Advances in Dual Diagnosis最新文献

{"title":"Neurocognitive and substance use disorders in older adults: challenges and evidence","authors":"Aditi Agrawal, Rayah Touma Sawaya, M. Ojeahere, Vanessa Padilla, S. El Hayek","doi":"10.1108/add-01-2022-0004","DOIUrl":"https://doi.org/10.1108/add-01-2022-0004","url":null,"abstract":"\u0000Purpose\u0000This study aims to review the presentation of substance use disorders in older adults, how addiction intertwines with neurocognitive disorders and how to approach this vulnerable population.\u0000\u0000\u0000Design/methodology/approach\u0000Electronic data searches of PubMed, Medline and the Cochrane Library (years 2000–2021) were performed using the keywords “neurocognitive,” “dementia,” “substance use,” “addiction,” “older adults” and “elderly.” The authors, in consensus, selected pivotal studies and conducted a narrative synthesis of the findings.\u0000\u0000\u0000Findings\u0000Research about substance use disorders in older adults is limited, especially in those with superimposed neurocognitive disorders. Having dual diagnoses can make the identification and treatment of either condition challenging. Management should use a holistic multidisciplinary approach that involves medical professionals and caregivers.\u0000\u0000\u0000Originality/value\u0000This review highlights some of the intertwining aspects between substance use disorders and neurocognitive disorders in older adults. It provides a comprehensive summary of the available evidence on treatment in this population.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"75 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77525950","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":"Social recovery and economy: a thematic analysis of staffs’ experiences with promoting social community participation for residents with co-occurring problems","authors":"E. Ogundipe, Knut Tore Sælør, S. Biong","doi":"10.1108/add-11-2021-0014","DOIUrl":"https://doi.org/10.1108/add-11-2021-0014","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore and describe staff working in a Norwegian supportive housing site’s experiences with promoting social community participation for residents with co-occurring problems. The research question addressed was: how does residential support staff experience promoting social community participation for residents with co-occurring problems?\u0000\u0000\u0000Design/methodology/approach\u0000Nine residential support staff participated in qualitative interviews. All interviews were recorded and transcribed verbatim. The transcripts were analysed using Braun and Clarke's approach to thematic analysis.\u0000\u0000\u0000Findings\u0000The analysis process resulted in two themes: “It is all about economics” and “Who will pay for it?”\u0000\u0000\u0000Practical implications\u0000Regarding the Nordic welfare system, the need for a redistribution of financial resources in health services is discussed. The authors recommend that further studies explore people outside the regular health-care system perspectives on how they can contribute to making community inclusion a reality for persons experiencing co-occurring problems.\u0000\u0000\u0000Originality\u0000This study provides a nuanced understanding of how financial resources can impede or support efforts and opportunities to promote community inclusion for residents experiencing co-occurring problems.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"49 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79251125","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":"Acceptability and preliminary effectiveness of a text messaging intervention to reduce high-risk alcohol use among adults 50 and older: an exploratory study","authors":"A. Kuerbis, S. Behrendt, V. Arora, Frederick J Muench","doi":"10.1108/add-11-2021-0012","DOIUrl":"https://doi.org/10.1108/add-11-2021-0012","url":null,"abstract":"\u0000Purpose\u0000Prevalence rates of older adults (OA, 50+) with high-risk alcohol use are rapidly growing. Barriers to intervention persist for OA. Mobile interventions, specifically short message service (SMS, also known as text messaging), provide an opportunity to overcome such barriers. The purpose of this paper is to explore the acceptability and preliminary effectiveness of four SMS intervention conditions compared to mobile assessment only among OA (50–65 years old, n = 49) who drink at high-risk levels compared to younger adults (YA, 21–49 years old, n = 102).\u0000\u0000\u0000Design/methodology/approach\u0000Within and between age group differences at baseline and end-of-treatment (12 weeks) were explored. Generalized linear modeling was used to test age by receipt of any SMS intervention (compared to assessment only) effects across health outcomes. Effect sizes and visual analyses were generated to assess for age by type of SMS interactions.