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Advances in Dual Diagnosis
- Publisher:
- Emerald
This practice-based Journal offers access to and information about dual diagnosis in the UK. It provides practical information to help improve services for people with dual diagnosis. The title is peer-reviewed. Articles from this journal are indexed and abstracted selectively on Social Care Online.
Mental health in Scotland: closing the gaps - making a difference: commitment 13
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2007
- Pagination:
- 35p.
- Place of publication:
- Edinburgh
The aims of this publication are to improve the awareness of co-occurring mental health and substance misuse problems, to improve support and service provision for people who have both mental health and substance misuse problems (and their carers), and to reduce stigma and influence positively attitudes towards this care group.
The Hoosier Assurance Plan instrument for adults (HAPI-A): the psychometric properties of a level of functioning assessment instrument designed for use in a state managed care mental health program
- Authors:
- McGREW John, NEWMAN Fredrick L., DELIBERTY Richard N.
- Journal article citation:
- Community Mental Health Journal, 43(5), October 2007, pp.481-515.
- Publisher:
- Springer
The psychometric properties of the HAPI-A were examined at intake and 90-day follow-up in consumers with mental illness (MI) or chronic addiction (CA) being served at one of 11 treatment facilities (n = 1168). A 4-factor subscale structure was confirmed and factor invariance tests indicated a single model for the CA and MI samples. Internal consistency and inter-rater reliability were good. Factor scores correlated with GAF ratings and predicted membership in severity/cost groupings proposed for setting reimbursement rates. Sensitivity to change was confirmed for all four factors for the CA sample and for three of four factors for the MI sample.
Dual diagnosis capability: moving from concept to implementation
- Authors:
- MINKOFF Kenneth, CLINE Christine A.
- Journal article citation:
- Journal of Dual Diagnosis, 2(2), 2006, pp.121-134.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Dual diagnosis capability (DDC) refers to the notion that every agency/program providing behavioural health services must have a core capacity to provide services to individuals and families with co-occuring mental health and substance misuse issues who are already using services. This American article describes the history and characteristics of dual diagnosis capability (DDC). It then presents an illustration of usual starting paces for the implementation of DDC within agencies/programs engaged in the developmental process. It concludes with consideration of future challenges as DDC becomes better defined and organised through the system of care. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Journal of Dual Diagnosis
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Journal of Dual Diagnosis examines the latest research in the co-occurrence of mental health disorders and substance abuse disorders. The journal is useful for clinicians, research neuroscientists, mental health services researchers, and health service administrators, as well those in training. Its coverage includes high quality, original scientific papers, brief research reports, clinical case reports, and review articles important to the clinical and therapeutic aspects of dual diagnosis. This journal title is indexed and abstracted selectively on Social Care Online.
Predictors of successful return to work from HIV-related disability
- Authors:
- DiCLEMENTI Jeannie D., et al
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 3(3), 2004, pp.91-98.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examines factors distinguishing HIV-infected persons who successfully return to work (RTW) from those who do not. Records were obtained from 135 participants in a return to work program; these were matched with the records of 135 persons who did not return to work. Matching was made on the basis of age, gender, race, CD4 counts, and length of time in treatment. The return to work group had a greater total number of mental health diagnoses than the non-return group; however, when type of diagnosis was controlled for, the non-return group had greater numbers of substance use disorders. It appears that substance use disorders precludes a successful return to the workforce, while accessing the mental health treatment system may actually facilitate a return to work. Careful psychosocial assessment of clients on entry into the primary care clinic can aid referrals directly into a RTW program or into services that would facilitate an eventual return to work. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Service uptake in a sample of substance misuse and community mental health service clients: a case control study
- Authors:
- TODD J., et al
- Journal article citation:
- Journal of Mental Health, 14(2), April 2005, pp.95-107.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study compared service use in clients with single and comorbid diagnoses from Adult Mental Health (AMH) and Drug and Alcohol services (DAS). A retrospective matched case-control study of a sample of service users of a mental health Trust in East Anglia drawn across 400 AMH and 190 DAS. Odds ratios were estimated and used to test for differences in client groups with respect to uptake of community services, formal and informal in-patient services, “out-of-hours” services and engagement with statutory services.Marked differences were observed in terms of service use between clients of AMH who had a single diagnosis of severe, chronic or recurrent psychiatric problems and clients of AMH who had additional substance misuse problems. Differences were less pronounced between clients of DAS who had a single diagnosis of substance misuse and clients of DAS who had substance misuse and psychiatric problems. It is concluded that substance misuse could be a factor influencing service uptake rather than comorbidity per se.
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.
Early and late onset groups of substance misusers: differences in primary and secondary psychiatric disorders
- Authors:
- BAKKEN K., LANDHEIM A.S., VAGLUM P.
- Journal article citation:
- Journal of Substance Use, 9(5), October 2004, pp.224-234p.
- Publisher:
- Taylor and Francis
Aimed to identify clinical differences between early and late onset (EO and LO, under and over 18) groups with substance use disorders (SUDs) using a sample of 156 alcohol-dependent and 131 polysubstance-dependent patients from 3 out-patient and 6 in-patient public programmes in 2 counties in Norway. Primary axis I disorders (occurring at least 1 year before any SUD) and secondary axis I disorders (occurring at least 1 year after any SUD) were assessed with the Composite International Diagnostic Interview and axis II disorders with Millon Clinical Multiaxial Inventory-II. Significantly more in the EO group had primary anxiety disorders (especially social phobia and post-traumatic stress disorder (PTSD)) and anti-social, borderline and passive-aggressive personality disorders (PDs), and fewer had dependent and compulsive PDs. EO strongly predicted polysubstance misusers (versus pure alcoholism) and had more frequent secondary PTSD. Results were generally identical when a cutoff point of 25 years was used. The average EO patient's SUD manifested 6 years before psychiatric treatment; the LO patients had been in psychiatric treatment 2 years before the SUD. Concludes that EO/LO allowed the delineation of 2 clinical sub-groups and provided information about possible prevention strategies, early interventions and treatment.
Psychiatric research in Nigeria: bridging tradition and modernisation
- Authors:
- AYONRINDE Oyedji, GUREJE Oye, LAWAL Rahmann
- Journal article citation:
- British Journal of Psychiatry, 184(6), June 2004, pp.536-538.
- Publisher:
- Cambridge University Press
Mental health research in Nigeria is rich in untapped opportunities, such as the highest twin rate in the world among the Yoruba. International collaboration is a key to advancing psychiatric research in Nigeria through skill development and resource sharing.