Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 16
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.
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.
Retrospective reasons for the initiation of substance use: gender and ethnic effects
- Authors:
- CORCORAN Myra, CORCORAN Jacqueline
- Journal article citation:
- Journal of Ethnic and Cultural Diversity in Social Work, 10(1), 2001, pp.69-83.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Evidence for co-morbidity in psychiatric disorders and chemical dependency suggests that people with addiction problems use drugs and alcohol to cope with painful affective states and symptoms. At the same time, sustained chemical use may also lead to further damage and mimic symptoms of disorders. This American study was designed to build knowledge about the reasons in-patient and out-patient substance abusers in treatment initially use, and to test if there were differences between gender and ethnic (White non-Hispanic and African -American) groups. Findings indicated that people not only started using drugs and alcohol to enhance affective states, they also were likely to use chemicals as a way to cope with painful, affective symptoms. Gender seemed to play a salient role than ethnicity in that females of either ethnicity were more likely than males to endorse items relating to the management of negative affective states, for enhancement of skills and problem-solving abilities, and for perceived lack of alternatives. Implications study are provided.
Time to listen: the mental health needs of young people
- Author:
- LEON Lucy
- Journal article citation:
- Childright, 177, June 2001, pp.5-6.
- Publisher:
- Children's Legal Centre
Reports on research by the Mental Health Foundation into the mental health of young people and makes some suggestions for reform.
Double jeopardy
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 28.6.01, 2001, pp.20-21.
- Publisher:
- Reed Business Information
Services tend to be tailored either to people with mental health problems or to those with drug or alcohol misuse problems, not to both. Looks at what happens when a person presents needs in both categories.
Alcohol and mental health
- Author:
- -
- Journal article citation:
- Acquire Alcohol Concern's Quarterly Information and Research Bulletin, 29, Summer 2001, pp.i-viii.
- Publisher:
- Alcohol Concern
This article summarises research on the nature and scale of the problem of co-existent mental health and alcohol problems from the alcohol perspective.
Working with people with dual diagnosis in the voluntary sector: training and support needs of practitioners
- Authors:
- SCOTT Helen, et al
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(9), May 2001, pp.297-301.
- Publisher:
- Pavilion
People with dual diagnosis are likely to be among the most demanding of clients encountered by mental health practitioners. Reports the findings of an evaluation of four voluntary sector projects funded by the Department of Health to develop their services to this group, with a particular focus on the staff. The majority of the staff had no formal qualifications in mental health, which may well have contributed both to their high burn-out levels and to the limited range of interventions they offered clients. Concludes that considerable further investment in staff training may be needed if such services in both the voluntary and statutory sectors are to be effective.
Survey of staff perceptions of illicit drug use among patients in a medium secure unit
- Authors:
- DOLAN Mairead, KIRWAN Helen
- Journal article citation:
- Psychiatric Bulletin, 25(1), January 2001, pp.14-17.
- Publisher:
- Royal College of Psychiatrists
This study is a survey of staff perceptions of illicit drug among in-patients in a medium secure unit. Results showed that sixty per cent of staff were aware of drug misuse on the unit. Less than one-third of staff were clear about the unit's policy for dealing with in-patient drug use and few have had adequate training in the management of patients with dual diagnoses. Strategies for dealing with drug misuse appear to focus on security rather than therapeutic issues. Services need to provide adequate training for staff on the management of patients with co-morbid substance misuse, introduce patient education programmes and develop and disseminate clear policies that emphasise both therapy and security.
Dual diagnosis of mental disorder and substance misuse
- Author:
- MCMURRAN Mary
- Publisher:
- NHS National Programme on Forensic Mental Health Research and Development
- Publication year:
- 2001
- Pagination:
- 32p.,bibliog.
- Place of publication:
- Liverpool
Substance misuse that is comorbid with mental disorder may increase the risk of crime, and militate against effective treatment. It is therefore important that forensic mental health professionals understand the assessment and treatment of both substance misuse and mental disorder. Since mentally disordered offenders may be detained under classifications of personality (psychopathic) disorder, mental illness, and learning disability (mental impairment / severe mental impairment), all three disorders are addressed, and this paper is structured accordingly. Substance misuse includes intoxication, problematic use, and dependence, all of which are relevant to criminal behaviour, and the focus is on crimes related to the ingestion of substances.