Pub Date : 2009-01-13DOI: 10.1080/17523280802593319
G. Dingle, Pauline King
Aim: This naturalistic study was designed to assess the prevalence and impact of co-occurring mental disorders in 104 adults (52% male) admitted to a private hospital drug and alcohol treatment program in Brisbane, Australia. Method: Psychiatric diagnoses made by the participants' admitting psychiatrists were collected by chart audit. Measures of substance use, dependence and mood were obtained by a program psychologist on participants' admission to the hospital, and during a follow-up interview conducted by the second researcher an average of 8.5 months after participants' discharge. Results: Ninety-two per cent of the sample was diagnosed with at least one mental disorder; most commonly Major Depressive Disorder (57%), Generalised Anxiety Disorder (20%) and Borderline Personality Disorder (16%). Having a concurrent mood, anxiety or personality disorder was not significantly related to either program attendance or outcomes on substance related self-report measures. Only depression symptoms at follow-up w...
{"title":"Prevalence and impact of co-occurring psychiatric disorders on outcomes from a private hospital drug and alcohol treatment program","authors":"G. Dingle, Pauline King","doi":"10.1080/17523280802593319","DOIUrl":"https://doi.org/10.1080/17523280802593319","url":null,"abstract":"Aim: This naturalistic study was designed to assess the prevalence and impact of co-occurring mental disorders in 104 adults (52% male) admitted to a private hospital drug and alcohol treatment program in Brisbane, Australia. Method: Psychiatric diagnoses made by the participants' admitting psychiatrists were collected by chart audit. Measures of substance use, dependence and mood were obtained by a program psychologist on participants' admission to the hospital, and during a follow-up interview conducted by the second researcher an average of 8.5 months after participants' discharge. Results: Ninety-two per cent of the sample was diagnosed with at least one mental disorder; most commonly Major Depressive Disorder (57%), Generalised Anxiety Disorder (20%) and Borderline Personality Disorder (16%). Having a concurrent mood, anxiety or personality disorder was not significantly related to either program attendance or outcomes on substance related self-report measures. Only depression symptoms at follow-up w...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"19 1","pages":"13-23"},"PeriodicalIF":0.0,"publicationDate":"2009-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86581040","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 : 2008-09-20DOI: 10.1080/17523280802317404
Gunilla Cruce, A. Öjehagen, M. Nordström
Background: It is well known that severe mental illness (SMI) with concurrent substance use disorders (SUD) commonly occurs. This comorbidity has distressing social, psychological, psychiatric and somatic consequences. Aim: To gain greater understanding of how individuals with SMI and SUD experience the roles of alcohol and other drugs for their health and life situation. Method: Eight individuals were interviewed on two occasions. The semi-structured interviews, which were based on an interview guide, were transcribed verbatim and analysed thematically. Results: Alcohol and drug use influenced the individuals' own experiences of their health and life situation both in a positive and negative way. Substance use had meaning for their: ‘experience of themselves’ – well-being and discomfort, energy and lack of energy, meaningfulness and disorientation, identity and personality change; ‘experiences of relationships’ – affiliation and alienation; ‘experiences of mental health’ – decreased and increased symptom...
{"title":"Experiences of alcohol and other drugs in individuals with severe mental illness and concomitant substance use disorders","authors":"Gunilla Cruce, A. Öjehagen, M. Nordström","doi":"10.1080/17523280802317404","DOIUrl":"https://doi.org/10.1080/17523280802317404","url":null,"abstract":"Background: It is well known that severe mental illness (SMI) with concurrent substance use disorders (SUD) commonly occurs. This comorbidity has distressing social, psychological, psychiatric and somatic consequences. Aim: To gain greater understanding of how individuals with SMI and SUD experience the roles of alcohol and other drugs for their health and life situation. Method: Eight individuals were interviewed on two occasions. The semi-structured interviews, which were based on an interview guide, were transcribed verbatim and analysed thematically. Results: Alcohol and drug use influenced the individuals' own experiences of their health and life situation both in a positive and negative way. Substance use had meaning for their: ‘experience of themselves’ – well-being and discomfort, energy and lack of energy, meaningfulness and disorientation, identity and personality change; ‘experiences of relationships’ – affiliation and alienation; ‘experiences of mental health’ – decreased and increased symptom...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"16 1","pages":"228-241"},"PeriodicalIF":0.0,"publicationDate":"2008-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73925036","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 : 2008-09-20DOI: 10.1080/17523280802317362
G. Hüsler, B. Plancherel
Background: Substance use and mental health disorders are strongly associated. The rates of co-morbidity vary according to the population and methodology used. However, it can be reasonably stated that co-morbidity is common and significant. Mental disorders, including depressive mood, anxiety and conduct disorders, are the most often mentioned predictors for substance use. Aims: The main topic of interest is the interrelationship between mood and substance used over time in a cohort of adolescents and young adults. Method: To explore the courses of mood and substance use in a cohort of 614 adolescents and young adults (aged 12–20) using grouping analysis. To determine empirical patterns of mood over time a cluster analysis (k-means) was performed. Four groups differing in their mood states over time (stable low; stable high; increaser; decreaser) were obtained. Conclusions: There is an important relationship between mood states and substance use. Adolescents with mood disorder constantly use more drugs t...
