Pub Date : 2022-12-22DOI: 10.1108/add-07-2022-0020
Damien Luke Correia, R. Garvie, J. Allan
Purpose This paper reports a social work student’s experience of a mental health rehabilitation placement. The term “dual diagnosis” in this context includes people who experience both a mental health diagnosis and a substance use disorder. The purpose of this paper is to highlight the student experience as the author learnt about some of the challenges that people with dual diagnoses face during the recovery process. Design/methodology/approach The author kept a journal during the placement. Critical reflection was used to interrogate the journal entries for key themes and events that contributed to the author’s learning about social work practice and dual diagnosis. Findings This study found that social workers are in a fortunate position to work in this multi-disciplinary setting and contribute the social work perspective to care for people with dual diagnosis. However, there are still some gaps in achieving optimal care. Practical implications Suggestions for further practice development include a more integrated approach between services, further training for clinicians and a focus on a community-based setting as opposed to an institutionalised one. Originality/value According to the author, the student experience is important because students see situations and settings with fresh eyes that can highlight things that experienced practitioners take for granted.
{"title":"Dual diagnosis, social work and the perspective of a social work student","authors":"Damien Luke Correia, R. Garvie, J. Allan","doi":"10.1108/add-07-2022-0020","DOIUrl":"https://doi.org/10.1108/add-07-2022-0020","url":null,"abstract":"\u0000Purpose\u0000This paper reports a social work student’s experience of a mental health rehabilitation placement. The term “dual diagnosis” in this context includes people who experience both a mental health diagnosis and a substance use disorder. The purpose of this paper is to highlight the student experience as the author learnt about some of the challenges that people with dual diagnoses face during the recovery process.\u0000\u0000\u0000Design/methodology/approach\u0000The author kept a journal during the placement. Critical reflection was used to interrogate the journal entries for key themes and events that contributed to the author’s learning about social work practice and dual diagnosis.\u0000\u0000\u0000Findings\u0000This study found that social workers are in a fortunate position to work in this multi-disciplinary setting and contribute the social work perspective to care for people with dual diagnosis. However, there are still some gaps in achieving optimal care.\u0000\u0000\u0000Practical implications\u0000Suggestions for further practice development include a more integrated approach between services, further training for clinicians and a focus on a community-based setting as opposed to an institutionalised one.\u0000\u0000\u0000Originality/value\u0000According to the author, the student experience is important because students see situations and settings with fresh eyes that can highlight things that experienced practitioners take for granted.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"13 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87556054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1108/add-11-2022-0030
Lauren Wearing, L. Ogilvie
Purpose This purpose of this paper is to contribute to a series of recovery stories that examine candid accounts of addiction and recovery. Shared components in the recovery process are considered, along with the change and growth needed to support the transition from addiction to recovery. Design/methodology/approach The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery. CHIME provides a standard to qualitatively study recovery. As a model, it has been extended to include growth (G-CHIME), an element that is important for sustained addiction recovery. In this paper a first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account that is based on the G-CHIME model. Findings This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented. Originality/value Each account of recovery in this series is unique, and as yet, untold.