\u0000\u0000\u0000Findings\u0000Both age groups reported intervention satisfaction. Two-thirds elected to continue receiving SMSs after treatment concluded. Descriptively, SMS groups demonstrated reduced drinking across age groups at end-of-treatment compared to mobile assessment only, though slightly larger effects were found for YA than for OA. Age significantly moderated the receipt of any SMS intervention only for depression (i.e., older age weakened the therapeutic effect). Of all the SMS types, tailored messages outperformed the other conditions on drinking outcomes for both age groups. Depression, craving and alcohol problems responded to gain-framed messages among OA and loss-framed messages among YA.\u0000\u0000\u0000Research limitations/implications\u0000The findings of this paper suggest that SMS is acceptable and potentially effective across age groups. Further adaptation of SMS across age groups could enhance its effectiveness.\u0000\u0000\u0000Originality/value\u0000This is the first paper to explore the impact of older age on the efficacy of text messaging as an intervention for hazardous alcohol use.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"38 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79359233","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":"Participatory practice guideline development at the intersections of domestic and family violence, mental distress and/or parental substance use","authors":"Susan Heward‐Belle, Margaret Kertesz, C. Humphreys, Menka Tsantefski, Jasmin Isobe","doi":"10.1108/add-12-2021-0017","DOIUrl":"https://doi.org/10.1108/add-12-2021-0017","url":null,"abstract":"\u0000Purpose\u0000It is well established that the service system has a poor history of responding holistically to address the needs of children and families living with co-occurring complexities such as domestic violence, parental mental health and/or substance use. The purpose of this conceptual paper is to primarily describe the developmental process used to create guidelines to inform practice at the intersections of domestic violence, mental health and alcohol and other drug services, ensuring that the tactics of coercive control are visible in contexts of complexity.\u0000\u0000\u0000Design/methodology/approach\u0000The guidelines were developed through undertaking a literature review, followed by a practice-led research approach with practitioners from 33 organisations across three Australian states, Safe & Together consultants and researchers. Communities of practice composed of practitioners providing interventions to children and families were central to the approach. Data that informed the development of the guidelines included a literature review, ethnographic notes, qualitative interviews, quantitative surveys and reflections.\u0000\u0000\u0000Findings\u0000Practice-led research engaged practitioners in the development of guidelines to promote an integrated response to working with families experiencing domestic violence, substance use and mental health issues. The integrated approach drew from the Safe & Together model, emphasising partnering with women survivors, pivoting to the perpetrator, focusing on children’s safety and well-being, promoting worker safety, collaborating across agencies and influencing organisational change. The process demonstrated the usefulness of this integrated approach, using practitioner-based examples.\u0000\u0000\u0000Originality/value\u0000Successful iterative processes to develop the guidelines were undertaken to support cultural change towards holistic and collaborative work across multiple sectors and organisations.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84282735","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":"Addiction recovery stories: Neil Curran in conversation with Lisa Ogilvie","authors":"Neil Curran, L. Ogilvie","doi":"10.1108/add-12-2021-0016","DOIUrl":"https://doi.org/10.1108/add-12-2021-0016","url":null,"abstract":"\u0000Purpose\u0000This paper aims to explore the transition from addiction to recovery. It is the second in a series of recovery stories that examine candid accounts of addiction and recovery. Shared components of recovery are considered, along with the change and growth needed to support the transition.\u0000\u0000\u0000Design/methodology/approach\u0000The CHIME framework comprises five elements important to recovery (Connectedness, Hope, Identity, Meaning and Empowerment). It provides a standard to qualitatively study mental health recovery, having also been applied to addiction recovery. In this paper, an element for Growth is included in the model (G-CHIME), to consider both recovery, and sustained recovery. A first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account. This is structured 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":"531 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80173137","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":"Addiction recovery stories: Jerome Carson in conversation with Lisa Ogilvie","authors":"J. Carson, L. Ogilvie","doi":"10.1108/add-12-2021-0015","DOIUrl":"https://doi.org/10.1108/add-12-2021-0015","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to explore the accomplishments of those who realise addiction recovery. To the best of the authors’ knowledge, this is the first in a series of recovery stories, where candid accounts of addiction and recovery are examined. In doing so, shared components of recovery are considered, along with the change and growth necessary to facilitate it.