Search results for ‘Subject term:"dual diagnosis"’ Sort:
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Dual diagnosis 2005
- Authors:
- WALSH Yvonne, FRANKLAND Alan
- Journal article citation:
- Mental Health Review, 10(2), June 2005, pp.7-14.
- Publisher:
- Pier Professional
Over the last seven years dual diagnosis - a term defined by two or more concurrent disorders, one of substance misuse and the other a mental health disorder - has been an object of focus on the mental health agenda. This article tracks the progress that has been made to research this topic that has been commissioned by the government and of the policies implemented.
Validity of self-reported drug use among people with co-occurring mental health and substance use disorders
- Authors:
- JACKSON Carlos T., et al
- Journal article citation:
- Journal of Dual Diagnosis, 1(1), 2004, pp.49-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The validity of self-reports of drug use from individuals who abuse substances has been questioned. Results from studies examining the accuracy of such self-reports have been mixed, indicating the need for closer examinations of the factors associated with concordance between self-reported drug use and results of urine screens. Methods: As part of a larger study examining the effectiveness of interventions for people with co-occurring mental health and substance use disorders, we examined the agreement between self-report and urine screens for recent drug use. Overall, the concordance between self-report and results from urine screens was high (80-84% agreement overall and 75-79% for the subset where the urine screen indicated recent drug use). Estimates for the likelihood of use of marijuana and cocaine within the past 30 days were 15% and 32%, respectively, based on urine screens, 25% and 35% based on self-report, and 28% and 43% based on information from both sources combined. About 1/3 of individuals who had at least one positive urine screen misrepresented their drug use at least once. Such misrepresentation tended to increase with time in the study. The relatively high concordance rates between selfreport and urine screens indicate that situations can be structured so that individuals with co-occurring mental health and substance use disorders report instances of substance use accurately most of the time. Given the observed increase in failure to report use through time, the utility of biologicalmarkers may be more valuable as clients develop relationships with clinicians. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
It's a different thing
- Authors:
- O'NEILL Tara, LYNCH Clarie, BREWIN Liz
- Journal article citation:
- Mental Health Today, July 2004, pp.30-32.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Often the needs of carers of people with dual diagnosis are ignored when they too may be doubly isolated and unsupported. Reports on a pilot two-day training workshop for carers in Camden and Islington Mental Health and Social Care NHS Trust, based on training provided for the trust's community and inpatient mental health staff. Discusses what both staff and carers found useful about the workshops.
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.
Missed diagnosis
- Author:
- UNELL Ira
- Journal article citation:
- Druglink, January 2003, pp.16-17.
- Publisher:
- Drugscope
- Place of publication:
- London
Reports on the need for a clear definition of dual diagnosis and critically examines new Government guidelines.
Co-occurring psychosocial distress and substance abuse in community clients: initial validity and reliability of self-report measures
- Authors:
- O'HARE Thomas, et al
- Journal article citation:
- Community Mental Health Journal, 37(6), December 2001, pp.481-487.
- Publisher:
- Springer
This American study examines the self-reports of community support clients using a paper and pencil questionnaire that included the South Shore Problem Inventory-revised (a brief multi-dimensional psychosocial distress scale), a one-item index of self-rated substance abuse (SRSA), a quantity-frequency index for alcohol consumption (QFI), and a one-item index measuring the frequency of marijuana use. Results support the factor structure and internal consistency of the SSPI-r, and show significant correlations among the substance use indices. Implications for including brief mental health and substance abuse measures are discussed within the context of routine assessment and practice evaluation.
Dual diagnosis: HIV and mental illness: a population-based study
- Authors:
- STOSKOPF Carleen H., KIM Yang K., GLOVER Saundra H.
- Journal article citation:
- Community Mental Health Journal, 37(6), December 2001, pp.469-479.
- Publisher:
- Springer
This is a American cross-sectional, population-based study using hospital discharge abstract data to determine the relative risk associated with having a dual diagnosis of mental illness and HIV/AIDS. The analysis addressed issues of gender, race, and age, as well as type of mental illness. Persons with a mental illness are 1.44 times more likely to have HIV/AIDS. Women are at increased risk of being dually diagnosed. There are no risk differences by race. Those with specific diagnosis of substance abuse or a depressive disorder are more likely to have a diagnosis of HIV/AIDS.
Help is at home
- Author:
- THOMPSON Audrey
- Journal article citation:
- Community Care, 18.3.99, 1999, p.27.
- Publisher:
- Reed Business Information
Looks at the award-winning Alcohol Recovery Project, which helps people who have a serious drink problem by supporting them in their homes.
SCIE research briefing 30: the relationship between dual diagnosis: substance misuse and dealing with health issues
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, CROME Ilana, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 23p.
- Place of publication:
- London
This briefing examines the issues presented by service users with dual diagnosis for UK practitioners in health and social care. Confusingly, the term ‘dual diagnosis’ is used to describe several combinations of physical, psychological or developmental conditions; but for the purpose of this briefing, it refers to the co-existence of substance misuse and mental health problems. This briefing considers all age groups and uses the term ‘substance’ to refer to illegal or illicit drugs; alcohol; nicotine and prescription drugs. The terms ‘substance’ and ‘drug’ are used interchangeably. ‘Mental health problems’ refers to severe or enduring conditions, while ‘substance misuse’ refers to chronic or complex substance use problems. The briefing does not consider specific pharmacological or other treatment interventions in detail, but focuses on issues arising at the health and social care interface. It draws on research and literature from other countries, including the US where the majority of research on dual diagnosis has been conducted; to provide an overview for health and social care practitioners in the UK. Where there are gaps in the research, for example, in regard to service user involvement, recovery approaches and personalisation of services, the briefing draws upon evidence from relevant fields such as mental health and substance misuse. Throughout this briefing the terms, patient, client, and service user are used interchangeably to reflect the different usages prevalent within different sectors of health and social care.
Dual diagnosis in older drinkers during the COVID-19 pandemic
- Authors:
- RAO Rahul, MUELLER Christoph, BROADBENT Matthew
- Journal article citation:
- Advances in Dual Diagnosis, 14(2), 2021, pp.70-79.
- Publisher:
- Emerald
Purpose: There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use. Design/methodology/approach: Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompanied by co-existing mental disorders. Findings: In total, 366 older people were assessed with the Alcohol Use Disorders Identification Test (AUDIT), 185 before and 181 after lockdown. People with dual diagnosis were more likely to be referred than those without, after compared to before lockdown (13 and 6%, respectively, p < 0.05). People with any substance use disorder with and without dual diagnosis showed an even greater likelihood of referral after, compared with before, lockdown (61 and 34%, respectively, p < 0.0001). Opioid use more than once a month was more likely to be reported after, compared with before, lockdown (66 and 36%, respectively, p < 0.005). Research limitations/implications: The finding of a higher likelihood of opioid use after compared with before lockdown during the COVID-19 pandemic warrants further exploration. There is also further scope for further studies that involve older non-drinkers. Originality/value: A greater likelihood of both dual diagnosis and substance use disorder alone after, compared with before lockdown has implications for both mental health and addiction service provision during a pandemic. (Edited publisher abstract)