{"title":"Addiction recovery stories: Lauren Wearing in conversation with Lisa Ogilvie","authors":"Lauren Wearing, L. Ogilvie","doi":"10.1108/add-11-2022-0030","DOIUrl":"https://doi.org/10.1108/add-11-2022-0030","url":null,"abstract":"\u0000Purpose\u0000This purpose of this paper is to contribute to a series of recovery stories that examine candid accounts of addiction and recovery. Shared components in the recovery process are considered, along with the change and growth needed to support the transition from addiction to recovery.\u0000\u0000\u0000Design/methodology/approach\u0000The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery. CHIME provides a standard to qualitatively study recovery. As a model, it has been extended to include growth (G-CHIME), an element that is important for sustained addiction recovery. In this paper a first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account that is based on the G-CHIME model.\u0000\u0000\u0000Findings\u0000This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented.\u0000\u0000\u0000Originality/value\u0000Each account of recovery in this series is unique, and as yet, untold.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"20 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90297196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"News, guidance and resources","authors":"R. Rao","doi":"10.1108/add-11-2022-050","DOIUrl":"https://doi.org/10.1108/add-11-2022-050","url":null,"abstract":"","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"46 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87574606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.1108/add-09-2022-0025
Y. Balhara, Abhishek Ghosh, S. Sarkar, J. Mahadevan, Arghya Pal, V. Narasimha, D. Kattula, Sambhu Prasad, A. Parmar, P. Kathiresan, Aparna Basu, Gayatri Bhatia, R. Shah, N. Dhagudu, R. Tripathi, B. Bharadwaj
Purpose This study aims to offer an overview of the models of clinical care of the patients with dual disorders in India. Design/methodology/approach All the members of the Dual Diagnosis India Network (DDIN) who shared the clinical care delivery at their center were invited to share the details of their model. In addition, an invite was also sent to those members who could not attend the online session but were interested in contributing the required information about their model. The information shared by the respondents was collated. The different models were then categorized based on their features. Findings Following the categorization of the clinical care services organization across different settings, five different models emerged. These were specialized dual diagnosis clinic; services for dual disorders offered as substance use disorder (SUD) treatment services within general psychiatry care; services for dual disorders in general psychiatry care; services for dual disorders offered as SUD treatment services separated from general psychiatry care; and services for dual disorders offered in general psychiatry services combined with exclusive SUD treatment services. Originality/value Currently, there is limited literature on models of dual disorders from the low- and middle-income countries. The authors believe that the documentation of these models from India shall be of help while setting up services for dual disorders in other health-care settings. This study can be a valuable resource for making informed choices while setting up new services.
{"title":"Clinical care of patients with dual disorders in India: diverse models of care delivery","authors":"Y. Balhara, Abhishek Ghosh, S. Sarkar, J. Mahadevan, Arghya Pal, V. Narasimha, D. Kattula, Sambhu Prasad, A. Parmar, P. Kathiresan, Aparna Basu, Gayatri Bhatia, R. Shah, N. Dhagudu, R. Tripathi, B. Bharadwaj","doi":"10.1108/add-09-2022-0025","DOIUrl":"https://doi.org/10.1108/add-09-2022-0025","url":null,"abstract":"\u0000Purpose\u0000This study aims to offer an overview of the models of clinical care of the patients with dual disorders in India.\u0000\u0000\u0000Design/methodology/approach\u0000All the members of the Dual Diagnosis India Network (DDIN) who shared the clinical care delivery at their center were invited to share the details of their model. In addition, an invite was also sent to those members who could not attend the online session but were interested in contributing the required information about their model. The information shared by the respondents was collated. The different models were then categorized based on their features.\u0000\u0000\u0000Findings\u0000Following the categorization of the clinical care services organization across different settings, five different models emerged. These were specialized dual diagnosis clinic; services for dual disorders offered as substance use disorder (SUD) treatment services within general psychiatry care; services for dual disorders in general psychiatry care; services for dual disorders offered as SUD treatment services separated from general psychiatry care; and services for dual disorders offered in general psychiatry services combined with exclusive SUD treatment services.\u0000\u0000\u0000Originality/value\u0000Currently, there is limited literature on models of dual disorders from the low- and middle-income countries. The authors believe that the documentation of these models from India shall be of help while setting up services for dual disorders in other health-care settings. This study can be a valuable resource for making informed choices while setting up new services.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"107 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77410448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.1108/add-06-2022-0018
L. Ogilvie, J. Carson
Purpose The purpose of this study is to evaluate a new programme of work designed to improve the recovery and well-being of people in early addiction recovery. The programme, known as positive addiction recovery therapy (PART), is attentive to the recovery process through the G-CHIME (growth, connectedness, hope, identity, meaning in life and empowerment) model of addiction recovery. It also uses the values in action character strengths and includes a set of relapse prevention techniques. Design/methodology/approach An experimental design using repeated measures has been adopted. Measures for recovery capital, well-being and level of flourishing were selected and pre- and post-data collected. Primary data analysis was conducted using the non-parametric Wilcoxon signed-rank test. Participants (n = 30) were required to be in early addiction recovery, classified as having been abstinent for between three and six months. Findings The results showed a statistically significant improvement in participant well-being. This was also true for recovery capital and flourishing. Whilst a meaningful increase was seen in all measures, exploratory analysis found females responded better to the PART programme. Practical implications This study emphasises the importance of adopting a holistic therapeutic approach, one that considers multifaceted components of recovery such as those outlined in the G-CHIME model. Originality/value This study evaluates a new programme of work designed to improve the recovery outcome and mental well-being of people who are in early addiction recovery.