{"title":"Long-term development of mood states and substance use in a Swiss cohort of youths at risk","authors":"G. Hüsler, B. Plancherel","doi":"10.1080/17523280802317362","DOIUrl":"https://doi.org/10.1080/17523280802317362","url":null,"abstract":"Background: Substance use and mental health disorders are strongly associated. The rates of co-morbidity vary according to the population and methodology used. However, it can be reasonably stated that co-morbidity is common and significant. Mental disorders, including depressive mood, anxiety and conduct disorders, are the most often mentioned predictors for substance use. Aims: The main topic of interest is the interrelationship between mood and substance used over time in a cohort of adolescents and young adults. Method: To explore the courses of mood and substance use in a cohort of 614 adolescents and young adults (aged 12–20) using grouping analysis. To determine empirical patterns of mood over time a cluster analysis (k-means) was performed. Four groups differing in their mood states over time (stable low; stable high; increaser; decreaser) were obtained. Conclusions: There is an important relationship between mood states and substance use. Adolescents with mood disorder constantly use more drugs t...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"1 1","pages":"242-253"},"PeriodicalIF":0.0,"publicationDate":"2008-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75419003","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 : 2008-09-19DOI: 10.1080/17523280802244889
Ruth Clutterbuck, D. Tobin, J. Orford, A. Copello, M. Birchwood, E. Day, Hermine L. Graham, D. Mcgovern, E. Griffith
Background: Cocaine/crack-cocaine use is associated with a number of negative outcomes in people with mental health problems. Aims: To explore the extent of use in individuals with severe mental health problems and impact of client use on mental health service staff. Method: Following Graham et al. (2001), care coordinators within community mental health teams in Birmingham, UK completed a prevalence survey of cocaine/crack-cocaine use in clients on their current caseload to determine the extent of use. Findings were compared to those of Graham et al. Interviews with staff explored the impact of cocaine/crack-cocaine on client outcome and effects on staff within the teams under study. Results: An increase in cocaine/crack-cocaine use is reported (from 5.6% to 11.5% over 8 years). Interview data indicate that despite this increase, staff declare themselves more competent and confident in dealing with cocaine/crack-cocaine use. Conclusions: We propose that the integration of substance use treatment within m...
{"title":"Staff attitude towards cocaine/crack-cocaine use amongst individuals with severe mental health problems in an inner city area of the UK","authors":"Ruth Clutterbuck, D. Tobin, J. Orford, A. Copello, M. Birchwood, E. Day, Hermine L. Graham, D. Mcgovern, E. Griffith","doi":"10.1080/17523280802244889","DOIUrl":"https://doi.org/10.1080/17523280802244889","url":null,"abstract":"Background: Cocaine/crack-cocaine use is associated with a number of negative outcomes in people with mental health problems. Aims: To explore the extent of use in individuals with severe mental health problems and impact of client use on mental health service staff. Method: Following Graham et al. (2001), care coordinators within community mental health teams in Birmingham, UK completed a prevalence survey of cocaine/crack-cocaine use in clients on their current caseload to determine the extent of use. Findings were compared to those of Graham et al. Interviews with staff explored the impact of cocaine/crack-cocaine on client outcome and effects on staff within the teams under study. Results: An increase in cocaine/crack-cocaine use is reported (from 5.6% to 11.5% over 8 years). Interview data indicate that despite this increase, staff declare themselves more competent and confident in dealing with cocaine/crack-cocaine use. Conclusions: We propose that the integration of substance use treatment within m...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"16 1","pages":"205-215"},"PeriodicalIF":0.0,"publicationDate":"2008-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84420661","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 : 2008-09-19DOI: 10.1080/17523280802274886
Marius N Kêdoté, Astrid Brousselle, François Champagne
Background: To better respond to the health care needs of people with co-occurring mental illness and substance use disorders, it is vital to understand their itinerary through the health care system.
