Mental health and substance use : dual diagnosis最新文献_第3页

Problematic substance use in two mental health NGOs, and staff, client and general public attitudes towards problematic substance use amongst people with mental illness 两个精神卫生非政府组织的问题物质使用情况，以及工作人员、客户和公众对精神疾病患者使用问题物质的态度

Mental health and substance use : dual diagnosis Pub Date : 2012-10-05 DOI: 10.1080/17523281.2012.702518

Grenville J. Rose, I. Beale, J. Malone, J. Higgin, Melanie Whiticker, L. Brener

{"title":"Problematic substance use in two mental health NGOs, and staff, client and general public attitudes towards problematic substance use amongst people with mental illness","authors":"Grenville J. Rose, I. Beale, J. Malone, J. Higgin, Melanie Whiticker, L. Brener","doi":"10.1080/17523281.2012.702518","DOIUrl":"https://doi.org/10.1080/17523281.2012.702518","url":null,"abstract":"A significant proportion of people with mental illness are thought to have co-occurring problematic substance use but there is little published information available and that which is published can be contradictory and vary according to a number of factors. Additionally, the stigma surrounding co-occurrence is little understood and an exploration of attitudes would benefit mental health service design and delivery. The study aimed to measure the rates of concurrent problematic substance use in community-based health services and to compare attitudes of staff, clients and the public towards people with this population. Create an exploratory model of attitudes. Surveys distributed to staff and clients of two mental health non-government organisations (NGOs) and to a comparison sample of members of the general public. Eighty-two staff, 333 clients and 545 members of the public were surveyed. Rates of alcohol and substance use amongst service clients were similar to levels previously reported of 25% and 39%, ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"104 1","pages":"275-286"},"PeriodicalIF":0.0,"publicationDate":"2012-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84760019","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}

引用次数: 1

Tobacco, caffeine, alcohol and illicit substance use among consumers of a national community managed mental health service 国家社区管理的精神卫生服务消费者的烟草、咖啡因、酒精和非法药物使用情况

Mental health and substance use : dual diagnosis Pub Date : 2012-10-05 DOI: 10.1080/17523281.2012.703225

A. Zimmermann, D. Lubman, Merrilee Cox

引用次数: 3

The impact of training within a comprehensive dual diagnosis strategy: the Combined Psychosis and Substance Use (COMPASS) experience 培训在综合双重诊断策略中的影响:精神病和药物使用联合(COMPASS)经验

Mental health and substance use : dual diagnosis Pub Date : 2012-07-10 DOI: 10.1080/17523281.2012.660191

A. Copello, K. Walsh, Hermine L. Graham, D. Tobin, S. Fellows, E. Griffith, E. Day, M. Birchwood

{"title":"The impact of training within a comprehensive dual diagnosis strategy: the Combined Psychosis and Substance Use (COMPASS) experience","authors":"A. Copello, K. Walsh, Hermine L. Graham, D. Tobin, S. Fellows, E. Griffith, E. Day, M. Birchwood","doi":"10.1080/17523281.2012.660191","DOIUrl":"https://doi.org/10.1080/17523281.2012.660191","url":null,"abstract":"This article is a service report based on the experience of the Combined Psychosis and Substance Use Programme (COMPASS), which aims to provide integrated treatment for people who experience coexisting mental health and substance use problems. A fundamental role of the service is to deliver a structured training package based on a Cognitive-Behavioural Integrated Treatment approach to staff within mental health services. We aimed to establish whether the needs of staff prior to training were consistent across various service areas and whether our training package can enhance staff confidence and skills to work with this client group. The final aim was to consider if confidence and skills can be maintained over an extended period of time. This article is based on service evaluation data collected between the late 1990s and 2011. Data that had been collected from staff across diverse service areas within a large Mental Health Trust in the UK were analysed. There was a high degree of consistency across the s...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"98 1","pages":"206-216"},"PeriodicalIF":0.0,"publicationDate":"2012-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82752282","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}

引用次数: 8

Marijuana impacts mood in bipolar disorder: a pilot study. 大麻影响双相情感障碍患者的情绪:一项初步研究。

Mental health and substance use : dual diagnosis Pub Date : 2012-07-10 DOI: 10.1080/17523281.2012.659751

