Search results for ‘Subject term:"mental health problems"’ Sort:
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Thresholds of hope: stories of lacking generosity
- Authors:
- SAELOR Knut Tore, SKATVEDT Astrid
- Journal article citation:
- Social Work in Mental Health, 17(5), 2019, pp.533-550.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hope is a pivotal part of recovery in a broad range of health conditions, including those relating to the field of mental health and substance abuse. People who experience co-occurring mental health and substance-use problems are often bound to use services that are not suited to their needs. This study aims is to explore how service users experience barriers to help and assistance, and to determine the manner by which these barriers may influence their experiences of hope. Data were collected through in-depth interviews with nine participants, and these were analyzed using a thematic approach. This analysis produced the following three overarching themes: “battles with bureaucracy”; “distance, disempowerment, and de-individualization”; and “no clean slates.” (Edited publisher abstract)
Evidence-based social work practice with mentally ill persons who abuse alcohol and other drugs
- Author:
- O'HARE Thomas
- Journal article citation:
- Social Work in Mental Health, 1(1), 2002, pp.43-62.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article outlines a comprehensive approach to evidence-based social work practice, and applies it to persons with severe and persistent mentalillness who also abuse alcohol and other drugs. Representative empirical literature is summarized within a framework that delineates the three major functions of evidence-based social work practice: assessment, intervention andevaluation. Assessment protocol, which incorporates the use of valid scales tocomplement the qualitative interview, is based on domain-specific research that outlines relevant psychosocial risk factors, and highlights those that are amenable to change. Intervention strategies are derived from the growing body ofcontrolled research findings, but flexibility in implementation is recommended to accommodate clients' individual needs and the vagaries of daily practice. Naturalistic evaluation methods are used to capitalize on the use of brief,valid process and outcome measures to augment individual qualitative evaluation and to aggregate data for programme evaluation. The implications of this integrated evidence-based strategy for social work practice are discussed.
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.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 9, April 2000, pp.48-50.
- Publisher:
- Community Care
The needs of people with severe mental health problems who are also misusing substances are complex and challenging. Describes recent research that offers a valuable insight into the characteristics and incidence of dual diagnosis.
Assessing dual diagnosis in an acute in-patient psychiatric unit
- Authors:
- KING Linda Partridge, et al
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 2(4), 1999, pp.19-32.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Dual diagnosis has been a label used to describe the multiple and complex problems of a population that is characterised by two distinct diagnostic entities. This research explores the use of established assessment instruments to identify possible depression and alcohol abuse of dependence. The research also investigates whether the results of these assessments are predictive of the working diagnosis of these individuals in an in-patient treatment unit located in a large urban public hospital. Findings suggest that over 44% of the sample are identified as having possible moderate to severe depression and probable alcoholism. Assessing and recognising the existence of comorbidity is central to effective treatment planning process.
The dual diagnoses concept
- Author:
- -
- Journal article citation:
- Addiction Counselling World, 6(31), November 1994, p.10.
- Publisher:
- Addiction Recovery Foundation
The term dual diagnoses refers to two overlapping but discernible subgroups of patients. One subgroup has both a major psychiatric illness and a major substance abuse disorder. The other subgroup use alcohol and/or drugs in ways which affect the course and treatment of mental illness. Looks at treatment strategies.
A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders
- Authors:
- MILANI Raffaella Margherita, et al
- Journal article citation:
- Advances in Dual Diagnosis, 13(4), 2020, pp.151-167.
