works, what does not work and what other organisations can learn from their experiences.