{"title":"Positive addiction recovery therapy: a pilot study","authors":"L. Ogilvie, J. Carson","doi":"10.1108/add-06-2022-0018","DOIUrl":"https://doi.org/10.1108/add-06-2022-0018","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to evaluate a new programme of work designed to improve the recovery and well-being of people in early addiction recovery. The programme, known as positive addiction recovery therapy (PART), is attentive to the recovery process through the G-CHIME (growth, connectedness, hope, identity, meaning in life and empowerment) model of addiction recovery. It also uses the values in action character strengths and includes a set of relapse prevention techniques.\u0000\u0000\u0000Design/methodology/approach\u0000An experimental design using repeated measures has been adopted. Measures for recovery capital, well-being and level of flourishing were selected and pre- and post-data collected. Primary data analysis was conducted using the non-parametric Wilcoxon signed-rank test. Participants (n = 30) were required to be in early addiction recovery, classified as having been abstinent for between three and six months.\u0000\u0000\u0000Findings\u0000The results showed a statistically significant improvement in participant well-being. This was also true for recovery capital and flourishing. Whilst a meaningful increase was seen in all measures, exploratory analysis found females responded better to the PART programme.\u0000\u0000\u0000Practical implications\u0000This study emphasises the importance of adopting a holistic therapeutic approach, one that considers multifaceted components of recovery such as those outlined in the G-CHIME model.\u0000\u0000\u0000Originality/value\u0000This study evaluates a new programme of work designed to improve the recovery outcome and mental well-being of people who are in early addiction recovery.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84666212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-03DOI: 10.1108/add-03-2022-0008
Gavin Foster, John Robertson, Sophia Pallis, J. Segal
Purpose To improve outcomes for people with co-occurring mental health and substance use disorders, the Eastern Health Mental Health Service implemented an integrated treatment model known as the dual diagnosis clinician shared care model. This study aims to provide evidence for a relatively unexplored model in clinical mental health services within the state of Victoria, Australia. Design/methodology/approach Dual diagnosis clinicians were placed into community mental health clinics in a shared-care, modified case management role, to provide primary and secondary consultations to select consumers and/or their carers, as well as to provide capacity-building training to the mental health staff facing real world clinical challenges in dual diagnosis service delivery. Findings Since the commencement of this service, more than 800 consumers of the adult mental health service have been supported to concurrently address their harmful substance use, while receiving recovery-focused community mental health care. Preliminary findings include previously unknown figures on the prevalence for co-occurring substance use at the point of referral and a demonstrated preference by consumers for treatment of both disorders at the same time by the same service (in-house treatment). Originality/value The establishment of a dedicated, integrated dual diagnosis team has significantly increased the capacity of a community-based clinical mental health service to engage with and treat consumers with dual diagnosis disorders. This model is beginning to produce evidence challenging traditional siloed approaches to mental health and alcohol and drug treatment.