\u0000\u0000\u0000Design/methodology/approach\u0000The CHIME (Connectedness, Hope, Identity, Meaning and Empowerment) framework comprises five elements important to recovery. It provides a standard to qualitatively study mental health recovery, having also been applied to addiction recovery. In this paper, an additional element for Growth has been introduced to the model (G-CHIME), to consider both recovery and sustained recovery. A first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account. This is structured on the G-CHIME model.\u0000\u0000\u0000Findings\u0000This paper shows that successful and sustained recovery from alcohol addiction can be effectively explained using the G-CHIME model. Each element was well represented in the described process of reaching recovery.\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":"4 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90760255","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":"Investigating the experience of individuals with comorbid posttraumatic stress disorder and substance misuse attending a Seeking Safety group","authors":"J. Airdrie, Alex Lievesley, E. Griffith","doi":"10.1108/add-04-2021-0006","DOIUrl":"https://doi.org/10.1108/add-04-2021-0006","url":null,"abstract":"\u0000Purpose\u0000There is no specific recommended treatment for the co-morbid presentation of post-traumatic stress disorder (PTSD) and substance use disorder in the United Kingdom (UK). Seeking Safety (SS), a group-based treatment that targets symptoms of both disorder, has emerging evidence in the USA but lacks evidence from UK-based samples. The purpose of this study was to explore UK service users’ experience of attending SS and evaluate its impact on mental health symptomology and substance misuse.\u0000\u0000\u0000Design/methodology/approach\u0000A mixed method approach was used to evaluate the acceptability of SS for a small sample (n = 7) of adult users of a substance misuse service in the UK. Thematic analysis was used to explore their experiences, derived from individual semi-structured interviews. The authors also calculated the number of participants who achieved reliable and/or clinically significant change in mental health symptomology and substance misuse from data routinely collected by the service.\u0000\u0000\u0000Findings\u0000Seven overarching themes emerged: strengthening the foundations of the self, the evocation and management of emotions, safety and validation provided relationally, readiness and commitment, content and delivery, Seeking Safety is Not an Island and ending. Most participants with data available both before and after the group made reliable (three out of four) and clinically significant (two out of three) change for depression and anxiety symptomology; however, this was less evident for PTSD symptomology with two out of three making reliable change and one out of three making clinically significant change.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this was the first study exploring the experiences of UK attendees of a SS group as an approach to treating comorbid PTSD and substance misuse.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"19 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85172089","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":"An evaluation of the psychosocial group programme at an inpatient detoxification and stabilisation unit: a service improvement project","authors":"Hannah C Rettie, Joya Georgewill, S. Stacey, E. Griffith","doi":"10.1108/add-09-2021-0011","DOIUrl":"https://doi.org/10.1108/add-09-2021-0011","url":null,"abstract":"\u0000Purpose\u0000The benefits of including a psychosocial group programme alongside a medical inpatient detoxification and stabilisation regime has been recognised within addiction research; however, a “gold standard” psychosocial intervention has not been established. This small-scale study aimed to evaluate the psychosocial group (“Straight Ahead”) currently running at a substance use inpatient unit based in the UK.\u0000\u0000\u0000Design/methodology/approach\u0000A mixed-methods questionnaire design aimed to capture service user perspectives of the group programme via a questionnaire and assess whether an individual’s recovery capital and emotion regulation scores improved during their stay.\u0000\u0000\u0000Findings\u0000Thirty-four service users participated in the evaluation. Results indicate the group significantly increased individuals’ recovery capital scores; however, it did not significantly improve emotion regulation. The three themes from the qualitative results focused on the importance of shared experiences, learning of new skills and the group as a positive experience. Service users provided suggestions for improvements, and these informed the provision of service-specific recommendations for the team and project commissioner.\u0000\u0000\u0000Originality/value\u0000The evaluation provides tentative support for the use of the Straight Ahead programme and provides an insight into what service users find helpful when attending a psychosocial group during an inpatient detoxification admission.