Search results for ‘Subject term:"mental health problems"’ Sort:
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Open-ended and open-door treatment groups for young people with mental illness
- Authors:
- MILLER Rachel, MASON Susan E.
- Journal article citation:
- Social Work with Groups, 35(1), 2012, pp.50-67.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Group treatment is generally framed as close ended, wherein no new members can be added, or open ended, a more flexible frame in which patients can be added over time. This article expands the open-ended group framework to discuss an open-ended and open-door (OEOD) approach to group treatment wherein members with severe mental illnesses, including schizophrenia disorders and bipolar, can join, leave, and re-enter groups as their life circumstances dictate their availability and willingness for treatment. Groupwork with the OEOD format is illustrated with examples taken from a group of 79 participants diagnosed with first-episode schizophrenia/schizoaffective disorders, 40 of whom had co-occurring substance abuse. Of the 79 participants in the OEOD group programme, 70 (89%) remained in treatment for the maximum of 3 years. The overall value of group treatment for this population is reviewed along with the small number of available publications on open-ended and open-door type groups. The article illustrates multiple benefits to the OEOD model, including the provision of continuity of care, peer support, and increased patient retention.
Harm reduction in community mental health settings
- Authors:
- MANCINI Michael A., LINHORST Donald M.
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 9(2-3), April 2010, pp.130-147.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Fifty percent of people with psychiatric disabilities have a co-occurring substance misuse disorder, and are more likely to have a range of chronic disease conditions such as heart disease, diabetes, hypertension and chronic pulmonary disease. Harm reduction is a conceptual framework and set of practices that focus on the minimisation of the physical, social, and legal harms substance users do to themselves and to society as a whole. Its application to community mental health settings is relatively new, and can create controversies and ethical dilemmas if not properly designed, implemented, and evaluated. Building on the harm reduction literature, the community mental health literature, and the authors' experiences with a community mental health programme that uses a harm reduction approach, the authors offer five guidelines for its successful implementation. The authors conclude that when properly integrated with other recovery-based services, and when appropriately applied to the individual client's stage of change, harm reduction can effectively be used, and should be used, in community mental health settings with clients with co-occurring substance use and psychiatric disorders.
Developing a dual diagnosis
- Authors:
- SWINDEN Donna, BARRETT Mandy
- Journal article citation:
- Nursing Times, 13.5.08, 2008, pp.26-27.
- Publisher:
- Nursing Times
This article describes the development of a dual diagnosis intervention worker role to work with people with coexisting mental health and substance misuse needs in North Durham. It describes the role, how it interacts with other structures, and outcomes for service users. It also outlines some innovative initiatives that have developed as a result of introducing this role.
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.
Addressing the needs of older people with co-morbid alcohol and mental health disorders: a case series from a London Community Mental Health Team (CMHT)
- Authors:
- ANDREWS Tresa, REDDY Lenna, WHELAN Paul
- Journal article citation:
- Advances in Dual Diagnosis, 4(1), 2011, pp.8-16.
- Publisher:
- Emerald
Community mental health teams (CMHTs) for older adults inevitably encounter service users with alcohol use disorders (AUDs). However, little attention has been given to the needs of older adults with a dual diagnosis. This paper argues against a wholesale transfer of knowledge and practices from working age adults with dual diagnosis to the older age group. Drawing on the experience of care professionals in a central London’s CMHT between 2008 and 2010, the paper illustrates the challenges encountered when working with older adults with co-morbid mental health problems and AUDs. The management and progress of 4 older adult service users are described. This case study series illuminates some of the clinical and professional dilemmas and challenges encountered when working with this group. Suggestions of how to respond to some of these challenges are provided by focussing on aspects of identification, assessment and treatment.
Dual diagnosis training for the criminal justice workforce
- Authors:
- HUGHES Liz, et al
- Journal article citation:
- Advances in Dual Diagnosis, 3(2), May 2010, pp.32-38.
