Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 15
Pillar to post: a film about dual diagnosis
- Authors:
- HOLE Ben, (Director), MIND IN CROYDON, (Producer)
- Publisher:
- MIND
- Publication year:
- 2002
- Pagination:
- (23 mins), DVD
- Place of publication:
- Purley
People with a dual diagnosis of both mental health and substance misuse problems are currently considered to be one of greatest challenges to services. The DVD features people with a dual diagnosis and a range of experts who describe the difficulties faced both by services and service users. The film shows that many service users are self-medicating with street drugs because they find such substances more helpful and less damaging than prescribed psychiatric medication. The film argues that the problem is not necessarily due to service users with multiple needs but with services whose approach can be the cause of many more problems for service users.
Setting up a methadone maintenance clinic in a hostel in London’s West End
- Authors:
- DUNN John, et al
- Journal article citation:
- Psychiatric Bulletin, 30(9), September 2006, pp.337-339.
- Publisher:
- Royal College of Psychiatrists
A satellite methadone prescribing service was set up in a hostel in London’s West End. The aim was to investigate if it were feasible to engage and retain these hard-to-reach, chaotic, polydrug users in treatment. A basic needs assessment was undertaken with staff and clients at the hostel. Treatment outcomes were assessed at 16 weeks using the Maudsley Addiction Profile. At 16 weeks 87% of the original cohort (26 out of 30) were still in treatment. There were also significant reductions in mean heroin use (from 29.7 to 14.5 out of the past 30 days, P<0.001) and in the frequency of injecting (from 25.9 to 15.9 days, P<0.001). This outreach clinic offers a model for developing services to homeless people with substance misuse problems.
Economic evaluations of HIV treatment and health research with people diagnosed with HIV infection and co-occurring mental health and substance use disorders
- Authors:
- CONOVER C. J., et al
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S121-S136.
- Publisher:
- Taylor and Francis
This paper describes the research challenges involved in measuring costs in economic evaluations of patients who are coping simultaneously with HIV/AIDS and co-occurring mental health and substance abuse disorders--especially in multi-site studies. The authors describe the general issues that arise in measuring costs for this population and suggest some operational solutions for their resolution, drawing from our experience in a recent multi-site health services research study focused on this population. They show that while reliance on patient self-report data may be unavoidable to provide a common denominator in multi-site studies, there are also some practical ways of improving the accuracy of such data and the cost estimates that result from them. They also provide readers with a means for securing the data collection instruments developed for the cost component of this study in the hope that these may serve as templates for researchers doing.
Substance abuse and co-occurring psychiatric disorders in older adults: a clinical case and review of the relevant literature
- Authors:
- SALMON Joanna Marie, FORESTER Brent
- Journal article citation:
- Journal of Dual Diagnosis, 8(1), January 2012, pp.74-84.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Substance misuse is predicted to become an increasing problem in the older adult population in the United States. This article uses a brief clinical case study to illustrate the issues and to introduce a review of the literature related to substance use and psychiatric illness in older adults. The review looks at prevalence of substance use disorders, psychiatric illness and co-occurrence in older adults, drug interactions and sensitivity and tolerance to alcohol and drugs, neurobiological consequences and cognitive impairment, including alcoholism, depression and brain changes, identification and assessment, and treatment of co-occurring disorders in older people. The article notes the unique challenges relating to treatment of older adults with co-occurring disorders. The authors suggest that further research into the older adult population with substance use disorders and co-occurring illness is required.
Ensuring integrated treatment for people with mental health and substance use problems
- Author:
- HAMILTON Ian
- Journal article citation:
- Nursing Times, 23.3.10, 2010, pp.12-15.
- Publisher:
- Nursing Times
The prevalence of dual diagnosis is high among those who access mental health and addiction services. Definitions of dual diagnosis, the prevalence of the condition and the reasons why people with mental illness use substances are briefly examined. Methods of assessment, the importance of integrated treatment and issues that need to be considered in management plans for this group, such as drug interactions and treatment approaches are also discussed.
Factors associated with adherence to highly active antiretroviral therapy in homeless or unstably housed adults living with HIV
- Authors:
- ROYAL Scott W., et al
- Journal article citation:
- AIDS Care, 21(4), April 2009, pp.448-455.