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"13 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85464173","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":"The rate and impact of substance misuse in psychiatric intensive care units (PICUs) in the UK","authors":"Hattie C. A. Moyes, Lana MacNaboe, K. Townsend","doi":"10.1108/add-06-2021-0008","DOIUrl":"https://doi.org/10.1108/add-06-2021-0008","url":null,"abstract":"\u0000Purpose\u0000This paper aims to understand the current scale of substance misuse in psychiatric intensive care units (PICUs), identify how substance misuse affects members of staff, patients and the running of wards and explore with staff what resources would be most useful to more effectively manage substance misuse and dual diagnosis on PICUs.\u0000\u0000\u0000Design/methodology/approach\u0000The paper used a mixed-methods approach, using a quantitative survey to determine the extent of substance use in PICUs and a co-design workshop to understand the impact of substance misuse on PICU wards, staff and patients.\u0000\u0000\u0000Findings\u0000The estimated rate of substance misuse in PICUs over a 12-month period is 67%, with cannabis the most frequently used substance. Despite the range of problems experienced on PICUs because of substance misuse, the availability of training and resources for staff was mixed.\u0000\u0000\u0000Research limitations/implications\u0000The findings may not be fully generalisable as research participants were members of a national quality improvement programme, and therefore, may not be representative of all PICUs. Data was collected from clinicians only; if patients were included, they might have provided another perspective on substance misuse on PICUs.\u0000\u0000\u0000Practical implications\u0000This paper emphasises the importance of substance misuse training for PICU staff to adequately respond to patients who misuse substances, improve the ward environment, staff well-being and patient outcomes.\u0000\u0000\u0000Originality/value\u0000This paper provides an updated estimation of rates of substance misuse in PICUs over a 12-month period and make suggestions for a training programme that can better support staff to address substance misuse on PICUs.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"75 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86185120","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":"The Impact of Depressive Symptoms on Response to Integrated Cognitive Behavioral Therapy for Substance Use Disorders and Intimate Partner Violence.","authors":"Lourah M Kelly,&nbsp;Cory A Crane,&nbsp;Kristyn Zajac,&nbsp;Caroline J Easton","doi":"10.1108/add-09-2020-0020","DOIUrl":"https://doi.org/10.1108/add-09-2020-0020","url":null,"abstract":"<p><strong>Purpose: </strong>Past studies demonstrated the efficacy of integrated cognitive-behavioral therapy (CBT) for substance use disorder (SUD) and intimate partner violence (IPV) as well as high rates of depressive symptoms in this population. However, little is known about how depressive symptoms impact treatment outcomes. We hypothesized that integrated CBT, but not standard drug counseling (DC), would buffer the negative effects of depressive symptoms on treatment response.</p><p><strong>Design/methodology/approach: </strong>A secondary analysis of a randomized trial compared men assigned to 12 weeks of integrated CBT for SUD and IPV (<i>n</i>=29) to those in DC (<i>n</i>=34).</p><p><strong>Findings: </strong>Most (60%) of the sample reported any depressive symptoms. Controlling for baseline IPV, reporting any depressive symptoms was associated with more positive cocaine screens during treatment. Among men with depressive symptoms, integrated CBT but not DC was associated with fewer positive cocaine screens. Controlling for baseline alcohol variables, integrated CBT and depressive symptoms were each associated with less aggression outside of intimate relationships (e.g., family, strangers) during treatment. For men <i>without</i> depressive symptoms, integrated CBT was associated with less non-IPV aggression compared to DC. Effects were not significant for other substances, IPV, or at follow-up.</p><p><strong>Originality: </strong>Although integrated CBT's efficacy for improving SUD and IPV has been established, moderators of treatment response have not been investigated.</p><p><strong>Practical implications: </strong>Integrated CBT buffered depressive symptoms' impact on cocaine use, yet only improved non-IPV aggression in men without depressive symptoms.</p><p><strong>Research limitations/implications: </strong>This study found some evidence for differential response to CBT by depressive symptoms on cocaine and aggression at end of treatment, which did not persist three months later. Future studies should explore mechanisms of integrated CBT for SUD and IPV, including mood regulation, on depressive symptoms in real-world samples.</p>","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"14 3","pages":"85-98"},"PeriodicalIF":0.9,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562709/pdf/nihms-1708747.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39693156","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}