{"title":"The dual diagnosis clinician shared care model – a clinical mental health dual diagnosis integrated treatment initiative","authors":"Gavin Foster, John Robertson, Sophia Pallis, J. Segal","doi":"10.1108/add-03-2022-0008","DOIUrl":"https://doi.org/10.1108/add-03-2022-0008","url":null,"abstract":"\u0000Purpose\u0000To improve outcomes for people with co-occurring mental health and substance use disorders, the Eastern Health Mental Health Service implemented an integrated treatment model known as the dual diagnosis clinician shared care model. This study aims to provide evidence for a relatively unexplored model in clinical mental health services within the state of Victoria, Australia.\u0000\u0000\u0000Design/methodology/approach\u0000Dual diagnosis clinicians were placed into community mental health clinics in a shared-care, modified case management role, to provide primary and secondary consultations to select consumers and/or their carers, as well as to provide capacity-building training to the mental health staff facing real world clinical challenges in dual diagnosis service delivery.\u0000\u0000\u0000Findings\u0000Since the commencement of this service, more than 800 consumers of the adult mental health service have been supported to concurrently address their harmful substance use, while receiving recovery-focused community mental health care. Preliminary findings include previously unknown figures on the prevalence for co-occurring substance use at the point of referral and a demonstrated preference by consumers for treatment of both disorders at the same time by the same service (in-house treatment).\u0000\u0000\u0000Originality/value\u0000The establishment of a dedicated, integrated dual diagnosis team has significantly increased the capacity of a community-based clinical mental health service to engage with and treat consumers with dual diagnosis disorders. This model is beginning to produce evidence challenging traditional siloed approaches to mental health and alcohol and drug treatment.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91344560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.1108/add-03-2022-0010
Abhishek Ghosh, Subodh Bn, Kshitiza Sharma, Fazle Roub, Tathagata Mahintamani, D. Basu, S. Mattoo
Purpose Individuals with dual diagnoses might experience significant clinical and social vulnerabilities during the pandemic and lockdown. This study aims to compare medication adherence, substance use, clinical stability and overall functioning before and during lockdown periods. Design/methodology/approach This was a cross-sectional survey among patients registered in dual diagnosis clinic of an addiction psychiatry center in Northern India between March 2019 and February 2020. This study approached 250 patients for telephonic interviews. This study assessed adherence to medications with the brief adherence rating scale (BARS). Global functioning was measured by global assessment of functioning. Clinical interviews assessed substance use and the clinical status of psychiatric disorders. Findings One hundred fifty patients were recruited. The mean age of the sample was 35.8 years. The sample had a slight preponderance of alcohol dependence. Depressive disorder was the largest category of psychiatric diagnosis. Compared to prelockdown period, during the lockdown, there were an increased number of days of nonadherence (X2 17.61, p < 0.05), proportion of patients underdosing (X2 8.96, p = 0.003) and lower BARS scores (t = 10.52, df = 144, p < 0.0001). More patients were abstinent from substances during the lockdown (X2 49.02, p < 0.0001). Clinical stability of psychiatric disorders did not differ during the two-time points, but overall functioning decreased during the lockdown (t = 2.118, p = 0.036). This study observed a small positive correlation (r = 0.2, p = 0.02) between functioning and adherence levels. Originality/value Lockdown was associated with poor medication adherence, change in substance use patterns and functional impairment. In the future, treatment programs and policies must take preemptive steps to minimize the effects of restrictions.
在大流行和封锁期间，双重诊断的个体可能会经历重大的临床和社会脆弱性。本研究的目的是比较药物依从性，物质使用，临床稳定性和整体功能之前和期间的封锁。设计/方法/方法这是一项横断面调查，调查对象是2019年3月至2020年2月期间在印度北部一家成瘾精神病学中心双重诊断诊所登记的患者。这项研究对250名患者进行了电话采访。本研究使用简短依从性评定量表(BARS)评估药物依从性。整体功能是通过整体功能评估来衡量的。临床访谈评估物质使用和精神障碍的临床状态。研究结果共招募了150名患者。样本的平均年龄为35.8岁。这个样本有轻微的酒精依赖。抑郁症是精神病诊断的最大类别。与封锁前相比，封锁期间，不依从天数增加(X2 17.61, p < 0.05)，剂量不足患者比例增加(X2 8.96, p = 0.003)， BARS评分降低(t = 10.52, df = 144, p < 0.0001)。在封锁期间，更多的患者戒断药物(X2 49.02, p < 0.0001)。精神疾病的临床稳定性在两个时间点没有差异，但在封锁期间整体功能下降(t = 2.118, p = 0.036)。本研究观察到功能与依从性水平之间存在小的正相关(r = 0.2, p = 0.02)。独创性/价值封锁与药物依从性差、物质使用模式改变和功能障碍有关。今后，治疗方案和政策必须采取先发制人的措施，尽量减少限制措施的影响。
{"title":"How did the COVID-19 lockdown impact patients with dual diagnoses?","authors":"Abhishek Ghosh, Subodh Bn, Kshitiza Sharma, Fazle Roub, Tathagata Mahintamani, D. Basu, S. Mattoo","doi":"10.1108/add-03-2022-0010","DOIUrl":"https://doi.org/10.1108/add-03-2022-0010","url":null,"abstract":"\u0000Purpose\u0000Individuals with dual diagnoses might experience significant clinical and social vulnerabilities during the pandemic and lockdown. This study aims to compare medication adherence, substance use, clinical stability and overall functioning before and during lockdown periods.\u0000\u0000\u0000Design/methodology/approach\u0000This was a cross-sectional survey among patients registered in dual diagnosis clinic of an addiction psychiatry center in Northern India between March 2019 and February 2020. This study approached 250 patients for telephonic interviews. This study assessed adherence to medications with the brief adherence rating scale (BARS). Global functioning was measured by global assessment of functioning. Clinical interviews assessed substance use and the clinical status of psychiatric disorders.