- Publisher:
- Emerald
A significant number of offenders have both mental health and substance use problems. This article describes a training project involving higher education and service providers, established to develop and evaluate the feasibility of training in dual diagnosis interventions for staff working in the criminal justice system. The development of the training programme was based on Skills for Health learning design principles, using a competence-based approach, and the training was delivered to 58 staff from a range of services in the criminal justice sector. The article describes the learning design principles, the method used, the course timetable and dual diagnosis for criminal justice course workbook, and presents and discusses feedback on and evaluation of the course and the implications of the feedback for future development of such workforce training initiatives.
Disciplinary tactics
- Author:
- McMILLAN Ian A.
- Journal article citation:
- Mental Health Today, 9(6), July 2009, pp.10-12.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article reports on the work of Manchester Offenders: Diversion Engagement Liaison (MO:DEL), a criminal justice mental health team. It was described by the Bradley Report as a "good example" of the kind of service that should be introduced across England. The key objectives are to: reduce offending rates; improve access to detoxification and substance misuse facilities; speed up delivery of psychiatric reports; increase number of contacts with service users; cut admissions to mental health units and reduce length of admissions.
Implementation of the integrated dual disorders treatment model stage-wise strategies for service providers
- Authors:
- KRUSZYNSKI Ric, BOYLE Patrick E.
- Journal article citation:
- Journal of Dual Diagnosis, 2(3), 2006, pp.147-155.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Since the year 2000, Ohio has seen the development of Integrated Dual Disorders Treatment (IDDT) model teams grow from 9 SAMHSA funded pilot sites, to 35 teams and an adaptation to the model implemented in seven of nine State Hospitals in 2005. While the IDDT model itself has been found to be effective in clinical trials, the factors influencing successful implementation of the evidence based practice model in community treatment settings are still being explored. This article offers an overview of what has been learned about successful methods that contribute to the development of IDDT in community settings. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Engaging precontemplative dual diagnosis clients
- Authors:
- HUGHES Geraint, MOYNES Paul, JONES Chris
- Journal article citation:
- Nursing Times, 17.05.05, 2005, pp.32-34.
- Publisher:
- Nursing Times
It can be difficult to engage with clients with co-existing substance misuse and mental health problems, known as dual diagnosis. Describes a project that uses music to engage service users with dual diagnosis problems.
Harm reduction in a Norwegian housing first project: a qualitative study of the treatment providers’ practice
- Authors:
- ANDVIG Ellen Sofie, SAELOR Knut Tore, OGUNDIPE Esther
- Journal article citation:
- Advances in Dual Diagnosis, 11(1), 2018, pp.4-15.
- Publisher:
- Emerald
Purpose: Little is known about how harm reduction is practiced in Norwegian housing first (HF) projects. The purpose of this paper is to explore, describe, and interpret how providers apply a harm reduction approach within a housing project focused on individuals who are homeless with co-morbid substance use and mental health problems. Design/methodology/approach: This qualitative study was part of a larger evaluation study of a three-year HF project in a Norwegian municipality. Data were collected using four multi-stage focus groups with five providers working in the HF project. Focus group interviews were transcribed verbatim and analysed using thematic analysis. Findings: Analysis resulted in three main themes: “Letting the service user sit in the driver’s seat,” “We don’t follow service provision contracts, we do everything,” and “Collaborating with the local community.” Research limitations/implications: There is a need to develop increased knowledge about service users’ experiences within the harm reduction approach. Practical implications: To practice effective harm reduction, treatment providers must have open authorisations and the opportunity to exercise professional judgement. Harm reduction practice must also focus on social, political, and economic factors influencing users’ everyday lives. Originality/value: The paper contributes to the knowledge base on harm reduction within HF practice that differs from a traditional model wherein clients are expected to abstain from substance use. It highlights important preconditions for challenges practitioners might encounter at both individual and service system levels. (Publisher abstract)