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Mental health and substance use : dual diagnosis最新文献

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Addiction and personality disorders: towards integrated treatment. Implementation in an Axis II treatment team 成瘾与人格障碍:迈向综合治疗。在Axis II治疗团队中实现
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.505174
A. V. Wamel, Hendrik Jansen, E. Kuijpers
{"title":"Addiction and personality disorders: towards integrated treatment. Implementation in an Axis II treatment team","authors":"A. V. Wamel, Hendrik Jansen, E. Kuijpers","doi":"10.1080/17523281.2010.505174","DOIUrl":"https://doi.org/10.1080/17523281.2010.505174","url":null,"abstract":"Background: In the Netherlands, mental illness and addiction are treated separately. This has caused problems when treating dual disorders. There is growing consensus in the Netherlands that the integration of mental health care and addiction care may be the best way to treat dual disorder patients. The effectiveness of Integrated Dual Disorder Treatment (IDDT) has been researched for schizophrenia and mood disorders. However, can IDDT be used in the treatment of personality disorders? Aims: To determine whether the IDDT model can be applied to Axis II patients and to what effect. Method: A team dealing with AXIS II patients participated in an IDDT pilot implementation project. Results: An important question at the introduction of IDDT was what would remain of the model when applied to patients with personality disorders? The findings suggest the model has remained intact. Conclusions: Although working with motivational interviewing and especially stage-wise treatment seem to be of real value; to a greate...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"11 1","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86977303","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: 2
Does recent criminal involvement matter? A study of women with co-occurring disorders in a multisite national trial 最近是否有犯罪前科重要吗?在一项多地点国家试验中对女性并发疾病的研究
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.503938
L. Brady, L. Najavits, D. Toussaint, Diane Bonavota, B. Veysey
{"title":"Does recent criminal involvement matter? A study of women with co-occurring disorders in a multisite national trial","authors":"L. Brady, L. Najavits, D. Toussaint, Diane Bonavota, B. Veysey","doi":"10.1080/17523281.2010.503938","DOIUrl":"https://doi.org/10.1080/17523281.2010.503938","url":null,"abstract":"Aims: To investigate criminal involvement in relation to treatment outcome in a multisite study. We compared 381 women with recent criminal involvement (RCI, n = 381; past 3 months) to 681 women with no lifetime history of criminal involvement (NCI, n = 681) at baseline and at 6 months from start of treatment (RCI 6 mos: n = 282; NCI 6 mos: n = 556). Methods: Outcome measures were alcohol severity, drug severity, general mental health, and PTSD symptoms. We compared RCI versus NCI women at baseline and compared RCI versus NCI women from baseline to 6 months by treatment condition. Treatment conditions were integrated care for co-occurring disorders versus treatment-as-usual. Age and baseline scores were covariates. Results: In the baseline comparison, RCI women were younger, had greater drug addiction severity but better mental health than NCI women. In the over-time analysis, RCI and NCI 6-month clinical outcome scores improved irrespective of intervention type.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"15 15","pages":"193-202"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2010.503938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72489683","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: 3
DSM-IV Axis-I comorbidity among illicit drug users seeking treatment for substance use disorders: results from the Multi-centre Study of Psychiatric Comorbidity in Drug Addicts (MUPCDA) 寻求药物使用障碍治疗的非法吸毒者的轴i共病:来自吸毒成瘾者精神共病多中心研究(MUPCDA)的结果
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.504643
R. Thomasius, P. Sack, K. Petersen
{"title":"DSM-IV Axis-I comorbidity among illicit drug users seeking treatment for substance use disorders: results from the Multi-centre Study of Psychiatric Comorbidity in Drug Addicts (MUPCDA)","authors":"R. Thomasius, P. Sack, K. Petersen","doi":"10.1080/17523281.2010.504643","DOIUrl":"https://doi.org/10.1080/17523281.2010.504643","url":null,"abstract":"Background: To contribute to the discussion on Integrated Dual Disorders Treatment in persons seeking treatment for substance use disorders and carrying a substance dependence diagnosis. Aims: To capture current (4 weeks) DSM-IV Axis-I comorbidity in a sample of German in-treatment substance use disorders patients. Method: A clinical sample of n = 301 patients (75% male, 25% female; mean age 31 years, range 15–55 years) were interviewed face-to-face by 40 raters, using the Mini-DIPS (German version of the Anxiety Disorders Interview Schedule). In this multi-centre study, 19 German treatment centres participated. Results: Diagnoses for opioid dependence were given to 86% and for polydrug dependence to 75% of the patients. Socio-demographic data revealed high unemployment, indebtedness and crime rates. Most frequent diagnoses of comorbidity were: generalized anxiety disorder (28%) and dysthymia (26%). Women were more likely to be dually diagnosed and to report lifetime substance-induced visual hallucination...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"41 1","pages":"182-192"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76478665","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: 9
