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Development of the PsyCheck screening tool: an instrument for detecting common mental health conditions among substance use treatment clients 开发PsyCheck筛选工具:一种检测药物使用治疗对象中常见精神健康状况的工具
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903527158
N. Lee, L. Jenner
{"title":"Development of the PsyCheck screening tool: an instrument for detecting common mental health conditions among substance use treatment clients","authors":"N. Lee, L. Jenner","doi":"10.1080/17523280903527158","DOIUrl":"https://doi.org/10.1080/17523280903527158","url":null,"abstract":"Background: Mental health problems, particularly anxiety and mood disorders, are common among clients of alcohol and other drug treatment services, and symptom management is increasingly within the purview of alcohol and drug workers. A mental health screening toolkit, PsyCheck, was created for use by non-mental health specialists to detect common mental health problems, to screen for suicide risk, and to explore mental health treatment history among drug treatment clients. Aims: This study was undertaken to (a) choose a brief mental health screen to incorporate into PsyCheck and (b) identify cut-off scores suitable for clinical use. Method: One hundred and seventeen individuals in treatment for an alcohol or drug problem completed the Self-Reporting Questionnaire (SRQ), the General Health Questionnaire (GHQ-28), and the mental health module of the Composite International Diagnostic Interview–Auto (CIDI-A). ROC curve analysis was used to identify optimum cut-off scores for identifying clients who are like...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"207 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76206087","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: 14
Towards evidence-based policy regarding drugs and mental health 制定以证据为基础的毒品和精神健康政策
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903523512
H. Garretsen, E. Brouwers, L. V. D. Goor
{"title":"Towards evidence-based policy regarding drugs and mental health","authors":"H. Garretsen, E. Brouwers, L. V. D. Goor","doi":"10.1080/17523280903523512","DOIUrl":"https://doi.org/10.1080/17523280903523512","url":null,"abstract":"Drug policy is insufficiently evidence-based. The same is true, but to a lesser extent, for mental health policy. In this commentary, the argument is made that evidence is needed, but that we should ask ourselves the following questions: what kind of evidence is needed, how can evidence be translated into policy, and how can we ensure that evidence is actually used?","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"23 1","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74219508","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
Unravelling the role of drinking motives in the relationship between stress and alcohol use and its related problems 揭示饮酒动机在压力和酒精使用及其相关问题之间的关系中的作用
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903507671
R. Crutzen, R. Knibbe, Y. Mysyuk
{"title":"Unravelling the role of drinking motives in the relationship between stress and alcohol use and its related problems","authors":"R. Crutzen, R. Knibbe, Y. Mysyuk","doi":"10.1080/17523280903507671","DOIUrl":"https://doi.org/10.1080/17523280903507671","url":null,"abstract":"Background: A widely held assumption is that one way in which people can cope with stress is by drinking alcohol. Aims: To investigate to what extent drinking motives moderate the possible effect of stress on alcohol use and its related problems, that is, circumstances under which stress is more likely to lead to alcohol use and its related problems. Method: Multiple regression analyses on cross-sectional data of a convenience sample of 179 Dutch students. Results: The role of drinking motives is non-existent in the stress–alcohol relationship. Conclusion: There is limited evidence-based support for the widely held assumption that people cope with stress by drinking alcohol, and drinking motives cannot be used as an alternative explanation to account for stress-related effects on alcohol use and its related problems.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"9 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83518709","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
Pathways to care and community-based service contact patterns among clients with a dual diagnosis 双重诊断患者的护理途径和社区服务联系模式
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903523488
A. Conrad, T. Lewin, V. Carr, A. Baker, Margarett Terry, Andrew Taylor
