Provides an overview of the Barnes Unit in Sunderland, which is an adolescent mental health team providing community-based treatment for 16-19 year olds. It shares a way of working with adolescents who have problems with drugs and alcohol, within Child and Adolescent Mental Health Services. Young people with substance misuse problems who do not have mental health problems can also access the service.
Provides an overview of the Barnes Unit in Sunderland, which is an adolescent mental health team providing community-based treatment for 16-19 year olds. It shares a way of working with adolescents who have problems with drugs and alcohol, within Child and Adolescent Mental Health Services. Young people with substance misuse problems who do not have mental health problems can also access the service.
Subject terms:
mental health problems, substance misuse, treatment, therapy and treatment, young people, assessment, child and adolescent mental health services, community mental health services, drug misuse;
Journal of Mental Health, 9(1), February 2000, pp.37-50.
Publisher:
Taylor and Francis
Place of publication:
London
Substance use, in the context of severe and enduring mental illness, is a growing problem and is likely to have implications for the way mental health services are used. This compares service utilisation, psychiatric symptomatology and social support among 16 clients with psychotic illness who were regular substance users, with 16 clients attending the same service who did not use substances. Their use of the day-service was chaotic and reflected social difficulties, such as housing instability, financial, and legal issues rather than mental health problems. The findings highlighted the need for an integrated and accessible service which could provide long-term, intensive and practical support.
Substance use, in the context of severe and enduring mental illness, is a growing problem and is likely to have implications for the way mental health services are used. This compares service utilisation, psychiatric symptomatology and social support among 16 clients with psychotic illness who were regular substance users, with 16 clients attending the same service who did not use substances. Their use of the day-service was chaotic and reflected social difficulties, such as housing instability, financial, and legal issues rather than mental health problems. The findings highlighted the need for an integrated and accessible service which could provide long-term, intensive and practical support.
Subject terms:
mental health problems, severe mental health problems, social care provision, substance misuse, case management, community mental health services, day centres, drug misuse, dual diagnosis;
Drug use is common among people with mental health problems, providing temporary relief but also longer-term problems. The author, a community mental health nurse, tells one clients story, describing what nursing services can do to help.
Drug use is common among people with mental health problems, providing temporary relief but also longer-term problems. The author, a community mental health nurse, tells one clients story, describing what nursing services can do to help.
Subject terms:
mental health problems, schizophrenia, severe mental health problems, treatment, therapy and treatment, community mental health nurses, community mental health services, drug misuse;
British Journal of Psychiatry, 183(10), October 2003, pp.304-313.
Publisher:
Cambridge University Press
Improved management of mental illness and substance misuse comorbidity is a National Health Service priority, but little is known about its prevalence and current management. This research measures the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management. Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention. Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
Improved management of mental illness and substance misuse comorbidity is a National Health Service priority, but little is known about its prevalence and current management. This research measures the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management. Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention. Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
Subject terms:
intervention, mental health problems, multidisciplinary services, psychiatry, social care provision, alcohol misuse, community mental health services, community mental health teams, diagnosis, drug misuse, dual diagnosis, comorbidity;
Journal of Mental Health, 8(1), February 1999, pp.19-28.
Publisher:
Taylor and Francis
Place of publication:
London
Evaluates the effectiveness of the treatment programme provided to people with serious mental illness and substance use in Australia. It was hypothesised that this service would reduce substance use, improve social functioning, reduce risk-taking behaviour and reduce psychiatric symptoms in people with serious mental illness and substance use.
Evaluates the effectiveness of the treatment programme provided to people with serious mental illness and substance use in Australia. It was hypothesised that this service would reduce substance use, improve social functioning, reduce risk-taking behaviour and reduce psychiatric symptoms in people with serious mental illness and substance use.
Subject terms:
HIV AIDS, mental health problems, mental health services, risk, substance misuse, treatment, therapy and treatment, alcohol misuse, community mental health services, drug misuse, dual diagnosis, evaluation;
TYRER Peter, HARRISON-READ Phil, van HORN Elizabeth
Publisher:
Butterworth-Heinemann
Publication year:
1997
Pagination:
308p.,bibliog.
Place of publication:
Oxford
Contains chapters on: the justification for drug treatment in psychiatry; drugs and the brain; drug treatment in clinical practice; multidisciplinary teamwork; organic disorders; community treatment of schizophrenia; mood disorders; neurotic and stress related disorders; substance misuse; the place of drug treatment in personality disorders; and strategies for drug treatment in the community.
Contains chapters on: the justification for drug treatment in psychiatry; drugs and the brain; drug treatment in clinical practice; multidisciplinary teamwork; organic disorders; community treatment of schizophrenia; mood disorders; neurotic and stress related disorders; substance misuse; the place of drug treatment in personality disorders; and strategies for drug treatment in the community.
Subject terms:
medication, mental health problems, multidisciplinary services, personality disorders, psychiatry, schizophrenia, severe mental health problems, teamwork, treatment, therapy and treatment, community care, community mental health services, dementia, depression, drug misuse;
Includes papers on: teamwork among professionals involved with disturbed families; integrating hospital and community services; policy and finance for community care; primary health care; day care and rehabilitation services; community care, community compulsion and the law; the role of the voluntary sector; managing the psychiatric emergency in the community; interventions with long-term clients; coping with drug and alcohol misuse; shifting into community focus; dealing with psychosis in families; liaison psychiatry and primary health care settings; long-term medication and the responsibilities of the team; daily living skills for clients in the community; support for community psychiatric nurses in multidisciplinary teams; principles of evaluation; evaluating community services; and multidisciplinary care in the community for users with mental health problems - guidelines for the future.
Includes papers on: teamwork among professionals involved with disturbed families; integrating hospital and community services; policy and finance for community care; primary health care; day care and rehabilitation services; community care, community compulsion and the law; the role of the voluntary sector; managing the psychiatric emergency in the community; interventions with long-term clients; coping with drug and alcohol misuse; shifting into community focus; dealing with psychosis in families; liaison psychiatry and primary health care settings; long-term medication and the responsibilities of the team; daily living skills for clients in the community; support for community psychiatric nurses in multidisciplinary teams; principles of evaluation; evaluating community services; and multidisciplinary care in the community for users with mental health problems - guidelines for the future.
Subject terms:
interagency cooperation, joint working, law, intervention, medication, long term care, mental health problems, multidisciplinary services, patients, psychiatry, primary care, rehabilitation, residential care, teamwork, voluntary organisations, assertive outreach, alcohol misuse, community care, community mental health nurses, community mental health services, community mental health teams, day services, drug misuse, families, evaluation;