Administration of PRN medications: a descriptive study of concurrent disorder patients PRN药物的管理:并发疾病患者的描述性研究
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.504644
E. Martin, Shaohua Lu, H. Robertson, S. Ganesan, M. Mckenna
{"title":"Administration of PRN medications: a descriptive study of concurrent disorder patients","authors":"E. Martin, Shaohua Lu, H. Robertson, S. Ganesan, M. Mckenna","doi":"10.1080/17523281.2010.504644","DOIUrl":"https://doi.org/10.1080/17523281.2010.504644","url":null,"abstract":"Background: There is a paucity of research on the use of pro re nata (PRN) medications in psychiatry, and even more so, their use in patients diagnosed with concurrent disorder (CD). Aim: To provide an initial review and description of this population with respect to the administration of PRN medications. Method: A retrospective review of 135 charts was conducted on patients admitted to the University of British Columbia Concurrent Disorder Unit from 1 June 2008 to 31 December 2008. Results: A total of 133 (98.5%) of the 135 patients had at least one PRN order in their charts. The most frequently ordered medications for use as a PRN were Lorazepam (103 orders), Quetiapine (91 orders), and Loxapine (68 orders). The mean dosages delivered for all medications were in the low, sedative range. The most common reasons for prescribing across medications were for: sleep, agitation, anxiety, and withdrawal symptoms. With respect to the proportion of PRN orders to actual PRN medications administered, Quetiapine (83...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"20 1","pages":"238-247"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80327936","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
Key enhancing factors for integrating services for patients with mental and substance use disorders 加强为精神和物质使用障碍患者提供综合服务的关键因素
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.505176
A. Brousselle, Lise Lamothe, C. Sylvain, A. Foro, M. Perreault
{"title":"Key enhancing factors for integrating services for patients with mental and substance use disorders","authors":"A. Brousselle, Lise Lamothe, C. Sylvain, A. Foro, M. Perreault","doi":"10.1080/17523281.2010.505176","DOIUrl":"https://doi.org/10.1080/17523281.2010.505176","url":null,"abstract":"Background: Over the past decade, practice standards have recommended that people experiencing both mental and substance use disorders receive integrated treatment. Yet few institutions offer integrated services, and patients are too often turned away from psychiatric and rehabilitation services. Aim: To identify key enhancing elements for integrating services for patients with co-occurring disorders. Methods: A process evaluation was conducted, using case study research methodology, with the aim of identifying factors that enhance or impede service integration. First, we elaborated a sound conceptual framework of service integration. In-depth case studies analysis using socio-anthropological methods (interviews with managers and professionals, focus groups with patients, non-participant observation, document analysis) were then conducted. Two contrasted forms of services integration, a joint venture and a strategic alliance, were analysed separately, and then compared. Results: Although the forms of inte...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"16 1","pages":"203-218"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81047756","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: 15
Changes in attitude to, and confidence in, working with comorbidity after training in screening and brief intervention 在接受筛查和简短干预培训后，对共病患者工作态度和信心的改变
Mental health and substance use : dual diagnosis Pub Date : 2010-05-04 DOI: 10.1080/17523281003712674
Jacqueline Cameron, N. Lee, Angela Harney
{"title":"Changes in attitude to, and confidence in, working with comorbidity after training in screening and brief intervention","authors":"Jacqueline Cameron, N. Lee, Angela Harney","doi":"10.1080/17523281003712674","DOIUrl":"https://doi.org/10.1080/17523281003712674","url":null,"abstract":"Background: Attitude to, and confidence in, working with comorbidity is an important feature of effective engagement when working with clients with mental health and substance use issues. Substance use treatment clinicians continue to voice concerns about their own skill and abilities to work with this complex client group. PsyCheck is a package designed to support drug and alcohol workers to implement screening and brief intervention for common mental health problems. Aim: This study used a whole workforce approach to training using the PsyCheck package, and examined changes in clinicians' attitude, skill and confidence in working with comorbidity post training. Method: A pre-post test evaluation design was used. Thirteen national alcohol and drug services were offered a two day training program in the PsyCheck package. Clinicians' attitude to comorbidity was measured by the Comorbidity Problems Perceptions Questionnaire. Semi-structured interviews were also conducted. Results: Results indicate that invo...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"32 1","pages":"124-130"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86147352","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: 12
Dual diagnosis: what does it mean? 双重诊断:这意味着什么?
