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Dual diagnosis resource needs in Spain: a national survey of professionals
- Authors:
- SZERMAN Nestor, et al
- Journal article citation:
- Journal of Dual Diagnosis, 10(2), 2014, pp.84-90.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and another mental health disorder) is an important challenge in mental health, this study assessed health care professionals’ perceptions and knowledge of the current state of specific resources for patients with dual pathology in Spain. The authors conducted a national survey of health care professionals seeing patients with dual pathology in treatment facilities throughout Spain. Participants completed a specific online questionnaire about the needs of and available resources for patients with dual pathology. According to the professionals surveyed, specific health care resources for the management of dual pathology are currently insufficient, underlining the need for additional efforts and strategies for treating individuals with comorbid disorders. (Edited publisher abstract)
Prevalence and correlates of self-reported psychotic symptoms in the British population
- Authors:
- JOHNS Louise C., et al
- Journal article citation:
- British Journal of Psychiatry, 185(10), October 2004, pp.298-305.
- Publisher:
- Cambridge University Press
The psychosis phenotype is generally thought of as a categorical entity. However, there is increasing evidence that psychosis exists in the population as a continuum of severity rather than an all-or-none phenomenon. The aim was to investigate the prevalence and correlates of self-reported psychotic symptoms using data from the 2000 British National Survey of Psychiatric Morbidity. A total of 8580 respondents aged 16–74 years were interviewed. Questions covered mental health, physical health, substance use, life events and socio-demographic variables. The Psychosis Screening Questionnaire (PSQ) was used to identify psychotic symptoms. Of the respondents, 5.5% endorsed one or more items on the PSQ. Factors independently associated with psychotic symptoms were cannabis dependence, alcohol dependence, victimisation, recent stressful life events, lower intellectual ability and neurotic symptoms. Male gender was associated with paranoid thoughts, whereas female gender predicted hallucinatory experiences. Self-reported psychotic symptoms are less common in this study than reported elsewhere, because of the measure used. These symptoms have demographic and clinical correlates similar to clinical psychosis.
Survey of staff perceptions of illicit drug use among patients in a medium secure unit
- Authors:
- DOLAN Mairead, KIRWAN Helen
- Journal article citation:
- Psychiatric Bulletin, 25(1), January 2001, pp.14-17.
- Publisher:
- Royal College of Psychiatrists
This study is a survey of staff perceptions of illicit drug among in-patients in a medium secure unit. Results showed that sixty per cent of staff were aware of drug misuse on the unit. Less than one-third of staff were clear about the unit's policy for dealing with in-patient drug use and few have had adequate training in the management of patients with dual diagnoses. Strategies for dealing with drug misuse appear to focus on security rather than therapeutic issues. Services need to provide adequate training for staff on the management of patients with co-morbid substance misuse, introduce patient education programmes and develop and disseminate clear policies that emphasise both therapy and security.
Learning disability nursing staff: a response to psychiatric teaching
- Authors:
- HAUT Fabian, HULL Alastair
- Journal article citation:
- British Journal of Learning Disabilities, 28(4), December 2000, pp.154-156.
- Publisher:
- Wiley
Learning disability nursing staff have an important role in the assessment and management of dual diagnosis patients. The present study assesses the level of psychiatric knowledge and interest of nursing staff in core psychiatric topics. Nursing staff were invited to attend a series of tutorials, and their knowledge of psychiatric topics was tested via a set of multiple-choice questions before and after the tutorials. The reasons for the low attendance rate and knowledge are discussed. Ensuring attendance is vital because the tutorials were found to be effective in improving knowledge.
Attitudes of mental health professionals to co-morbidity between mental health problems and substance misuse
- Author:
- WILLIAMS Kelwyn
- Journal article citation:
- Journal of Mental Health, 8(6), December 1999, pp.605-613.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Mental health professionals are required to address the increasing problem of alcohol and substance misuse amongst the mentally ill (co-morbidity) at a time when services for this population are under review. Describes a survey of mental health professionals in Bristol to assess attitudes towards co-morbidity and professional roles. The findings argue for a re-appraisal of the way in which multi-disciplinary teams are trained to deal with the problems of alcohol and drug misuse.
Alcohol and mental health: policy and practice in England
- Authors:
- Institute of Alcohol Studies, CENTRE FOR MENTAL HEALTH
- Publishers:
- Institute of Alcohol Studies, Centre for Mental Health
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
Based on a survey and seminar held with professionals working in mental health and alcohol services in England, this report examines current provision and the barriers to effective helps for people with co-occurring alcohol and mental health problems. The survey found that most staff, in both alcohol and mental health services, felt that support for people with co-occurring conditions was poor. Support for homeless people was consistently the biggest area of concern. Barriers to improving services included a lack of understanding and integration between alcohol and mental health services, insufficient funding, workforce shortages, stigma facing those with co-occuring conditions; and lack of recognition in national policy. The report makes recommendations for Government which include: improved national leadership to improve the support offered to people with alcohol and mental health problems; a comprehensive alcohol strategy for England; and a successor to the Five Year Forward View for Mental Health prioritises help for people with co-occurring alcohol problems. It also makes further specific recommendations relating service provision and co-morbidity, including a review of the funding and staffing of addiction services. (Edited publisher abstract)