- Publisher:
- Taylor and Francis
The aim of this study is to investigate adherence to highly active antiretroviral therapy (HAART) in persons living with HIV/AIDS (PLWHA) who are homeless or unstably housed. The authors evaluated homeless or unstably housed PLWHA (n=644) in three US cities enrolled in the Housing and Health Study. Using baseline data and controlling for gender, race, age, and education, they examined associations between self-reported two- and Seven-day adherence and access to healthcare, mental health, substance use, and attitudes toward HIV medical therapy. Of the 644 participants, 358 (55%) were currently on HAART. For two-day adherence, 280 (78%) reported missing no prescribed doses (100% adherence), and for seven-day adherence, 291 (81%) reported ≥90% adherence. Logistic regression analyses indicated being younger, not having health insurance, and drug use were associated with missing ≥1 dose over the past two days. Scoring lower on SF-36 mental component summary scale and having greater risk of depression (CES-D) and stress (Perceived Stress Scale) were associated with poorer adherence for both two- and seven-day outcomes. Negative attitudes toward HIV treatment were also associated with lower adherence. Adherence to HIV medications in this population is similar to other groups. Coexisting problems of access to healthcare, higher risk of mental health problems, along with poorer attitudes toward treatment are associated with increased likelihood of missing doses. Comprehensive models of HIV care that include a continuum of medical and social services are essential for treating this population.
Consumer representation in multi-site HIV, mental health, and substance abuse research: the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study
- Author:
- MEYER P.
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S137-S153.
- Publisher:
- Taylor and Francis
Funders of HIV, mental health, and substance abuse research and services are increasingly mandating substantial consumer representation in the programmes they support. A review of the literature reveals that despite considerable challenges, consumer representation in HIV, mental health, and substance abuse research and services can be extremely valuable, both for the consumer representatives and the programmes they serve. The consumer representation model of the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study is described. Consumer representatives and principal investigators are interviewed about their experiences working within the model. Their collective comments form the basis of recommendations for practice when employing consumer representation models
Mental disorders, medications and clinical social work
- Author:
- AUSTRIAN Sonia G
- Publisher:
- Columbia University Press
- Publication year:
- 1995
- Pagination:
- 317p.,bibliog.
- Place of publication:
- New York
Practical guide, aimed at social workers, to mental health problems. Includes chapters on: anxiety disorders; mood disorders; somatoform and factitious disorders; dissociative disorders; schizophrenia; disorders arising from substance abuse; eating disorders; personality disorders; dementia; psychological and neuropsychological assessment; and psychotropic medications.
Understanding the interface of HIV, trauma, post-traumatic stress disorder, and substance use and its implications for health outcomes
- Authors:
- BRIEF D. J., et al
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S97-S120.
- Publisher:
- Taylor and Francis
Many individuals living with HIV have been exposed to some type of traumatic event during their lives and may be living with symptoms of post-traumatic stress disorder (PTSD). A substantial number of these individuals are also likely to show evidence of a co-morbid substance use disorder (SUD). There is reason to believe that the co-occurrence of HIV and PTSD or co-morbid PTSD and SUD (PTSD/SUD) may predict poorer health outcomes. There are several pathways through which PTSD or PTSD/SUD might adversely impact the health of individuals living with HIV, including participation in negative health behaviours, low levels of adherence to antiretroviral medications, and/or a direct, deleterious effect on immune function. Psychological interventions are needed to treat PTSD and PTSD/SUD in HIV-positive individuals, and reduce the negative impact of these conditions on health outcomes. This article will explore data on the prevalence of trauma exposure, PTSD, and PTSD/SUD among individuals living with HIV, the pathways through which these conditions might affect health, possible interventions for PTSD and PTSD/SUD for individuals living with HIV, and methods for integrating care for individuals with these disorders. Future directions for research related to HIV, PTSD, and PTSD/SUD are also be discussed.
The HIV/AIDS Treatment Adherence, Health Outcomes, and Cost Study: conceptual foundations and overview
- Author:
- HIV/AIDS TREATMENT ADHERENCE HEALTH OUTCOMES AND COSTS STUDY GROUP
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S6-S21.
- Publisher:
- Taylor and Francis
A growing population of people living with HIV/AIDS have co-morbid psychiatric and substance abuse diagnoses, increasing the need for integrated services for persons with multiple diagnoses. This article reviews models of integrated services for multiply diagnosed persons living with HIV/AIDS. We focus on the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study to highlight the elements of multifaceted and integrated service delivery systems for people with HIV, substance abuse, and mental health disorders. Study organizational features and models of integrated services are discussed, including details of models for assessing mental health and substance abuse, outcomes, and the cost-effectiveness of integrated services.