Search results for ‘Subject term:"mental health problems"’ Sort:
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A brief report on Certified Community Behavioral Health Clinics Demonstration Program
- Authors:
- HU Yuanyuan, et al
- Journal article citation:
- Social Work in Mental Health, 19(6), 2021, pp.534-541.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The behavioral service system is searching for solutions to the opioid overdose epidemic, which has led to increased fatalities and substantial costs. This paper is a brief report on Certified Community Behavioral Health Clinics (CCBHC), a federal demonstration program designed to enhance behavioral health organizations’ capacity to engage and care for people with substance use disorders through evidence-based practices and integrated health solutions. Designated CCBHC clinics provide a comprehensive range of mental health and substance use disorder services to vulnerable individuals and receive increased prospective funding from Medicaid. Preliminary evaluations have shown increases in accessibility, workforce, and capacity to provide substance use and mental health services. With social workers comprising the majority of mental health providers, this delivery system innovation expands opportunities for the profession to address the opioid epidemic. (Edited publisher abstract)
A question of commitment – improving practitioner responses to domestic and sexual violence, problematic substance use and mental ill-health
- Authors:
- HOLLY Jennifer, HORVATH Miranda A.H.
- Journal article citation:
- Advances in Dual Diagnosis, 5(2), 2012, pp.59-67.
- Publisher:
- Emerald
The Against Violence & Abuse project aims to develop good practice for responding to survivors and perpetrators of abuse who also have a dual diagnosis. This article reviews what is already understood to be best practice in this area, and presents the initial learning from the project evaluation. In line with other research, levels of routine enquiry or enquiry about experiences of violence were low amongst staff from all organisations participating in the project. In comparison staff seemed somewhat more likely to enquire about substance misuse and mental health issues. Wide variation in attendance at training was found with a complex relationship between training and confidence emerging. The authors concluded that a lot more training, organisational support and research is needed to ensure that professionals who have contact with women who have experienced abuse, have mental health or substance use problems are asking their clients about all three issues, ensuring victims with complex needs having access to the necessary protection and support.
Double trouble
- Author:
- EATON Lynn
- Journal article citation:
- Health Service Journal, 4.01.06, 2006, pp.22-24.
- Publisher:
- Emap Healthcare
Patients who are both mentally ill and addicted to drugs or alcohol are very difficult to treat. This article looks at the slow progress in the NHS in providing care and services for this group. The article also briefly highlights two good practice examples from Turning Point and The Priory Group.
The drugs don't work
- Author:
- WELLARD Sarah
- Journal article citation:
- Community Care, 31.10.02, 2002, pp.32-33.
- Publisher:
- Reed Business Information
Discusses how mental health services are being challenged by the use of drugs by young people with mental health problems.
The prevalence and characteristics of co-occurring serious mental illness (SMI) and substance abuse or dependence in the patients of Adult Mental Health and Addictions Services in eastern Dorset
- Authors:
- VIRGO Nick, et al
- Journal article citation:
- Journal of Mental Health, 10(2), April 2001, pp.175-188.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Researchers interviewed key workers of all NHS inpatient, day-patient and outpatient Adult Mental Health (AMH) and Addictions Services in eastern Dorset. 'Dual diagnosis' (co-occurring severe mental illness (SMI) and substance abuse or dependence) occurred in 12% of addictions, 12% of all AMH, and 20% of SMI, AMH patients (range 10% rehabilitation to 41% acute wards). Most 'dual diagnoses' in AMH were alcohol and/or cannabis abuse with psychoses, and in addictions heroin dependence and/or alcohol abuse or dependence with depression. Compared with other AMH, SMI patients, AMH 'dual diagnosed' patients were younger; were more often male, in less stable accommodation, unemployed, with more than one psychiatric diagnosis and personality disorder; and tended to have more crises and pose greater risk to themselves and others. Compared with 'dual diagnosed' addictions patients they were less involved with drugs, at less risk of abuse by others and less often acknowledged dual problems.
Towards integrated care for patients with dual diagnosis: the Dorset Healthcare NHS Trust experience
- Author:
- GIBBINS Jood
- Journal article citation:
- Mental Health Review, 3(4), December 1998, pp.20-24.
- Publisher:
- Pier Professional
Reports on a project to instil confidence in clinical staff in dealing with dually-diagnosed clients by impairing the necessary skills. Discuss the success and drawbacks encountered during the project.
Risking our sanity
- Author:
- UNELL Ira
- Journal article citation:
- Druglink, 12(5), September 1997, pp.17-18.
- Publisher:
- Drugscope
- Place of publication:
- London
Mentally ill drug users are among the worst-serviced groups in the community, with both mental health and drug services often refusing to acknowledge their existence. This creates a huge scope for misdiagnosis. Argues that unless services can recognise and respond appropriately to all their clients, they effectively exclude them. A re-examination of the suitability of harm reduction tactics when dealing with mentally ill drug misusers is required.
A case-control study of GP and patient-related variables associated with non-attendance at new psychiatric out-patient appointments
- Authors:
- NEELEMAN Jan, MIKHAIL Wagdy I.
- Journal article citation:
- Journal of Mental Health, 6(3), June 1997, pp.301-306.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Describes a case-control study of 50 attenders and 46 defaulters at first psychiatric out-patient appointments which examined patient and GP-related factors in relation to non-attendance. A history of behavioural difficulties (such as substance abuse, legal problems or self-harm) and the absence of a clear psychiatric diagnosis were associated with non-attendance. Patients referred by fund-holding GPs were more likely to keep their appointment than those referred by non-fundholding GPs. However, a strong association between the presence of current social and relationship problems, and non-attendance, overshadowed the other predictors. The results suggest that there is a group of patients with minor psychiatric morbidity who, while in need of psychiatric help, are unable to make use of conventional psychiatric services.
Alcohol, drug and mental health problems: working with families
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, KEARNEY Patricia, LEVIN Enid, ROSEN Gwen
- Publisher:
- National Institute for Social Work
- Publication year:
- 2000
- Pagination:
- 60p.,bibliog.
- Place of publication:
- London
Report of a NISW research and development project looking at the interfaces within and between services for families where a parent has a persistent mental health, alcohol or drug problem. Services that have been set up to help the children and parents in such families are located in and administered by a number of different organisations. Effective collaboration, joint working across the many interfaces, and a focus on the family as a whole are essential if children and their parents are to receive appropriate help, advice and guidance.
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.