Mental health and substance use : dual diagnosis Pub Date : 2010-05-04 DOI: 10.1080/17523281003702089
Glen Smith, P. Morris
{"title":"Dual diagnosis: what does it mean?","authors":"Glen Smith, P. Morris","doi":"10.1080/17523281003702089","DOIUrl":"https://doi.org/10.1080/17523281003702089","url":null,"abstract":"Background: The term ‘dual diagnosis’, referring to co-existing mental health and substance use problems, has recently increased in importance as reflected by the establishment of three new journals. However, several authors have criticised the term and some have proposed alternative terms. Aims: In this article we provide an alternate viewpoint to an existing detailed criticism of the term by Velleman and Baker (2008). In order to highlight some difficulties with the term, we undertook a preliminary analysis of citations linked to the ‘dual diagnosis’ subject heading. Method: We searched Medline (1950–2009) using the ‘dual diagnosis’ subject heading and with ‘dual diagnosis’ as a text word. We limited this subset to reviews from 2008 to 2009 and combined it with randomised controlled trials (2008–2009) as a subject heading and notated the topic of each citation. Results: There were 2609 citations located from 1950 to 2009, increasing gradually until the last two years, during which there has been a decli...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"26 1","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81330666","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: 0
Unrecognised dual diagnosis – a risk factor for dropout of addiction treatment 未被认可的双重诊断——退出成瘾治疗的一个危险因素
Mental health and substance use : dual diagnosis Pub Date : 2010-05-04 DOI: 10.1080/17523281003705199
Sabrina J Schulte, P. Meier, J. Stirling, Mike J. Berry
{"title":"Unrecognised dual diagnosis – a risk factor for dropout of addiction treatment","authors":"Sabrina J Schulte, P. Meier, J. Stirling, Mike J. Berry","doi":"10.1080/17523281003705199","DOIUrl":"https://doi.org/10.1080/17523281003705199","url":null,"abstract":"Background: While many studies have examined the prevalence of concurrent substance misuse and mental health problems across different treatment populations, we know little as to what extent such co-morbidity is identified in routine clinical practice. However, literature in the field has emphasised the importance of recognising co-morbidity early to avoid adverse treatment outcomes. Aims: To determine: (1) the degree to which co-morbidity is recognised and addressed in outpatient addiction services; and (2) whether unaddressed co-morbidity increases the risk of dropout. Method: Clients (n = 176) starting treatment at six UK-based drug and/or alcohol services and their 46 practitioners were followed for 3 months. Multiple assessments were carried out in order to obtain information about clients' mental health, 90-day retention rates, treatment perceptions and practitioners' expertise and training levels in the co-morbidity field. Services' assessment protocols and in-treatment case notes for each client w...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"49 1","pages":"94-109"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81069513","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: 25
Health service systems and comorbidity: stepping up to the mark 卫生服务系统和合并症:加紧行动
Mental health and substance use : dual diagnosis Pub Date : 2010-05-04 DOI: 10.1080/17523281003733514
P. Staiger, Caroline Long, A. Baker
{"title":"Health service systems and comorbidity: stepping up to the mark","authors":"P. Staiger, Caroline Long, A. Baker","doi":"10.1080/17523281003733514","DOIUrl":"https://doi.org/10.1080/17523281003733514","url":null,"abstract":"Clients with co-occurring substance use and mental health disorders are not well served in traditional health care systems where specialist services offer segregated interventions and the client is left to negotiate required treatment across both systems. In recent years, policy change guiding the treatment of dual diagnosis in the United States, United Kingdom, Australia and elsewhere has triggered the development of diverse models of treatment, each of which function at different points on a continuum from serial to fully integrated care. This paper outlines key models and provides examples, while considering their potential for appropriately addressing the needs of this client group. Consideration is given to the benefits of an interaction between stepped care and the chosen model, as a means of enhancing care efficiency while retaining the focus on positive outcomes.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"41 1","pages":"148-161"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88896836","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: 20
A qualitative study of how individuals with severe mental illness assess smoking risks 一项关于严重精神疾病患者如何评估吸烟风险的定性研究
Mental health and substance use : dual diagnosis Pub Date : 2010-05-04 DOI: 10.1080/17523281003738745
Kristin E. Davis, M. Brunette, V. Vorhies, Joelle C Ferron, R. Whitley
{"title":"A qualitative study of how individuals with severe mental illness assess smoking risks","authors":"Kristin E. Davis, M. Brunette, V. Vorhies, Joelle C Ferron, R. Whitley","doi":"10.1080/17523281003738745","DOIUrl":"https://doi.org/10.1080/17523281003738745","url":null,"abstract":"Background: This qualitative paper describes perceptions of smoking risk and ways of thinking about risk for 31 persons with a Severe Mental Illness (SMI). Research has shown that many people with SMI want to quit smoking, and, like many other disadvantaged groups, make many quit attempts. Aim: The authors undertook a qualitative study to explore views and experiences about smoking and quitting, within a general context of what it means to them to live a healthy lifestyle. Method: A purposive sample of former smokers, current smokers, and individuals who had never smoked was chosen to participate in a semi-structured interview. Questions targeted various lifestyle domains, narrowing to focus more specifically on smoking habits, attempts to quit, and thoughts about the future in relation to health and smoking. Techniques of grounded theory were used to categorize and interpret themes. Results: The results indicate that many current smokers interpret and frame perceptions of health risks from smoking in rel...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"19 1","pages":"110-123"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73585273","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: 13
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