Search results for ‘Subject term:"mental health problems"’ Sort:
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Dual diagnosis 2005
- Authors:
- WALSH Yvonne, FRANKLAND Alan
- Journal article citation:
- Mental Health Review, 10(2), June 2005, pp.7-14.
- Publisher:
- Pier Professional
Over the last seven years dual diagnosis - a term defined by two or more concurrent disorders, one of substance misuse and the other a mental health disorder - has been an object of focus on the mental health agenda. This article tracks the progress that has been made to research this topic that has been commissioned by the government and of the policies implemented.
Validity of self-reported drug use among people with co-occurring mental health and substance use disorders
- Authors:
- JACKSON Carlos T., et al
- Journal article citation:
- Journal of Dual Diagnosis, 1(1), 2004, pp.49-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The validity of self-reports of drug use from individuals who abuse substances has been questioned. Results from studies examining the accuracy of such self-reports have been mixed, indicating the need for closer examinations of the factors associated with concordance between self-reported drug use and results of urine screens. Methods: As part of a larger study examining the effectiveness of interventions for people with co-occurring mental health and substance use disorders, we examined the agreement between self-report and urine screens for recent drug use. Overall, the concordance between self-report and results from urine screens was high (80-84% agreement overall and 75-79% for the subset where the urine screen indicated recent drug use). Estimates for the likelihood of use of marijuana and cocaine within the past 30 days were 15% and 32%, respectively, based on urine screens, 25% and 35% based on self-report, and 28% and 43% based on information from both sources combined. About 1/3 of individuals who had at least one positive urine screen misrepresented their drug use at least once. Such misrepresentation tended to increase with time in the study. The relatively high concordance rates between selfreport and urine screens indicate that situations can be structured so that individuals with co-occurring mental health and substance use disorders report instances of substance use accurately most of the time. Given the observed increase in failure to report use through time, the utility of biologicalmarkers may be more valuable as clients develop relationships with clinicians. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
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.
Narratives of recovery in people with coexisting mental health and alcohol misuse difficulties
- Authors:
- Stott Andrew, PRIEST Helena
- Journal article citation:
- Advances in Dual Diagnosis, 11(1), 2018, pp.16-29.
- Publisher:
- Emerald
Purpose: Existing literature has examined what recovery means to people with co-occurring difficulties, but does little to examine experiences of recovery as a process. The purpose of this paper is to use a narrative approach to explore the process of recovery as an individual journey in a social context. It focuses on people who use alcohol in order to explore the impact of alcohol’s specific cultural meanings on the recovery journey. Design/methodology/approach: Ten interviews with people with coexisting mental health and alcohol misuse difficulties were conducted, audio-recorded, and transcribed. The transcriptions were analysed using narrative analysis. Findings: Most participants’ narratives shared a three-part structure, from a traumatic past, through an episode of change, to an ongoing recovery phase. Change and recovery were attributed to several factors including flexible and practical support from services, therapeutic relationships with key professionals, and peer support. Some participants redefined themselves and their alcohol use in relation to ideas of what it is to be “normal”. Research limitations/implications: The research excluded people who recover outside of services, replicating a shortcoming of much research in this area. Practical implications: The value placed on professionals having specialised therapeutic skills in working with trauma highlights the need for training in this area. The role for practical and material support underlines the importance of multi-agency working. Originality/value: The narrative methodology enables the study to draw links between personal stories of recovery and wider social influences, allowing comment on the implications for services. Further, the experiences of people with coexisting mental health and alcohol misuse difficulties have rarely been studied apart from the dual diagnosis population in general, so this paper is able to investigate the specific challenges for this population. (Publisher abstract)
Dual diagnosis among veterans in the United States
- Authors:
- CRANE Cory A., SCHLAUCH Robert C., EASTON Caroline J.
- Journal article citation:
- Advances in Dual Diagnosis, 8(1), 2015, pp.4-17.