\u0000\u0000\u0000Findings\u0000One hundred fifty patients were recruited. The mean age of the sample was 35.8 years. The sample had a slight preponderance of alcohol dependence. Depressive disorder was the largest category of psychiatric diagnosis. Compared to prelockdown period, during the lockdown, there were an increased number of days of nonadherence (X2 17.61, p < 0.05), proportion of patients underdosing (X2 8.96, p = 0.003) and lower BARS scores (t = 10.52, df = 144, p < 0.0001). More patients were abstinent from substances during the lockdown (X2 49.02, p < 0.0001). Clinical stability of psychiatric disorders did not differ during the two-time points, but overall functioning decreased during the lockdown (t = 2.118, p = 0.036). This study observed a small positive correlation (r = 0.2, p = 0.02) between functioning and adherence levels.\u0000\u0000\u0000Originality/value\u0000Lockdown was associated with poor medication adherence, change in substance use patterns and functional impairment. In the future, treatment programs and policies must take preemptive steps to minimize the effects of restrictions.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"102 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86776440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-04DOI: 10.1108/add-04-2022-0012
P. Makin, L. Ogilvie
Purpose The purpose of this paper is to contribute to a series of recovery stories that examine candid accounts of addiction and recovery. Shared components in the recovery process are considered, along with the change and growth needed to support the transition from addiction to recovery. Design/methodology/approach The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery. CHIME provides a standard to qualitatively study recovery. As a model, it has been extended to include growth-CHIME (G-CHIME), an element that is important for sustained addiction recovery. In this paper, a first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account that is based on the G-CHIME model. Findings This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented. Originality/value To the best of the authors’ knowledge, each account of recovery in this series is unique and, as yet, untold.
{"title":"Addiction recovery stories: Paul Makin in conversation with Lisa Ogilvie","authors":"P. Makin, L. Ogilvie","doi":"10.1108/add-04-2022-0012","DOIUrl":"https://doi.org/10.1108/add-04-2022-0012","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to contribute to a series of recovery stories that examine candid accounts of addiction and recovery. Shared components in the recovery process are considered, along with the change and growth needed to support the transition from addiction to recovery.\u0000\u0000\u0000Design/methodology/approach\u0000The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery. CHIME provides a standard to qualitatively study recovery. As a model, it has been extended to include growth-CHIME (G-CHIME), an element that is important for sustained addiction recovery. In this paper, a first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account that is based on the G-CHIME model.\u0000\u0000\u0000Findings\u0000This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, each account of recovery in this series is unique and, as yet, untold.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"31 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75955726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-12DOI: 10.1108/add-12-2021-0019
T. Cane, P. Newton, J. Foster
Purpose It is well established that women face multiple barriers accessing treatment for problematic and unhealthy alcohol use, but less is known about how their interconnected problems affect how they seek help from, and access, alcohol-treatment services. This study aims to explore the dynamic nature of women’s help-seeking for problematic and unhealthy alcohol use and how this can be compounded by unsuitable treatment services, especially when women present with complex needs. Design/methodology/approach Thirteen semi-structured interviews with women who had accessed alcohol-support services were conducted, audio-recorded, transcribed and analysed thematically using the complexity theory. Findings For women with complex needs, the process of seeking help may trigger unpredictable behaviours, health or social problems and intermittent serial access to treatment. Current services do not always address women’s holistic needs. Unless services focus on addressing interconnected problems – including historic trauma – they may compound the complexity of women’s problems. Complexity theory offers novel insights into this process, a concept not applied to problematic and unhealthy alcohol use treatment previously. Research limitations/implications Services should adopt the complexity-focused perspective featured in this study. While the authors acknowledge the increase in gender-responsive provision, the limitations of this study include a small sample size, the self-selecting nature of the sample and retrospective reporting. Participants were recruited and selected by service staff resulting in gatekeeping and possible sampling bias. Practical implications Services should adopt non-linear approaches to treatment. Implementing complexity approaches to treating women’s problematic and unhealthy alcohol use should capture the dynamics, complexity and non-linear nature of women’s help-seeking journeys as well as their internal and external responses that may result in relapse. The authors recommend complexity-focused, multiple-component and integrated collaborative strategies to address not only addiction but also all components of women’s needs, including past trauma. Originality/value Applying complexity-thinking to help-seeking experiences for alcohol treatment and recovery services is novel and proved useful in understanding the variety of women’s experiences and how these interact with their help-seeking behaviours, including treatment environments.