Aim: To describe the characteristics of service utilization among patients with co-occurring disorders in a large urban area.
Method: We used a sample (n = 5467) constituted from administrative and clinical databases. Those identified as having substance use disorders and psychoses were followed over 12 months with respect to their utilization of medical services. A descriptive analysis of the data and a two-step cluster analysis were undertaken.
Results: Our analyses revealed a relatively high utilization of emergency services, outpatient clinics, private practices and hospitalization among patients with co-occurring disorders of severe mental illness and substance use. The two-step cluster analysis produced four heterogeneous groups in terms of service utilization.
Conclusions: This study demonstrates the need to develop strategies for organizing health care and services that are adapted to various sites of service utilization and to diverse profiles of patients with co-occurring mental illness and substance use disorders.
{"title":"Use of health care services by patients with co-occurring severe mental illness and substance use disorders.","authors":"Marius N Kêdoté, Astrid Brousselle, François Champagne","doi":"10.1080/17523280802274886","DOIUrl":"https://doi.org/10.1080/17523280802274886","url":null,"abstract":"<p><strong>Background: </strong>To better respond to the health care needs of people with co-occurring mental illness and substance use disorders, it is vital to understand their itinerary through the health care system.</p><p><strong>Aim: </strong>To describe the characteristics of service utilization among patients with co-occurring disorders in a large urban area.</p><p><strong>Method: </strong>We used a sample (<i>n</i> = 5467) constituted from administrative and clinical databases. Those identified as having substance use disorders and psychoses were followed over 12 months with respect to their utilization of medical services. A descriptive analysis of the data and a two-step cluster analysis were undertaken.</p><p><strong>Results: </strong>Our analyses revealed a relatively high utilization of emergency services, outpatient clinics, private practices and hospitalization among patients with co-occurring disorders of severe mental illness and substance use. The two-step cluster analysis produced four heterogeneous groups in terms of service utilization.</p><p><strong>Conclusions: </strong>This study demonstrates the need to develop strategies for organizing health care and services that are adapted to various sites of service utilization and to diverse profiles of patients with co-occurring mental illness and substance use disorders.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"1 3","pages":"216-227"},"PeriodicalIF":0.0,"publicationDate":"2008-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523280802274886","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34529499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-09-19DOI: 10.1080/17523280802275040
D. Lubman, L. Hides, A. Scaffidi, K. Elkins, M. Stevens, Richard Marks
Background: While clinical studies consistently demonstrate high rates of co-occurring mental health problems among young people with substance use disorders, mental health assessments are not routinely conducted within Alcohol and Other Drug (AOD) settings. Aims: To describe the implementation of a universal mental health screening program within a youth AOD service. We report on the adoption of screening by AOD staff over the subsequent 30 months, as well as rates of identified psychological problems. Method: Examination of service data that were collected following implementation of the screening program. Results: Between August 2005 and December 2007, AOD workers completed 383 screens (87.4%) from a total of 438 eligible young people. Two hundred and sixty-eight (70.0%) scored 17 or above on the K10, with the mean score of the sample being 23.4 (SD = 9.6). Twenty-seven per cent reported moderate to severe suicide risk, with 9.9% reporting self-harm in the past month. Conclusion: With appropriate level...