{"title":"Pathways to care and community-based service contact patterns among clients with a dual diagnosis","authors":"A. Conrad, T. Lewin, V. Carr, A. Baker, Margarett Terry, Andrew Taylor","doi":"10.1080/17523280903523488","DOIUrl":"https://doi.org/10.1080/17523280903523488","url":null,"abstract":"Background: Little is known about typical service contact profiles and associated factors among clients with co-occurring mental health and substance use problems. Aim: Findings are reported from a 12-month audit of clients presenting to regional (NSW, Australia) adult community mental health and drug and alcohol services. Method: Raw data for this service evaluation project were extracted from an electronic clinical information database, comprising 61,062 community-based service contacts by 3344 clients (average age, 38.7 years; 49.8% male). Results: Several broad care pathways were identified. Substance use problems were experienced by 25.1%, with higher rates among males and younger clients. This group accounted for 35.4% of annual community-based service contacts, with substantially higher rates among clients with opiate dependence (133 contacts per client) and those with comorbid psychosis (44 per client), compared to the typical dual diagnosis client (18 per client). Clients actively engaged with a ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"20 1","pages":"10-24"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91133132","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
Mental health and substance use characteristics of flight attendants versus other clients in residential treatment 空乘人员与其他住院病人的心理健康和物质使用特征
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903507705
E. G. Horton, N. Díaz, J. Mcilveen, Michael Weiner, Donald Mullaney
{"title":"Mental health and substance use characteristics of flight attendants versus other clients in residential treatment","authors":"E. G. Horton, N. Díaz, J. Mcilveen, Michael Weiner, Donald Mullaney","doi":"10.1080/17523280903507705","DOIUrl":"https://doi.org/10.1080/17523280903507705","url":null,"abstract":"Background: Limited research has been undertaken to understand mental health and substance use problems among flight attendants. Aim: The purpose of this study was to compare flight attendants to other clients in residential treatment for substance use disorders concerning differences in the severity of their substance use and mental health symptoms, number of prior treatments, suicidality, and quality of life. Method: Medical charts of 70 flight attendants admitted consecutively to a residential substance abuse treatment center were compared with the charts of 63 randomly selected other clients attending treatment during the same time period. Results: No statistically significant between-group differences were found in suicidality or quality of life. However, flight attendants reported fewer symptoms indicative of alcohol or other drug dependency, as well as of antisocial personality disorder. They also reported fewer prior treatment episodes. However, the flight attendants were significantly less willin...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"R-31 1","pages":"25-37"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84754923","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
The use of alcohol by Vietnamese living in Melbourne, Australia 居住在澳大利亚墨尔本的越南人饮酒情况
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903523637
B. Happell, C. Gaskin, S. Gruenert, A. Polimeni
{"title":"The use of alcohol by Vietnamese living in Melbourne, Australia","authors":"B. Happell, C. Gaskin, S. Gruenert, A. Polimeni","doi":"10.1080/17523280903523637","DOIUrl":"https://doi.org/10.1080/17523280903523637","url":null,"abstract":"Background: The size of the Vietnamese community residing in Melbourne, Australia has continued to grow steadily over the past decades; however, little is known about their level of alcohol consumption. Aims: To collect data on alcohol consumption and consider the impact of demographic variables such as age and gender. Method: A questionnaire was administered to 1080 people recruited through Vietnamese organizations and the media. The survey questions were drawn from existing and validated instruments and demographic questions such as age and gender. Results: The findings suggest that Vietnamese Australians in Melbourne consume alcohol at a lower rate than the general population, but higher than the Vietnamese community in Sydney and Western Australia. Conclusions: Due to the limited research in this field, these findings make an important contribution to understanding the alcohol consumption patterns of Vietnamese Australians.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"18 1","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80807975","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
Intervention for cannabis use in young people at ultra high risk for psychosis and in early psychosis 对精神病超高风险青年和早期精神病患者的大麻使用进行干预
Mental health and substance use : dual diagnosis Pub Date : 2010-02-08 DOI: 10.1080/17523280903523983
S. Bucci, A. Baker, S. Halpin, L. Hides, T. Lewin, V. Carr, M. Startup
{"title":"Intervention for cannabis use in young people at ultra high risk for psychosis and in early psychosis","authors":"S. Bucci, A. Baker, S. Halpin, L. Hides, T. Lewin, V. Carr, M. Startup","doi":"10.1080/17523280903523983","DOIUrl":"https://doi.org/10.1080/17523280903523983","url":null,"abstract":"Background: The aims of this service evaluation were to determine if an early intervention for cannabis use is feasible and effective in reducing cannabis use and improving functional outcomes among young people at ultra high risk (UHR) for psychosis or with early psychosis. Method: This was a naturalistic evaluation that included 58 people attending a clinical service for young people at UHR for psychosis or in the early stages of a psychotic disorder. Young people were offered a tiered intervention consisting of motivational interviewing (MI) and cognitive behaviour therapy (CBT) for cannabis use according to the severity of their use. Non-users were provided with brief advice; infrequent cannabis users were offered a four-session brief intervention and regular users were offered an eight-session intervention. Cannabis use was assessed using the Drug Use Scale of the Opiate Treatment Index (OTI) and functioning was assessed using the Global Assessment of Functioning (GAF) at initial assessment and 12 mo...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"24 1","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2010-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86083983","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: 18
