双重诊断的无家可归者的障碍:从强化流动社会心理自信社区治疗方案中吸取的经验教训

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2021-07-28 DOI:10.1108/add-09-2020-0019
T. Zolnikov, Michaele M Hammel, Frances Furio, Brandon Eggleston
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引用次数: 0

摘要

双重诊断是一个描述精神健康障碍或疾病与物质使用或滥用障碍共同发生的术语。由于这种共同发生导致多种疾病,因此通常需要多层治疗才能成功地在个体中产生积极的变化。本研究的目的是探讨治疗的因素,可以促进改善功能和生活质量的双重诊断。设计/方法/方法使用定量和定性数据完成了二次数据分析。二次分析是一种经验性的练习,应用与使用原始数据的研究相同的基本研究原则,并有要遵循的步骤,包括通常与二次数据分析相关的评估和程序步骤。本分析收集了来自强化流动社会心理自信社区治疗项目的文件数据;之所以采用这一方案,是因为它为双重诊断患者提供了密集的社区服务。这项二次分析的主要发现表明,重大障碍包括“否认”(例如逃避、暂停或避免内在意识)诊断、复杂的治疗和其他与住房有关的障碍。最终,这些发现为双重诊断患者的潜在有效治疗干预提供了更深入的见解。原创性/价值这项研究增加了越来越多的文献,表明以患者为中心的护理可以更有效地治疗,并最终改善健康结果。
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Barriers for homeless with dual diagnosis: lessons learned from intensive mobile psychosocial assertive community treatment program
Purpose Dual diagnosis is a term that describes the co-occurrence of mental health disorders or illness and substance use or abuse disorders. Because this co-occurrence results in multiple diseases, layers of treatment are often needed to successfully create positive change in the individual. The purpose of this study is to explore factors of treatment that could facilitate improvements in functionality and quality of life for those with a dual diagnosis. Design/methodology/approach A secondary data analysis, using both quantitative and qualitative data, was completed. Secondary analysis is an empirical exercise that applies the same basic research principles as studies using primary data and has steps to be followed, including the evaluative and procedural steps commonly associated with secondary data analysis. Documentation data from the intensive mobile psychosocial assertive community treatment program was gathered for this analysis; this program was used because of the intensive and community-based services provided to patients with a dual diagnosis. Findings The major findings from this secondary analysis suggested that significant barriers included “denial” (e.g. evasion, suspension or avoidance of internal awareness) of diagnoses, complicated treatment and other barriers related to housing. Ultimately, these findings provided greater insight into potential effective treatment interventions for people living with a dual diagnosis. Originality/value This study adds to the growing body of literature showing that patient-centered care allows for more effective treatment and ultimately, improved health outcomes.
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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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