{"title":"Implementing mental health screening within a youth alcohol and other drugs service","authors":"D. Lubman, L. Hides, A. Scaffidi, K. Elkins, M. Stevens, Richard Marks","doi":"10.1080/17523280802275040","DOIUrl":"https://doi.org/10.1080/17523280802275040","url":null,"abstract":"Background: While clinical studies consistently demonstrate high rates of co-occurring mental health problems among young people with substance use disorders, mental health assessments are not routinely conducted within Alcohol and Other Drug (AOD) settings. Aims: To describe the implementation of a universal mental health screening program within a youth AOD service. We report on the adoption of screening by AOD staff over the subsequent 30 months, as well as rates of identified psychological problems. Method: Examination of service data that were collected following implementation of the screening program. Results: Between August 2005 and December 2007, AOD workers completed 383 screens (87.4%) from a total of 438 eligible young people. Two hundred and sixty-eight (70.0%) scored 17 or above on the K10, with the mean score of the sample being 23.4 (SD = 9.6). Twenty-seven per cent reported moderate to severe suicide risk, with 9.9% reporting self-harm in the past month. Conclusion: With appropriate level...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"11 1","pages":"254-261"},"PeriodicalIF":0.0,"publicationDate":"2008-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88404603","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 : 2008-09-19DOI: 10.1080/17523280802274985
P. Staiger, Caroline Long, M. McCabe, L. Ricciardelli
Background: 'Dual diagnosis' is the term of choice in many countries to describe clients with co-occurring mental health and alcohol and other drug (AOD) issues. However, it is not known if its meaning is consistently represented within and across health care services. This uncertainty has significant implications for referral, consultation and research. Aim: To obtain information about the way that different health care professionals understand the term 'dual diagnosis'. Method: Twenty-nine health care workers across five service types (medical, mental health, AOD, dual diagnosis and community health) in Victoria, Australia were interviewed about their understanding of the term 'dual diagnosis'. Results: The findings indicated that service providers working in AOD and Mental Health had a shared general understanding of what was meant by 'dual diagnosis', despite uncertainties about more specific inclusion criteria. In contrast, medical and community health staff lacked a similar shared understanding, and were more likely to recommend change, but offered no consensus on alternatives. Conclusion: The results indicate that while the term 'dual diagnosis' has value in efficiently directing attention to the complexity of treatment issues, health practitioners cannot assume it will convey the intended meaning outside mental health or AOD services. Clear articulation of the intended definition may be a necessary requirement in wider health care communication.
{"title":"Defining dual diagnosis: a qualitative study of the views of health care workers","authors":"P. Staiger, Caroline Long, M. McCabe, L. Ricciardelli","doi":"10.1080/17523280802274985","DOIUrl":"https://doi.org/10.1080/17523280802274985","url":null,"abstract":"Background: 'Dual diagnosis' is the term of choice in many countries to describe clients with co-occurring mental health and alcohol and other drug (AOD) issues. However, it is not known if its meaning is consistently represented within and across health care services. This uncertainty has significant implications for referral, consultation and research. Aim: To obtain information about the way that different health care professionals understand the term 'dual diagnosis'. Method: Twenty-nine health care workers across five service types (medical, mental health, AOD, dual diagnosis and community health) in Victoria, Australia were interviewed about their understanding of the term 'dual diagnosis'. Results: The findings indicated that service providers working in AOD and Mental Health had a shared general understanding of what was meant by 'dual diagnosis', despite uncertainties about more specific inclusion criteria. In contrast, medical and community health staff lacked a similar shared understanding, and were more likely to recommend change, but offered no consensus on alternatives. Conclusion: The results indicate that while the term 'dual diagnosis' has value in efficiently directing attention to the complexity of treatment issues, health practitioners cannot assume it will convey the intended meaning outside mental health or AOD services. Clear articulation of the intended definition may be a necessary requirement in wider health care communication.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"15 1","pages":"194-204"},"PeriodicalIF":0.0,"publicationDate":"2008-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82670791","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 : 2008-05-12DOI: 10.1080/17523280802020099
D. Manley
Background: Cue Exposure Therapy (CET) is regarded as a valuable intervention, helping individuals with substance misuse problems recognise cues and triggers to relapse and begin to reduce cravings. Guidelines suggest substance misuse skills should be adapted by mental health professionals working with clients with mental health and substance misuse problems (dual diagnosis). Aims: This study aimed to assess the acceptability of training in CET, its applicability in dual diagnosis work and the effect the training had on professional's confidence in delivering services. In addition, to explore how skills were adapted to meet the needs of individuals with a dual diagnosis. Method: CET training was given to psychiatric professionals working with dual diagnosis clients. The cross-sectional research comprised two stages: pre- and post-training confidence self-scores and a post-training questionnaire; and confidence self-scores and semi-structured interviews with a randomised sub-section of the original populat...
