Search results for ‘Subject term:"mental health problems"’ Sort:
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Dual diagnoses among detained female systematic offenders
- Authors:
- BLAAUW Eric, et al
- Journal article citation:
- Advances in Dual Diagnosis, 9(1), 2016, pp.7-13.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the prevalence of psychopathology including substance use disorders in a sample of detained female systematic offenders. Design/methodology/approach: All case files of female systematic offenders who had been subjected to a special court order for systematic offenders in the period 2004-2014 were studied. A total of 81 fairly complete case files were selected for the study. These were all systematic offenders as they had been sentenced for at least 25 offences with an average of 102 offences over a period of 17.5 years. Findings: All except one woman were addicted to substances in the past year, with an average duration of addiction of 21 years. In addition, 53 per cent were diagnosed with another DSM Axis I disorder and 73 per cent were diagnosed with a personality disorder. Furthermore, 32-59 per cent were found to have intellectual dysfunctions. In total, 12 per cent had one type of the above disorders, 43 per cent two types, 31 per cent three types and 14 per cent all four types. The prevalence rates of these disorders were higher than those reported in other prison studies. Research limitations/implications: It is concluded that female systematic offenders can be characterised as problematic in many respects. Even in such a problematic group treatment can be provided. (Edited publisher abstract)
Economic evaluation of the SOS training to reduce victimization in dual diagnosis patients
- Authors:
- DE WAAL Marleen M., et al
- Journal article citation:
- Journal of Dual Diagnosis, 17(4), 2021, pp.333-343.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Economic evaluations of interventions for dual diagnosis patients are scarce. A recent randomized controlled trial has supported the effectiveness of the Self-wise, Otherwise, Streetwise (SOS) training to reduce victimization in dual diagnosis patients. The purpose of the current study was to analyse the cost-effectiveness and cost-utility of the SOS training as an add-on to care as usual (CAU). Methods: the researchers performed an economic evaluation from a societal perspective alongside the SOS trial. Participants were 250 dual diagnosis patients recruited at three locations from a large urban psychiatric service in the Netherlands. The main outcomes were treatment response for victimization and quality-adjusted life years (QALYs). Both costs and effects were measured across a 14-month follow-up. Results: There was no significant difference between CAU + SOS and CAU in total costs (mean difference €4,859; 95% CI [−€4,795 to €14,513]) and QALY gains (mean difference 0.0012; 95% CI [−0.05 to 0.05]). Significantly more participants in CAU + SOS achieved treatment response for victimization compared to CAU (68% vs. 54%; mean difference 0.14; 95% CI [0.02 to 0.26]). The cost-effectiveness analysis indicated an 83% likelihood that CAU + SOS resulted in a higher treatment response rate for victimization at higher costs compared to CAU. The cost-utility analysis indicated that adding SOS-training to CAU is probably not cost-effective at conventional willingness-to-pay levels for QALYs. Conclusions: At a societal willingness-to-pay of €38,000 or more per extra treatment responder, adding SOS-training to usual care is probably more attractive than usual care alone with regard to cost-effectiveness. This is a considerable willingness to pay. However, the direct costs of offering the SOS training are expected to be minor. Our findings should be interpreted with caution due to the short follow-up period and absence of data on potential reductions in police and judicial costs other than prison costs. (Edited publisher abstract)
Assertive community treatment and associations with substance abuse problems
- Authors:
- van VUGT Maaike D., et al
- Journal article citation:
- Community Mental Health Journal, 50(4), 2014, pp.460-465.
- Publisher:
- Springer
This study examined the associations between substance abuse problems in severely mentally ill patients, outcome and Assertive Community Treatment (ACT) model fidelity. In a prospective longitudinal study, ACT model fidelity and patient outcomes were assessed in 20 outpatient treatment teams using the Health of the Nation Outcome Scales, Camberwell Assessment of Needs short appraisal schedule and measures of service use. Five hundred and thirty severely mentally ill patients participated in the study. Substance abuse problems were assessed three times during a 2-year follow-up period. This study found that among patients with severe mental illness, patients with an addiction problem had more serious psychosocial problems at baseline. Substance abuse problems showed improvement over time, but this was not associated with ACT model fidelity. The study indicates that investment by teams to improve a patient’s psychosocial situation can lead to improvements on substance problems. (Publisher abstract)
Green care farms, a safe community between illness or addiction and the wider society
- Authors:
- ELINGS Marjolein, HASSINK Jan
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 29(3), Autumn 2008, pp.310-322.
- Publisher:
- Emerald
This paper presents the results of focus group interviews with 42 people with a psychiatric or addiction history who work in eight different green care farms in the Netherlands. Undertaking farming activities helps participants feel useful and healthier and they develop more self-esteem, self-respect and responsibility. Working on a green care farm can contribute more structure and discipline to the lives of participants, which can create the foundation for new activities or (voluntary) work elsewhere.
Children of mentally ill or addicted parents participating in preventive support groups
- Authors:
- SANTVOORT Floor van, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 15(4), 2013, pp.198-213.
- Publisher:
- Taylor and Francis
The large number of children with mentally ill or addicted parents calls for efficient provision of preventive support: interventions should be offered to children most at risk and attune to their risk levels and needs. This study provided insight in the (heterogeneous) needs of children participating in preventive support groups. Questionnaires were filled out by 170 children (8–12 years) and their ill parent on children's psychosocial problems, parental illness-related cognitions and various risk factors. Outcomes show that 55.7% of the children had clinical psychosocial problems, 13.3% had subclinical problems and 31% functioned relatively well. Eighty-three percent experienced multiple risk factors. A linear cumulative relation was found between the number of risk factors and intensity of child problems. Children were classified into four risk profiles according to their own functioning and family risk level. The heterogeneity in the support group participants might call for interventions of different intensity and content. (Publisher abstract)