- Publisher:
- Emerald
Purpose: Over the course of their service, veterans are exposed to elevated levels of chronic stress that contribute to a greater prevalence of mental illness than observed in the general population. When mental illness is present, comorbidity is normative. Convergent evidence suggests that co-occurring substance use and mental illness is among the most prevalent forms of comorbidity within veteran samples. The purpose of this paper is to explore issues associated with dual diagnoses among veterans in the USA. Design/methodology/approach: Research on dual diagnoses among veterans was reviewed and consolidated for presentation into three substantive content areas consisting of prevalence, associated conditions, and treatment of dual diagnoses. Findings: Dually diagnosed veterans represent a group at particularly high risk for myriad adverse biopsychosocial and treatment outcomes, including poor health, suicidality, violence or aggressive behaviour, arrest, homelessness, and unemployment. A comprehensive strategy has been implemented within the Veterans Health Administration to address dual diagnosis and related problems. Additional research is required to more readily identify co-occurring substance use and mental illness and to refine integrated intervention approaches to minimize burden while improving treatment outcomes for veterans and their families. Originality/value: The current review includes a wide range of research spanning more than two decades and describing dual diagnosis among combat veterans of all modern eras. Areas in need of further research (e.g. dual diagnosis among female veterans; early detection of psychopathology and fully integrated care among returning veterans) are identified and discussed. (Publisher abstract)
Dual diagnosis discourse in Victoria Australia: the responsiveness of mental health services
- Authors:
- ROBERTS Bridget M., MAYBERY Darryl
- Journal article citation:
- Journal of Dual Diagnosis, 10(3), 2014, pp.139-144.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In recent decades, psychiatric services have been challenged to be more responsive to patients’ coexisting problems, in particular those concerning substance use. In Australia this has been referred to as a “No Wrong Door” approach. This qualitative study involved a review of the research literatures, analysis of policy documents, and interviews with 19 key informants in a case study of the State of Victoria, Australia. Informants were from a range of professional backgrounds, including medical, nursing, social work, and a variety of experience in the relevant service sectors. The analysis resulted in two broad themes surrounding the implications of dual diagnosis discourse for the mental health sector. The first involves progress regarding the concept of No Wrong Door with subthemes including interprofessional cultural conflicts, intersectoral professional status issues, terminology, problem definition, perspectives on serious mental illness, the role of the client, and pharmacological treatment. The second overarching theme focuses upon informants’ thoughts on future directions for the sector and highlights divided opinion on the implications of dual diagnosis discourse for the mental health service and social care systems. While the perspectives on system change and multiple issues such as resource concerns and cultural clashes are presented here, the informants in this study also gave clear guidance for the future of dual diagnosis work in the mental health sector (e.g., focusing on orienting services toward consumer strengths and recovery), along with recommendations for future research. This paper contributes to the small body of qualitative research on the history and course of efforts to develop appropriate practice in mental health services with regard to patients who have substance use problems and other mental health disorders. (Edited publisher abstract)
Hope and recovery: a scoping review
- Authors:
- SAELOR Knut Tore, et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(2), 2014, pp.63-72.
- Publisher:
- Emerald
Purpose: Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of this paper is to explore how hope, and what may inspire it, is described within the literature by persons experiencing co-occurring mental health and substance use problems. Design/methodology/approach: The method chosen when conducting this literature review was a scoping study. This allows for a broad approach, aiming to examine research activity and identifying potential gaps within existing literature. Searches were conducted in EMBASE Ovid, PsychINFO Ovid, MEDLINE Ovid, CINAHL Ebsco, SveMed+ and Brithish Nursing Index. Findings: The authors included five articles and one book. None of these presented first-hand experiences of hope and there appears to be a gap in the literature. All included material underlined the importance of the phenomenon to those experiencing co-occurring mental health and substance use problems. Originality/value: Hope seems as important to people experiencing co-occurring problems as to anyone else. There appears to be a need for further research on how persons experiencing co-occurring problems perceive hope and what may inspire it. Hope and what people hope for take many forms and can arise unexpectedly. Practitioners need to take in account the diversity of the phenomenon and find ways of inspiring hope in collaboration with those in need of support.
A novel treatment resource for co-occurring symptoms
- Authors:
- McCALLUM Stacey L., et al
- Journal article citation:
- Advances in Dual Diagnosis, 6(4), 2013, pp.155-167.
- Publisher:
- Emerald
This paper describes the development of a self-directed treatment tool which uses cognitive behavioural therapy techniques to reduce anxiety symptoms in patients seeking treatment for alcohol-related problems. The booklet was formatted for the patients to completed over four weeks, with each week targeting a different CBT technique. Semi-structured interviews were conducted with 15 patients presenting to hospital for alcohol related problems and 10 practitioners working at inpatient, outpatient and residential treatment facilities in Adelaide, South Australia. The majority of patients (80 percent) and practitioners (90 percent) felt the booklet was a practical, usable educational resource for patients sufferening from co-occuring anxiety symptoms in substance abuse facilities. Participants also outlined the limitations of the resource. It was suggested that the booklet would be most suitable for patients with moderate to high cognitive ability, who also exhibit a motivation to change alcohol consumption and have access to additional support. Findings suggest suggest that the booklet may be most useful for improving treatment accessibility and treatment seeking behaviours, rather than reducing practitioner-patient contact. (Edited publisher abstract)
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.