{"title":"Acceptability and applicability of Cue Exposure Therapy as a relapse prevention intervention for individuals who have substance misuse and mental health problems","authors":"D. Manley","doi":"10.1080/17523280802020099","DOIUrl":"https://doi.org/10.1080/17523280802020099","url":null,"abstract":"Background: Cue Exposure Therapy (CET) is regarded as a valuable intervention, helping individuals with substance misuse problems recognise cues and triggers to relapse and begin to reduce cravings. Guidelines suggest substance misuse skills should be adapted by mental health professionals working with clients with mental health and substance misuse problems (dual diagnosis). Aims: This study aimed to assess the acceptability of training in CET, its applicability in dual diagnosis work and the effect the training had on professional's confidence in delivering services. In addition, to explore how skills were adapted to meet the needs of individuals with a dual diagnosis. Method: CET training was given to psychiatric professionals working with dual diagnosis clients. The cross-sectional research comprised two stages: pre- and post-training confidence self-scores and a post-training questionnaire; and confidence self-scores and semi-structured interviews with a randomised sub-section of the original populat...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"43 1","pages":"172-184"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80140426","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 : 2008-05-12DOI: 10.1080/17523280802020115
D. Roeg, L. V. D. Goor, H. Garretsen
Background: There is a need for a reliable measurement instrument to characterize intensive community-based care across different types of programs. Aims: The aim of the current study was to use and test the previously developed Intensive Community-Based Care Program Components (ICPC) Questionnaire. Method: This questionnaire was used in a census of programs throughout the Netherlands. Reliability of the a priori scales was assessed, and exploratory factor analysis was used to reduce the number of scales and to re-evaluate the structure of the questionnaire. Descriptive data were calculated to characterize Dutch programs. Of the programs, 58% responded to the questionnaire. Results: Of the a priori scales, 70% were internally consistent. With factor analysis the number of scales was considerably reduced (73%), but still explaining 58% of the total variance. Conclusions: This study shows that the ICPC can be used to improve future effect studies and for international comparisons of programs.
{"title":"Characterizing intensive community-based care : Use, reliability and factor structure of a generic measure","authors":"D. Roeg, L. V. D. Goor, H. Garretsen","doi":"10.1080/17523280802020115","DOIUrl":"https://doi.org/10.1080/17523280802020115","url":null,"abstract":"Background: There is a need for a reliable measurement instrument to characterize intensive community-based care across different types of programs. Aims: The aim of the current study was to use and test the previously developed Intensive Community-Based Care Program Components (ICPC) Questionnaire. Method: This questionnaire was used in a census of programs throughout the Netherlands. Reliability of the a priori scales was assessed, and exploratory factor analysis was used to reduce the number of scales and to re-evaluate the structure of the questionnaire. Descriptive data were calculated to characterize Dutch programs. Of the programs, 58% responded to the questionnaire. Results: Of the a priori scales, 70% were internally consistent. With factor analysis the number of scales was considerably reduced (73%), but still explaining 58% of the total variance. Conclusions: This study shows that the ICPC can be used to improve future effect studies and for international comparisons of programs.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"2018 1","pages":"158-171"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74287123","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 : 2008-05-12DOI: 10.1080/17523280802020172
A. Baldacchino, W. Caan, C. Munn-Giddings
Background: Mutuality is a feature of many ‘self-help groups’ for people with mental health and/or substance misuse needs. These groups are diverse in terms of membership, aims, organisation and resources. Collectively, in terms of the pathways for seeking help, support, social capital or simply validation as people, mutual aid groups figure at some time in the life story of many psychiatric and/or substance misuse patients. From the viewpoint of clinical services, relations with such groups range from formal collaboration, through incidental shared care, via indifference, to incomprehension, suspicion, or even hostility. How should mental health and substance misuse clinicians relate to this informal care sector, in practice? Aims: To synthesise knowledge about three aspects of the relationship between psychiatric/substance misuse services and mutual aid groups: profile groups' engagement of people with mental health and/or substance misuse needs at all stages of vulnerability, illness or recovery; chara...
{"title":"Mutual aid groups in psychiatry and substance misuse","authors":"A. Baldacchino, W. Caan, C. Munn-Giddings","doi":"10.1080/17523280802020172","DOIUrl":"https://doi.org/10.1080/17523280802020172","url":null,"abstract":"Background: Mutuality is a feature of many ‘self-help groups’ for people with mental health and/or substance misuse needs. These groups are diverse in terms of membership, aims, organisation and resources. Collectively, in terms of the pathways for seeking help, support, social capital or simply validation as people, mutual aid groups figure at some time in the life story of many psychiatric and/or substance misuse patients. From the viewpoint of clinical services, relations with such groups range from formal collaboration, through incidental shared care, via indifference, to incomprehension, suspicion, or even hostility. How should mental health and substance misuse clinicians relate to this informal care sector, in practice? Aims: To synthesise knowledge about three aspects of the relationship between psychiatric/substance misuse services and mutual aid groups: profile groups' engagement of people with mental health and/or substance misuse needs at all stages of vulnerability, illness or recovery; chara...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"32 1","pages":"104-117"},"PeriodicalIF":0.0,"publicationDate":"2008-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82343441","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}