S. Gruber, Kelly A Sagar, M. Dahlgren, D. Olson, F. Centorrino, S. Lukas

{"title":"Marijuana impacts mood in bipolar disorder: a pilot study.","authors":"S. Gruber, Kelly A Sagar, M. Dahlgren, D. Olson, F. Centorrino, S. Lukas","doi":"10.1080/17523281.2012.659751","DOIUrl":"https://doi.org/10.1080/17523281.2012.659751","url":null,"abstract":"Patients with bipolar disorder (BP) often report subjective mood improvements after smoking marijuana (MJ); however, empirical studies supporting this claim have not been conducted. We conducted this study to determine if marijuana has an impact on mood in bipolar patients who smoke marijuana (MJBP), hypothesizing MJBP participants would experience improved mood after smoking MJ. All participants completed electronic mood ratings three times daily and recorded episodes of MJ use using Palm Pilot devices in their own environments in order to examine the impact of MJ use on mood in MJ-smoking bipolar patients (n = 12) and pure MJ smokers (MJ; n = 20). Difference scores were calculated between pre and post-MJ scales. Patients with BP (n = 11) who did not smoke MJ were also included as a comparison group. Significant mood improvement was observed in the MJBP group on a range of clinical scales after smoking MJ, while the MJ group reported a slight worsening of symptoms. Notably, total mood disturbance, a composite of the Profile of Mood States, was significantly reduced in the MJBP group, but increased in the MJ group after smoking. Further, while the MJBP group reported generally worse mood ratings than the BP group prior to smoking MJ, they demonstrated improvement on several scales post-MJ use as compared to BP participants. These data provide empirical support for anecdotal reports that MJ acts to alleviate mood-related symptoms in at least a subset of bipolar patients and underscore the importance of examining MJ use in this population.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"14 1","pages":"228-239"},"PeriodicalIF":0.0,"publicationDate":"2012-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79233842","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}

引用次数: 11

Guidelines on the management of co-occurring mental health conditions in alcohol and other drug treatment settings: how useful are they? 在酒精和其他药物治疗环境中同时发生的精神健康状况管理指南:它们有多大用处?

Mental health and substance use : dual diagnosis Pub Date : 2012-03-21 DOI: 10.1080/17523281.2011.631502

K. Mills, M. Deady, M. Teesson, C. Sannibale, Heather Proudfoot, L. Burns, R. Mattick

{"title":"Guidelines on the management of co-occurring mental health conditions in alcohol and other drug treatment settings: how useful are they?","authors":"K. Mills, M. Deady, M. Teesson, C. Sannibale, Heather Proudfoot, L. Burns, R. Mattick","doi":"10.1080/17523281.2011.631502","DOIUrl":"https://doi.org/10.1080/17523281.2011.631502","url":null,"abstract":"There has been a growing literature documenting the high prevalence of co-occurring mental health disorders among clients of substance use treatment services and the challenges clinicians face when treating comorbid clients. To assist alcohol and other drug (AOD) workers in working with these clients, the Australian Government Department of Health and Ageing funded the development of ‘Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings.’ Too often guidelines are produced but not evaluated. The present study aimed to examine the extent to which this resource is perceived to be relevant and useful to clinical practice. Ninety-seven AOD workers from across Australia completed an online survey. A series of questions asked respondents to rate the relevance and usefulness of the Guidelines to their clinical practice. Overall, the responses received were overwhelmingly positive. The vast majority of respondents perceived th...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"41 1","pages":"160-172"},"PeriodicalIF":0.0,"publicationDate":"2012-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87517644","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}

引用次数: 27

Prolonged exposure to post-traumatic stress disorder (PTSD) in an active substance abuser 活跃药物滥用者长期暴露于创伤后应激障碍(PTSD)

Mental health and substance use : dual diagnosis Pub Date : 2012-03-21 DOI: 10.1080/17523281.2011.611118

Theresa Souza, C. Spates, C. Rankin

引用次数: 2

Interprofessional relationships in dual diagnosis discourse in an Australian State: are we respecting each other yet? 澳大利亚双重诊断话语中的跨专业关系:我们是否尊重彼此?

