Search results for ‘Subject term:"mental health problems"’ Sort:
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Client-level measures of services integration among chronically homeless adults
- Authors:
- MARES Alvin S., GREENBERG Greg A., ROSENHECK Robert A.
- Journal article citation:
- Community Mental Health Journal, 44(5), October 2008, pp.367-376.
- Publisher:
- Springer
This American study presents three client-level measures of services integration, two objective measures, representing the proportion of needed services received and the number of outpatient services received by each client, and one subjective measure, a five-item scale measuring perceived coordination of care among clients’ service providers. Data from the evaluation of the collaborative initiative to help end chronic homelessness (CICH) are used to examine bivariate and multivariate relationships of these three client-level measures to two system-level measures of services integration, one addressing interagency services coordination/planning and the other interagency trust/respect as well as to baseline client characteristics among 734 chronically homeless adults in 11 American cities. Client-level measures of service integration were not strongly associated to each other or to the system-level measures, except for weak associations between one objective client measure and the system-level measure of service coordination and planning, and another between client-level use of outpatient mental health services and system-level trust and respect. Multivariate analysis showed that clients who received a greater array of needed services received more service overall and were more likely to have a diagnosis of PTSD and more medical problems, but less serious alcohol problems. Clients who reported more outpatient mental health and substance abuse visits were significantly more likely to be married, to be veterans, to have more serious drug problems, and to be dually diagnosed. Clients with more serious drug problems reported poorer coordination among their service providers on the subjective measure of client-level service integration. Three client-level measures of services integration were, at best, weakly associated with measures of system-level integration. Positive associations between client-level measures of integration and health status, outpatient service use and negative relationships with indicators of substance abuse suggest they may usefully represent the experiences of chronically homeless clients, even though they are not strongly related to system-level measures.
Housing scheme is putting people in the comfort zone
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 11.12.08, 2008, pp.36-37.
- Publisher:
- Reed Business Information
Reports on the work of the supported housing provider Comfort Care Services. The organisation provides supported accommodation for people with mental illness, learning disabilities and substance misuse problems in Slough, Reading and Maidenhead. It has also developed vital crisis units and an innovative Move On programme which operates a structured, three-tiered approach to support that eventually leads to clients living independently.
An exploratory investigation of co-occurring substance-related and psychiatric disorders
- Authors:
- FABRICIUS V., LANGA M., WILSON K.
- Journal article citation:
- Journal of Substance Use, 13(2), April 2008, pp.99-114.
- Publisher:
- Taylor and Francis
This exploratory, quantitative study investigated the prevalence rate of patients with co-occurring substance-related and psychiatric disorders (CODs) at a private rehabilitation centre in Johannesburg, South Africa. Details of the case histories of the clients were collected, coded and analysed using Statistical Analysis System (SAS). The results indicated that 57.1% of 419 clients had one or more co-occurring psychiatric disorder, along with a substance-related disorder. Of the 239 with a COD, 155 had a mood disorder, 40 had an anxiety disorder, 39 had ADHD, 35 had an eating disorder, eight had a conduct disorder and five had schizophrenia. Statistically significant relationships were found for ADHD with cannabis-related disorders and polysubstance dependence; anxiety-related disorders with alcohol-related disorders; and mood disorders with cocaine-related disorders, possibly substance-induced disorders and substance-induced disorders. These results showed that a large group of patients admitted at the centre had one or more COD and this made the treatment more complex. The results of this study suggest the need to develop specialized treatment programmes for patients with CODs.
Using information technology to evaluate the detection of co-occurring substance use disorders amongst patients in a state mental health system: implications for co-occurring disorder state initiatives
- Authors:
- HUANG Fredrick Y., et al
- Journal article citation:
- Community Mental Health Journal, 44(1), February 2008, pp.11-27.
- Publisher:
- Springer
The current study describes a system-wide method of evaluating detection strategies for co-occurring disorders within a state mental health system. Information technology was used to merge administrative datasets from the New Jersey mental health and substance abuse systems and identify individuals treated in both systems. The study measured a 53% detection rate of substance use disorders amongst adult patients in the mental health system with particularly low detection rates in acute settings (49.0%) and among female (43.7%), older (36.2%), and psychotic patients (43.6%). The methodology described here could help evaluate critical aspects of ongoing state co-occurring disorder quality improvement initiatives.
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.
The role of CAMHS and addiction psychiatry in adolescent substance misuse services
- Authors:
- ALDRIDGE Tom, et al
- Publisher:
- National Treatment Agency for Substance Misuse
- Publication year:
- 2008
- Pagination:
- 51p., bibliog.
- Place of publication:
- London
Substance misuse is a major public health problem with the potential to impair the development of many young people. This document highlights the intricate and complex relationships between adolescent mental health and adolescent substance use, and demonstrates the potential for recovery and rehabilitation of a large group of substance-misusing and dependent young people. This is achievable by better assessment of the most severely affected young people, delivery of more systematic, practical interventions, and a much greater synergy between mental health services and those working currently in the substance misuse field. Collaboration may be required between a range of professionals and agencies, including education, paediatrics, early intervention in psychosis teams, child and adolescent mental health services, and child protection services. This document presents a number of service descriptions compiled by psychiatrists who have blended knowledge of child and adolescent mental health and addiction, skills and treatments, and who have facilitated and developed distinctive services. Taken together, these descriptions provide a new vision of the potential course of service development.
The recovery paradigm in trauma work: approaches to healing psychiatric disability and substance abuse in women's lives
- Authors:
- BUSSEY Marian, WISE Judith Bula
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 7(3-4), 2008, pp.355-379.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Focusing on women with psychiatric disabilities and substance issues, particularly those who have histories of abuse, violence and trauma, this article addresses the importance of integrative treatment as a prerequisite for psychiatric rehabilitation and recovery. The authors discuss psychiatric rehabilitation, trauma, treatment philosophy, consumer empowerment and the concept of an integrated model of recovery. They describe three integrated trauma and alcohol and other drug models created primarily for women, and discuss their content, the challenges of system change and the results of the integrated model.
Therapeutic communities for psychosis: philosophy, history and clinical practice
- Editors:
- GALE John, REALPE Alba, PEDRIALLI Enrico, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- London
This book offers a global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Twenty nine authors from 14 different countries describe their work. The book is divided into three parts which cover the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context; treatment settings and clinical models; and alternative therapies and extended applications. It is intended as a resource for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy, and group analysis.
From "double trouble" to "dual recovery": integrating models of recovery in addiction and mental health
- Authors:
- DAVIDSON Larry, et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(3), 2008, pp.273-290.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is increasingly recognised by both the mental health and substance misuse fields that people with mental illnesses and addictions are first and foremost people rather than diagnoses or disorders. As such, they are the experts in what it means to live through and recover from disorders, and their views need to be accessed in order for the person-first approach to become more than rhetoric. This paper reviews two models of recovery, one in mental health and the other in addictions, that were developed in collaboration with advocates and recovering individuals. These are then integrated to produce a strengths-based model of dual recovery. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Substance of young minds
- Author:
- SMITH Martin
- Journal article citation:
- Addiction Today, 19(113), July 2008, pp.18-19.
- Publisher:
- Addiction Recovery Foundation
Young people with poor mental health accompanied by substance misuse often do not get the support they need, which can lead to further problems in the future. The author explains the issues and advocates multi-agency support.