Mentally ill drug users are among the worst-serviced groups in the community, with both mental health and drug services often refusing to acknowledge their existence. This creates a huge scope for misdiagnosis. Argues that unless services can recognise and respond appropriately to all their clients, they effectively exclude them. A re-examination of the suitability of harm reduction tactics when dealing with mentally ill drug misusers is required.
Mentally ill drug users are among the worst-serviced groups in the community, with both mental health and drug services often refusing to acknowledge their existence. This creates a huge scope for misdiagnosis. Argues that unless services can recognise and respond appropriately to all their clients, they effectively exclude them. A re-examination of the suitability of harm reduction tactics when dealing with mentally ill drug misusers is required.
Subject terms:
mental health problems, mental health services, multidisciplinary services, social care provision, assessment, drug misuse;
SOCIAL CARE INSTITUTE FOR EXCELLENCE, KEARNEY Patricia, LEVIN Enid, ROSEN Gwen
Publisher:
National Institute for Social Work
Publication year:
2000
Pagination:
60p.,bibliog.
Place of publication:
London
Report of a NISW research and development project looking at the interfaces within and between services for families where a parent has a persistent mental health, alcohol or drug problem. Services that have been set up to help the children and parents in such families are located in and administered by a number of different organisations. Effective collaboration, joint working across the many interfaces, and a focus on the family as a whole are essential if children and their parents are to receive appropriate help, advice and guidance.
Report of a NISW research and development project looking at the interfaces within and between services for families where a parent has a persistent mental health, alcohol or drug problem. Services that have been set up to help the children and parents in such families are located in and administered by a number of different organisations. Effective collaboration, joint working across the many interfaces, and a focus on the family as a whole are essential if children and their parents are to receive appropriate help, advice and guidance.
Subject terms:
interagency cooperation, joint working, mental health problems, mental health services, multidisciplinary services, social care provision, alcohol misuse, children, drug misuse, families;
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.
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.
Subject terms:
integrated services, joint working, joint planning, mental health problems, multidisciplinary services, psychiatry, communication, drug misuse, dual diagnosis;
British Journal of Psychiatry, 183(10), October 2003, pp.304-313.
Publisher:
Cambridge University Press
Improved management of mental illness and substance misuse comorbidity is a National Health Service priority, but little is known about its prevalence and current management. This research measures the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management. Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention. Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
Improved management of mental illness and substance misuse comorbidity is a National Health Service priority, but little is known about its prevalence and current management. This research measures the prevalence of comorbidity among patients of community mental health teams (CMHTs) and substance misuse services, and to assess the potential for joint management. Of CMHT patients, 44% (95% CI 38.1-49.9) reported past-year problem drug use and/or harmful alcohol use; 75% (95% CI 68.2-80.2) of drug service and 85% of alcohol service patients (95% CI 74.2-93.1) had a past-year psychiatric disorder. Most comorbidity patients appear ineligible for cross-referral between services. Large proportions are not identified by services and receive no specialist intervention. Comorbidity is highly prevalent in CMHT, drug and alcohol treatment populations, but may be difficult to manage by cross-referral psychiatric and substance misuse services as currently configured and resourced.
Subject terms:
intervention, mental health problems, multidisciplinary services, psychiatry, social care provision, alcohol misuse, community mental health services, community mental health teams, diagnosis, drug misuse, dual diagnosis, comorbidity;
Explains how children whose parents misuse alcohol and drugs, or have mental health problems cannot be properly served without better collaboration between agencies. Goes on to discuss findings of a recent research and development project at the National Institute for Social Work.
Explains how children whose parents misuse alcohol and drugs, or have mental health problems cannot be properly served without better collaboration between agencies. Goes on to discuss findings of a recent research and development project at the National Institute for Social Work.
Subject terms:
interagency cooperation, joint working, mental health problems, multidisciplinary services, parents, social care provision, vulnerable children, child care, child protection, children, drug misuse, families, parental mental health;
TYRER Peter, HARRISON-READ Phil, van HORN Elizabeth
Publisher:
Butterworth-Heinemann
Publication year:
1997
Pagination:
308p.,bibliog.
Place of publication:
Oxford
Contains chapters on: the justification for drug treatment in psychiatry; drugs and the brain; drug treatment in clinical practice; multidisciplinary teamwork; organic disorders; community treatment of schizophrenia; mood disorders; neurotic and stress related disorders; substance misuse; the place of drug treatment in personality disorders; and strategies for drug treatment in the community.
Contains chapters on: the justification for drug treatment in psychiatry; drugs and the brain; drug treatment in clinical practice; multidisciplinary teamwork; organic disorders; community treatment of schizophrenia; mood disorders; neurotic and stress related disorders; substance misuse; the place of drug treatment in personality disorders; and strategies for drug treatment in the community.
Subject terms:
medication, mental health problems, multidisciplinary services, personality disorders, psychiatry, schizophrenia, severe mental health problems, teamwork, treatment, therapy and treatment, community care, community mental health services, dementia, depression, drug misuse;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
HMSO
Publication year:
1995
Pagination:
102p.
Place of publication:
London
Subject terms:
HIV AIDS, inspection, learning disabilities, looked after children, mental health problems, multidisciplinary services, older people, physical disabilities, quality assurance, social services, social welfare law, social care provision, staff development, training, alcohol misuse, child protection, community care, children, domestic violence, drug misuse;
Includes papers on: teamwork among professionals involved with disturbed families; integrating hospital and community services; policy and finance for community care; primary health care; day care and rehabilitation services; community care, community compulsion and the law; the role of the voluntary sector; managing the psychiatric emergency in the community; interventions with long-term clients; coping with drug and alcohol misuse; shifting into community focus; dealing with psychosis in families; liaison psychiatry and primary health care settings; long-term medication and the responsibilities of the team; daily living skills for clients in the community; support for community psychiatric nurses in multidisciplinary teams; principles of evaluation; evaluating community services; and multidisciplinary care in the community for users with mental health problems - guidelines for the future.
Includes papers on: teamwork among professionals involved with disturbed families; integrating hospital and community services; policy and finance for community care; primary health care; day care and rehabilitation services; community care, community compulsion and the law; the role of the voluntary sector; managing the psychiatric emergency in the community; interventions with long-term clients; coping with drug and alcohol misuse; shifting into community focus; dealing with psychosis in families; liaison psychiatry and primary health care settings; long-term medication and the responsibilities of the team; daily living skills for clients in the community; support for community psychiatric nurses in multidisciplinary teams; principles of evaluation; evaluating community services; and multidisciplinary care in the community for users with mental health problems - guidelines for the future.
Subject terms:
interagency cooperation, joint working, law, intervention, medication, long term care, mental health problems, multidisciplinary services, patients, psychiatry, primary care, rehabilitation, residential care, teamwork, voluntary organisations, assertive outreach, alcohol misuse, community care, community mental health nurses, community mental health services, community mental health teams, day services, drug misuse, families, evaluation;