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Pub Date : 2022-04-06DOI: 10.1108/add-03-2022-0009
L. Ogilvie
Purpose The purpose of this study is to demonstrate how the values in action (VIA) character strengths model can be applied as a resource to support people in addiction recovery. The purpose of this is to appreciate the positive outcomes seen in other areas of research, applied to addiction recovery. To achieve this, a character strengths intervention has been designed and delivered as a case study. The objective of the intervention is to identify some of the strengths described by an individual in their account of recovery, ascertain their signature strengths through validated assessment and, based on the exploration of this information, support the individual in a reflective exercise to consider how their character strengths have positively affected their recovery to date and the effect this new knowledge could have on their ongoing recovery. Design/methodology/approach The VIA character strengths model has identified 24 positive qualities that are present in the human condition. In this case study, the VIA model is used to identify strengths from a first-hand account of the recovery process; the VIA character strengths survey is used to ascertain the signature strengths of the participant who is also the author of the account. Information from the strengths identification and VIA survey is explored, and a follow-up e-interview is conducted using questions designed to encourage the participant to reflect on the use of strengths in their present and ongoing recovery. Findings This case study shows that the VIA model of character strengths can be applied in addiction recovery to help people appreciate how they have used their character strengths in the recovery process, what their signature strengths are and how they can be used with good effect to improve their well-being and future recovery. Originality/value In this work, a new broad-spectrum approach using the VIA model of character strengths has been proposed to help people in addiction recovery use their own resources to improve their function, well-being and thus recovery.
{"title":"The values in action character strengths model in addiction recovery: a case study","authors":"L. Ogilvie","doi":"10.1108/add-03-2022-0009","DOIUrl":"https://doi.org/10.1108/add-03-2022-0009","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to demonstrate how the values in action (VIA) character strengths model can be applied as a resource to support people in addiction recovery. The purpose of this is to appreciate the positive outcomes seen in other areas of research, applied to addiction recovery. To achieve this, a character strengths intervention has been designed and delivered as a case study. The objective of the intervention is to identify some of the strengths described by an individual in their account of recovery, ascertain their signature strengths through validated assessment and, based on the exploration of this information, support the individual in a reflective exercise to consider how their character strengths have positively affected their recovery to date and the effect this new knowledge could have on their ongoing recovery.\u0000\u0000\u0000Design/methodology/approach\u0000The VIA character strengths model has identified 24 positive qualities that are present in the human condition. In this case study, the VIA model is used to identify strengths from a first-hand account of the recovery process; the VIA character strengths survey is used to ascertain the signature strengths of the participant who is also the author of the account. Information from the strengths identification and VIA survey is explored, and a follow-up e-interview is conducted using questions designed to encourage the participant to reflect on the use of strengths in their present and ongoing recovery.\u0000\u0000\u0000Findings\u0000This case study shows that the VIA model of character strengths can be applied in addiction recovery to help people appreciate how they have used their character strengths in the recovery process, what their signature strengths are and how they can be used with good effect to improve their well-being and future recovery.\u0000\u0000\u0000Originality/value\u0000In this work, a new broad-spectrum approach using the VIA model of character strengths has been proposed to help people in addiction recovery use their own resources to improve their function, well-being and thus recovery.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"124 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79610618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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