Social work in alcohol and other drug service navigation: supporting social complexity in dual diagnosis

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2023-01-20 DOI:10.1108/add-10-2022-0027
S. Thomas, Sophia Cotroneo, Daniel Pham, Rosemary Kalogeropoulos, J. Tyler, S. Arunogiri
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Abstract

Purpose Many people with dual diagnosis present with social complexity that impedes service access. The role of social work support in such service navigation is poorly understood. This study aims to characterise client presentations to an Australian telephone-based social work alcohol and other drug (AOD) service navigation and linkage program, with consideration of presentation complexity compared between those clients who present with or without self-reported mental health (MH) concerns and a history of MH diagnoses, to identify differences in baseline characteristics, and linkage outcomes. Design/methodology/approach A retrospective audit was conducted of routinely collected clinical information from a six-month period, selected to capture the social and health challenges experienced during the mid-pandemic period (mid-2021) in Victoria, Australia, during which a number of lockdowns resulted in a reliance on telephone-based services. The audit focused on client and presentation characteristics, and compared clients with and without a history of co-occurring MH and AOD concerns. Findings It was found that three in four people accessing an Australian telephone-based AOD service navigation and linkage program presented with dual diagnosis. Individuals with dual diagnosis required more support from the service compared to those without a co-occurring MH disorder; but overall, were just as likely to achieve a successful linkage to services, when offered holistic, long-term social work support. Originality/value This study focused on the role of social workers in this service navigation program in supporting individuals with complexity. It also highlights the challenges in operationalising social complexity factors alongside clinical MH and AOD diagnoses, and points to the need for further research to guide future service development for this vulnerable client group.
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酒精和其他药物服务导航中的社会工作:支持双重诊断中的社会复杂性
目的:许多双重诊断患者的社会复杂性阻碍了他们获得服务。人们对社会工作支持在这种服务导航中的作用知之甚少。本研究旨在描述客户向澳大利亚电话社会工作酒精和其他药物(AOD)服务导航和联系计划的陈述,并考虑将那些有或没有自我报告的精神健康(MH)问题和MH诊断史的客户的陈述复杂性进行比较,以确定基线特征和联系结果的差异。设计/方法/方法对六个月期间常规收集的临床信息进行了回顾性审计,选择这些信息是为了了解澳大利亚维多利亚州在大流行中期(2021年中期)遇到的社会和健康挑战,在此期间,多次封锁导致依赖电话服务。审计的重点是客户和表现特征,并比较了有和没有共同发生MH和AOD问题历史的客户。研究发现,使用澳大利亚电话AOD服务导航和链接程序的人中,有四分之三的人患有双重诊断。与没有双重诊断的人相比,双重诊断的人需要更多的服务支持;但总的来说,当提供全面、长期的社会工作支持时,他们同样有可能成功地与服务联系起来。原创性/价值本研究关注社会工作者在该服务导航项目中对复杂个体的支持作用。它还强调了在临床MH和AOD诊断中操作社会复杂性因素的挑战,并指出需要进一步研究以指导未来为这一弱势客户群体提供的服务发展。
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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