Search results for ‘Subject term:"mental health problems"’ Sort:
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Softly softly
- Author:
- GEORGE Chris
- Journal article citation:
- Mental Health Today, May 2005, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on how frontline staff are coping with rising drug use on inpatient wards.
Dual diagnosis in mental health inpatient and day hospital settings: guidance on the assessment and management of patients in mental health inpatient and day hospital settings who have mental ill-health and substance use problems
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 37p.
- Place of publication:
- London
This guidance covers the assessment and clinical management of patients with mental illness being cared for in psychiatric inpatient or day care settings who also use or misuse alcohol and/or illicit or other drugs. It also covers organisational and management issues to help mental health services manage these patients effectively.
A can of madness
- Author:
- PEGLER Jason
- Publisher:
- Chipmunkapublishing
- Publication year:
- 2003
- Pagination:
- 300p.
- Place of publication:
- Brentwood
The author offers his readers a unique opportunity to emphasize with sufferers of the condition known as Manic depression ( Bi-Polar disorder) in this compelling account of his ordeal with this illness. The author takes the reader through his personal transformation from an uncouth teenager taking ecstasy to someone who grows up realising that they can use their own past pain, get better and help other people. The book was written using excerpts of a diary written at the time of the author’s flights into mania and his descents into depression. The author recounts a dizzying, dark and sometimes euphoric journey through a world of elation, despair, binge drinking, drugs, raves, and psychiatric wards.
Psychiatric comorbidity in a cohort of heroin and amphetamine users in Perth, Western Australia
- Authors:
- BARTU Anne, et al
- Journal article citation:
- Journal of Substance Use, 8(3), September 2003, pp.150-154.
- Publisher:
- Taylor and Francis
The aim was to determine if amphetamine and opioid users attending a drug treatment service were more likely to be admitted to psychiatric services than users not receiving treatment. Client records from Next Step Specialist Drug and Alcohol Services (Next Step) and the Community Based Methadone Program (CBMP) were linked to mental health and hospital morbidity data files using probabilistic matching. The sample comprised 4280 drug users (2887 opioid users, 1393 amphetamine users). Of these, 928 received methadone at either Next Step or the CBMP, 541 attended counselling or a support group at Next Step, and 2811 did not receive any treatment from Next Step or the CBMP during the study. Irrespective of treatment received, clients who had recently withdrawn from treatment were at the highest risk of a psychiatric admission, experiencing seven times the hazard of admission compared with those who did not access drug treatment. Amphetamine users had at least three times the hazard of psychiatric admission compared with opioid users. Clients with a history of psychiatric admissions had twice the hazard of subsequent admission compared with those with no psychiatric history. Clients presenting at a drug treatment service should be screened for mental health diagnoses at their initial assessment so that appropriate treatment strategies can be offered to these dually diagnosed clients.
Drug and alcohol misuse among in-patients with psychotic illnesses in three inner-London psychiatric units
- Authors:
- PHILLIPS Prashant, JOHNSON Sonia
- Journal article citation:
- Psychiatric Bulletin, 27(6), June 2003, pp.217-220.
- Publisher:
- Royal College of Psychiatrists
Ward staff were asked to rate whether in-patients with a diagnosis of functional psychotic illness also met criteria for a diagnosis of alcohol or drug misuse or dependence during the preceding 6 months. Those who demonstrated such evidence were then asked to report the nature and extent of their substance use and whether they continued to use as in-patients. 264 in-patients with psychotic illness were screened for evidence of recent or current alcohol or drug misuse. According to staff reports, 127 (48.9%) met the criteria for substance misuse or dependence. The mean age of those with 'dual diagnosis' was 34.7 years and 72% were male. Eighty-three (83%) of those with a history of current or recent alcohol or drug misuse reported that they had continued to use alcohol and/or illicit drugs in the in-patient wards during their current admission. It appears difficult to prevent in-patients with drug or alcohol misuse problems from continuing to use substances in hospital. Further consideration and investigation of how best to manage this group is therefore required.