Search results for ‘Subject term:"mental health problems"’ Sort:
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A service framework to meet the needs of people with a co-occurring substance misuse and mental health problem
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2007
- Pagination:
- 21p.
- Place of publication:
- Cardiff
The importance of developing seamless services for clients requiring both services cannot be stressed too strongly. Evidence indicates that drug and/or alcohol misuse among people with mental health problems is now commonplace but despite the availability of effective treatments, these services are not as co-ordinated as they might be Joining these services together is important because research shows that treatment for substance misuse problems often reduces psychiatric and mental health problems. Furthermore, substance misuse treatment is associated with decreasing substance use, decreased injecting behaviour and hence a reduction in the risk of HIV and hepatitis transmission, and improvements in other related forensic, psychological and physical problems.
A clear view ahead...
- Author:
- BOWLER Shirley
- Journal article citation:
- Connect, 39, Spring 2010, p.13.
- Publisher:
- Homeless Link
Clear-view is a dual diagnosis supported housing project which provides 24-hour support for 14 men and women who are committed to becoming and staying free of drugs. While there are day centres offering support to people with both a mental illness and a substance misuse problem, Clear-view is the only residential service specifically set-up to support dual diagnosed clients. The project, which began in 2006, is the result of a partnership between ECHG, Hull City Council, Hull Supporting People, Hull City Safe and the Housing Corporation. Residents are referred to Clear-view, and, once accepted on the waiting list, encouraged to attend pre-tenancy support. Residents must provide a commitment to remain drug-free. When residents move in they are provided with fully furnished and equipped apartments, supported to cook healthy meals, encouraged to take regular exercise, and have the opportunity to gain ICT skills to help them prepare for education and employment. Every resident must attend 5 group meetings a week, and peer support and role models are an important element of resident’s recovery.
Mental disorders and drug abuse in persons living with HIV/AIDS
- Authors:
- KLINKENBERG W. D., SACKS S.
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S22-S42.
- Publisher:
- Taylor and Francis
This article reviews the literature on the prevalence of mental and substance use disorders among persons living with HIV/AIDS. Drug use, both injection and non-injection, substantially increases the risk for HIV infection. While injection drug users have the highest prevalence rates for HIV, substantially elevated rates of HIV infection are also present among crack cocaine users and individuals with substance use disorders generally. Persons with HIV/AIDS and a mental and/or substance use disorder have highly variable patterns of accessing services. Persons with HIV/AIDS who have a serious mental illness are more highly involved with services than other groups. Most individuals with co-occurring disorders report some involvement with outpatient primary medical care, although ancillary services such as mental health and substance abuse treatment, transportation assistance, and case management improve involvement in medical care. Women with HIV/AIDS and co-occurring mental and substance use disorders experience unique vulnerabilities, particularly those related to exposure to traumatic events. Given the complexity of needs with which triply or multiply diagnosed individuals present, effective treatment programmes are likely to be those that provide some degree of integrated care.
Mental health policy implementation guide: dual diagnosis good practice guide
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 40p.
- Place of publication:
- London
Supporting someone with a mental health illness and substance misuse problems - alcohol and/or drugs - is one of the biggest challenges facing frontline mental health services. The complexity of issues makes diagnosis, care and treatment more difficult, with service users being at higher risk of relapse, readmission to hospital and suicide. One of the main difficulties is that there are a number of agencies involved in a person's care - mental health services and specialist rehabilitation services, organisations in the statutory and voluntary sector. As a result care can be fragmented and people can fall down the cracks. The guidance provides a framework within which staff can strengthen services so that they have the skills and organisation to tackle this demanding area of work. The authors key message is that substance misuse is already part of mainstream mental health services and this is the right place for skills and services to be. Mental health services must also work closely with specialist substance misuse services to ensure that care is well co-ordinated. The authors have also highlighted some existing examples of excellent services working well now. This guidance and the services mentioned, demonstrate the importance of effective leadership at a local level and rigorous training programmes to help staff maintain high standards of service delivery. Cites numerous references.
The triangular treatment paradigm in dual-diagnosis clients with a mental illness
- Authors:
- SIMS John, IPHOFEN Ron, PAYNE Kevin
- Journal article citation:
- Journal of Substance Use, 8(2), June 2003, pp.112-118.
- Publisher:
- Taylor and Francis
This article looks at the role of the specialist dual diagnosis worker in North Wales and how the appointee to this role had been able to facilitate the seamless transition of these individuals through the 'system' of mental health care. This process has been facilitated by the development of an Integrated Pathway of Care, which has been devised by the authors and called the Triangular Treatment Paradigm.
Coexisting severe mental health and substance use problems: developing integrated services in the UK
- Authors:
- GRAHAM H. L., et al
- Journal article citation:
- Psychiatric Bulletin, 27(5), May 2003, pp.183-186.
- Publisher:
- Royal College of Psychiatrists
One of the challenges for services in the UK has been how best to meet the needs of those people who experience severe mental health problems and use drugs and alcohol problematically. An 'integrated shared care' model was developed to complement the existing service provision. The model aimed to achieve integration of treatment both at the level of the clinician and service. The key principle underlying this integration is that both mental health and substance misuse problems and the relationship between the two are addressed simultaneously by the mainstream mental health clinician. However, in some cases, more specialist input might be required, and this can be achieved through shared care between mental health and addiction services. Sharing care between service levels means that agreed protocols need to be in place for closer and/or joint working between mental health and substance misuse services.
Women who challenge: women offenders and mental health issues
- Author:
- KESTEVEN Sue
- Publisher:
- NACRO
- Publication year:
- 2002
- Pagination:
- 52p., bibliog.
- Place of publication:
- London
Mental health problems can contribute to women's offending and mat be exacerbated rather than addressed in prison. This can be extremely damaging both to the women themselves and their families. The aim of this book is to provide a comprehensive overview of the problems faced by women prisoners with mental health problems.
Social control agents or front-line carers for people with mental health problems: police and mental health services in Sydney Australia
- Authors:
- FRY A.J., O'RIORDAN D.P., GEANELLOS R.
- Journal article citation:
- Health and Social Care in the Community, 10(4), July 2002, pp.277-286.
- Publisher:
- Wiley
A survey of 131 police officers in Sydney, Australia, revealed that more than 10% of police time is spent dealing with people with mental health problems. Nevertheless, police felt unsupported in this role, unprepared for it and torn between the competing demands experienced in their work. Managing people with mental disturbance is a major concern for police. Specifically, there are difficulties relating to: inadequate training and education; deficiencies in services/resources; time and resource over-utilization; communication, liaison and feedback problems, and frustration related to accessing mental health facilities/services. Makes recommendations regarding education and collaborative working relationships between police and mental health professionals, to improve the care of mentally disturbed people in the community.