- Publisher:
- Emerald
Purpose: Dual Diagnosis Anonymous (DDA) is a peer-led programme developed in the USA, which aims to address mental and addictive disorders in an integrated manner. This study is part of a mixed-methods evaluation of the first DDA pilot in the UK, and the purpose of this study is to explore the impact and mechanism of change of the programme through the perspective of DDA attendees, facilitators and the funding commissioners. Design/methodology/approach: Six DDA members were interviewed three times over a period of 12 months, the facilitators were interviewed twice and the commissioner was interviewed once. The qualitative longitudinal data were analysed using a trajectory thematic analysis. Findings: DDA attendance was perceived to have had a positive impact on five main areas: acceptance of self, of others and from others; social functioning; self-development; recovery progression; and feeling of hope. The possibility of addressing both mental health and addiction at the same time was a key factor in the recovery process. The facilitators observed that DDA had contributed to integrate members into employment and education, while the commissioner stressed the importance of joint commissioning and sustainability. Originality/value: The longitudinal approach provided a unique insight into the recovery process of DDA members. Being able to address the mental health as well as the substance use problems was considered to be a fundamental strength of DDA in comparison to the single purpose peer-support fellowships. (Edited publisher abstract)
Intersection of suicidality and substance abuse among young Asian-American women: implications for developing interventions in young adulthood
- Authors:
- HAHM Hyeouk Chris, et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(2), 2014, pp.90-104.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a review of the current literature uncovering specific factors associated with self-harm and suicidality among this population. Design/methodology/approach: Of an original 32 articles, 12 were chosen for in-depth empirical review due to relevance to the topics at hand, quality of research, and significance of findings. Out of 12, six articles examined the barriers of mental health utilisation among this population. Findings: The literature review revealed that the limited research only aims to understand the intersection of suicidality, mental health, and substance abuse among this population. The paper also found that there are few existing interventions specifically tailored to this population. Research limitations/implications: Six articles examined substance use and mental health/suicidality. Among these articles, only three examined the relationship between substance use and mental health, while the other three studied suicidality/mental health alone. This shows a gap in existing literature investigating the comorbid relationship between mental health issues and substance use issues among Asian-American women. Given the extensive research on the correlation between substance use and suicidality, or substance use and mental illness among other ethnic/racial groups, it is imperative to address this comorbid relationship among Asian Pacific Islander women as well. Practical implications: It is imperative for professionals in the fields of public health, mental health, medicine, and substance abuse to proactively combat the “model minority” myth and to design and implement interventions targeting family dynamics, coping with immigration/acculturative stresses, mental illnesses, suicidal behaviours, and substance abuse among Asian-American populations across the developmental lifespan. Social implications: The pernicious effects of the “model minority” myth must be recognised as a public health problem, as it contributes to the under-diagnosis and under-treatment of Asian-Americans in general, and young Asian-American women in particular, as they are often suffering mental illnesses and comorbid substance abuse problems alone. Future studies should include large-scale sampling of various Asian ethnic subgroups, in order to investigate potential differences in suicidal behaviours and comorbid substance abuse among Asian subpopulations. Originality/value: The paper has provided specific suggestions for interventions to adequately respond to the mental health needs of young Asian-American women. These include addressing the cultural stigma and shame of seeking help, underlying family origin issues, and excessive alcohol and drug use as unsafe coping, as well as incorporating empowerment-based and mind-body components to foster an intervention targeting suicidality among Asian-American women in early adulthood. (Edited publisher abstract)
The leisure participation of clients with a dual diagnosis
- Authors:
- HODGSON Susan, LLOYD Chris, SCHMID Therese
- Journal article citation:
- British Journal of Occupational Therapy, 64(10), October 2001, pp.487-492.
- Publisher:
- Sage
People with dual diagnosis experience disruption in carrying out their daily occupations. This article describes a study in which an occupational therapist explored the leisure participation of clients with dual diagnosis. In-depth, semi-structured interviews were conducted with four out patients from an alcohol and drug rehabilitation programme. Inductive analysis of the informants' interviews identified two main themes: leisure as part of the recovery process and the barriers to leisure participation. The study provides support for the need to understand the leisure occupations of the clients with whom occupational therapists work. Further research is required to examine the interventions that assist clients with a dual diagnosis to develop meaningful leisure activities.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 2001, pp.18-22.
- Publisher:
- Community Care
Reviews research that looks at the evidence base for an integrated dual diagnosis service, partial hospitalisation and psycho-social interventions in the community.