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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)
Barriers to assessment and treatment of Posttraumatic Stress Disorder and other trauma-related problems in people with severe mental illness: clinician perspectives
- Authors:
- SALYERS Michelle P., et al
- Journal article citation:
- Community Mental Health Journal, 40(1), February 2004, pp.17-31.
- Publisher:
- Springer
The authors conducted a state-wide survey of 251 clinicians serving people with severe mental illness (SMI) in community support programs, to identify barriers to the diagnosis and treatment of PTSD and other trauma-related problems. Most clinicians did not feel competent to effectively treat these problems. Competence/confidence and belief in utility of intervention were positively related to the percentage of clients with whom trauma and PTSD had been discussed, documented in charts, and addressed directly in treatment. Clinicians need training that develops skills and knowledge as well as conveys the value of addressing PTSD and other trauma-related problems in people with SMI.
Changes in attitudes towards mental illness following exposure
- Author:
- WALLACH Helene S.
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.235-247.
- Publisher:
- Springer
Attitudes towards mental patients influence the treatment they receive and decisions of policymakers. It is important to modify attitudes of students who may work with them. Psychopathology course students (45 visited a mental institution, 56 volunteered in it, and 12 neither) and 53 introductory psychology students participated in this study. Benevolence, mental hygiene etiology and interpersonal etiology (opinions about mental illness scale) improved from beginning to end of year. Working proved more important than visiting or studying. Visiting increased social restrictiveness. Therefore, a small amount of exposure (a visit) can be detrimental. These results point to the possible superiority of prolonged, intimate exposure, on an equal basis, in changing attitudes towards mental health patients.
Count me in: making life better for people with mental health problems: an easy read version of the Social Exclusion Unit report
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publisher:
- Great Britain. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publication year:
- 2004
- Pagination:
- 9p.
- Place of publication:
- London
An easy to read version of the Social Exclusion Unit’s report on mental health. It was put together with the help of Mencap and outlines in easy to understand language what the report is about, explains some of the key terms such as ‘social exclusion’ and sets out some of the main action points from the report.
What do surveys of public attitudes to mental health problems really mean (and do we mean what we say)?
- Author:
- SMITH Michael
- Journal article citation:
- Journal of Mental Health Promotion, 3(4), December 2004, pp.40-47.
- Publisher:
- Pavilion
Campaigns to improve public attitudes to people with mental health problems have yet to show significant impact according to national surveys, but how reliable are the surveys? Reviews recent research and argues that the findings are complicated by methodological bias and doubts about the public's ability to acknowledge prejudice honestly.
Inspection of mental health services: Stoke on Trent City Council; July 2004
- Authors:
- LITTLE Margaret, CALLENS Sheila
- Publisher:
- Commission for Social Care Inspection. Yorkshire and Humber Region
- Publication year:
- 2004
- Pagination:
- 90p.
- Place of publication:
- Leeds
Inspection of mental health services: Lincolnshire County Council; September/October 2003
- Authors:
- WJITEHEAD Ian, IRONS Ben
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate. East Midlands
- Publication year:
- 2004
- Pagination:
- 73p.
- Place of publication:
- Nottingham
The right to choose
- Author:
- FORREST Emma
- Journal article citation:
- Health Service Journal, 09.12.04, 2004, pp.24-26.
- Publisher:
- Emap Healthcare
Discusses whether choice will be an empty promise that never delivers for mental health service users.
All in the mind?
- Author:
- COLE Andrew
- Journal article citation:
- Care and Health Magazine, 30.11.04, 2004, pp.19-20.
- Publisher:
- Care and Health
Discusses the government White Paper on public health and its coverage on mental health issues. Queries the commitment to providing resources for mental health promotion
Addressing the issue of psychiatric disability in social work interns: the need for a problem-solving framework
- Authors:
- GILLIS Heather, LEWIS Judith S.
- Journal article citation:
- Journal of Social Work Education, 40(3), 2004, pp.391-402.
- Publisher:
- Council on Social Work Education
Examines the issues that arise when field instructors encounter social work interns with psychiatric problems. Discusses how legal decisions and the Americans with Disabilities Act (ADA) provide the organising framework for developing appropriate policies for addressing these situations. Findings from a survey that asked 61 field instructors about their experiences with such students and their knowledge of ADA guidelines provide additional information for policy development. Based on the survey and the legal guidelines, presents a problem-solving framework and recommendations to guide academic programmes towards an approach that protects the rights of all parties involved.