Mental health and substance use : dual diagnosis Pub Date : 2012-03-21 DOI: 10.1080/17523281.2011.618995

Bridget Roberts

引用次数: 8

Differences in substance-related risk behavior between dual and triple diagnosed severely mentally ill adults. 双重诊断和三重诊断的严重精神病成人在药物相关风险行为方面的差异。

Mental health and substance use : dual diagnosis Pub Date : 2012-02-01 Epub Date: 2011-11-29 DOI: 10.1080/17523281.2011.608374

Michelle Decoux Hampton, Linda Chafetz, Carmen Portillo

{"title":"Differences in substance-related risk behavior between dual and triple diagnosed severely mentally ill adults.","authors":"Michelle Decoux Hampton, Linda Chafetz, Carmen Portillo","doi":"10.1080/17523281.2011.608374","DOIUrl":"10.1080/17523281.2011.608374","url":null,"abstract":"OBJECTIVES: The purpose of this study was to determine if differences exist between adults with dual and triple diagnoses with regard to substance-related risk behaviors. METHODS: This secondary analysis was a cross-sectional study. There were 252 subjects with dual and triple diagnoses recruited from residential crisis programs in San Francisco. Using descriptive and logistic regression analyses, subjects in the two groups were compared with regard to demographic data, types of substances, and routes of administration used in the previous 30 days to determine risk for exposure and/or transmission of HIV/HCV. RESULTS: When compared to the dual diagnosis group, subjects with triple diagnoses were four times more likely to have engaged in IDU (p=.001) and 2.6 times more likely to use amphetamines (p=.05). They also reported using more types of substances over the lifetime (p<.0001). But with regard to other risk behaviors such as alcohol use to intoxication and cocaine/crack use, there were no significant differences. CONCLUSION: Though many substance-related risk behaviors occurred in both groups, adults with triple diagnoses were more likely to engage in IDU, amphetamine use, and to use more types of substances over the lifetime. This information has the potential to inform interventions that might prevent/reduce substance-related risk in this population.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"5 1","pages":"52-63"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3347481/pdf/nihms-336206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30613701","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}

引用次数: 0

Childhood trauma among individuals with co-morbid substance use and post traumatic stress disorder. 伴随物质使用和创伤后应激障碍的儿童创伤。

Mental health and substance use : dual diagnosis Pub Date : 2011-11-01 DOI: 10.1080/17523281.2011.598462

Philippa L Farrugia, Katherine L Mills, Emma Barrett, Sudie E Back, Maree Teesson, Amanda Baker, Claudia Sannibale, Sally Hopwood, Julia Rosenfeld, Sabine Merz, Kathleen T Brady

{"title":"Childhood trauma among individuals with co-morbid substance use and post traumatic stress disorder.","authors":"Philippa L Farrugia, Katherine L Mills, Emma Barrett, Sudie E Back, Maree Teesson, Amanda Baker, Claudia Sannibale, Sally Hopwood, Julia Rosenfeld, Sabine Merz, Kathleen T Brady","doi":"10.1080/17523281.2011.598462","DOIUrl":"https://doi.org/10.1080/17523281.2011.598462","url":null,"abstract":"BACKGROUND: Little is known about the impact of childhood trauma (CT) on the clinical profile of individuals with co-occurring substance use disorder (SUD) and post traumatic stress disorder (PTSD). AIMS: To compare the clinical characteristics of individuals with SUD+PTSD who have a history of CT with SUD+PTSD individuals who have experienced trauma during adulthood only. METHOD: Data were collected on 103 individuals as part of a randomised controlled trial examining the efficacy of an integrated psychosocial treatment for SUD+PTSD. Participants were recruited from substance use treatment services, community referrals and advertising. Data were collected on demographic characteristics, substance use and treatment histories, lifetime trauma exposure, and current physical and mental health functioning. RESULTS: The vast majority (77%) of the sample had experienced at least one trauma before the age of 16, with 55% of those endorsing childhood sexual abuse. As expected individuals with a CT history, as compared to without, evidenced significantly longer duration of PTSD. Those with a CT history also had more extensive lifetime trauma exposure, an earlier age of first intoxication, and reported more severe substance use (e.g., a greater number of drug classes used in their lifetime, higher severity of dependence scores and greater number of drug treatment episodes). CONCLUSION: Individuals with co-morbid SUD+PTSD who have experienced CT present with a more severe and chronic clinical profile in relation to a number of trauma and substance use characteristics, when compared to individuals with adulthood only trauma histories. It is therefore important for SUD+PTSD treatment planning that CT be carefully assessed.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"4 4","pages":"314-326"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2011.598462","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30197166","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}

引用次数: 54

The prevalence and manifestation of substance use paralleling behaviours in a secure forensic psychiatric hospital 安全法医精神病院药物使用平行行为的流行和表现

Mental health and substance use : dual diagnosis Pub Date : 2011-10-03 DOI: 10.1080/17523281.2011.598464

R. Schaefer, M. Daffern, A. Ferguson

引用次数: 3