Use of Mental Health Services among People with Co-Occurring Disorders and other Mental Health co-morbidities: Employing the Behavioral Model of Vulnerable Populations. 同时出现精神障碍和其他精神健康合并症的人使用精神卫生服务:采用弱势群体的行为模型
Mental health and substance use : dual diagnosis Pub Date : 2010-01-01 DOI: 10.1080/17523281003717871
La Fleur F Small
{"title":"Use of Mental Health Services among People with Co-Occurring Disorders and other Mental Health co-morbidities: Employing the Behavioral Model of Vulnerable Populations.","authors":"La Fleur F Small","doi":"10.1080/17523281003717871","DOIUrl":"https://doi.org/10.1080/17523281003717871","url":null,"abstract":"<p><p>BACKGROUND: Persons with mental disorders frequently have other co-occurring problems such as substance related disorders and HIV/AIDS. Individuals with co-occurring medical and mental disorders encounter great obstacles to receiving mental health services. AIMS: This paper uses the Behavioral Model of Vulnerable Populations to evaluate use of mental health services among groups with co-occurring disorders (CODs) and other co-morbid relationships. The association between receipt of mental health treatment and traditional/vulnerable predisposing, enabling, and need factors are examined. METHODS: Bivariate analysis and two-stage hierarchical logistic regression were completed. RESUTLS: A sample of 553 persons who reported mental health problems within the past year had one or more of the following vulnerabilities: (1) substance disorders; (2) homelessness; (3) victims of violent crime; (4) diagnosed with HIV/AIDS; (5) recipient of public benefits; and 31.3% reported having received some form of mental health treatment. Both traditional and vulnerable characteristics are significant predictors of receipt of mental health treatment. Vulnerable predictors indicated decreased odds of receiving mental health treatment were associated with injection and chronic drug use, (OR = .42, CI: .22 - .77) and (OR = .38, CI: .22 - .64) respectively. CONCLUSION: The Behavioral Model of Vulnerable Populations could be employed in future research of CODs and other co-morbid group's utilization of mental health treatment.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"3 2","pages":"81-93"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281003717871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29066732","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: 15
Methodology of a randomized double-blind clinical trial for comorbid posttraumatic stress disorder and alcohol dependence. 创伤后应激障碍和酒精依赖共病的随机双盲临床试验方法
Mental health and substance use : dual diagnosis Pub Date : 2010-01-01 Epub Date: 2010-05-04 DOI: 10.1080/17523281003738661
Edna B Foa, Monnica T Williams
{"title":"Methodology of a randomized double-blind clinical trial for comorbid posttraumatic stress disorder and alcohol dependence.","authors":"Edna B Foa,&nbsp;Monnica T Williams","doi":"10.1080/17523281003738661","DOIUrl":"https://doi.org/10.1080/17523281003738661","url":null,"abstract":"<p><p>INTRODUCTION: Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are each associated with profound disruptions in psychological, social, and physical functioning, and these disruptions are compounded in individuals with both disorders. Comorbidity between the two disorders is high, with the risk for AD increasing substantially among individuals with PTSD and, conversely, PTSD is highly prevalent among people experiencing AD. AIMS: Given the increased impairment associated with this comorbidity, it is imperative to develop effective treatments for individuals who experience both disorders. METHODS: This paper describes the methodology of a study that examines the efficacy of prolonged exposure therapy alone, naltrexone alone, and their combination compared to pill placebo in reducing the severity of PTSD and alcohol use in individuals with comorbid AD and PTSD. DISCUSSION: Issues related to design, assessment, treatment choice, and challenges posed by the study population are discussed.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"3 2","pages":"131-147"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281003738661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30876055","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: 29
Emotional reactivity across individuals with varying trauma and substance dependence histories. 不同创伤和物质依赖史个体的情绪反应。
Mental health and substance use : dual diagnosis Pub Date : 2009-10-01 DOI: 10.1080/17523280903192011
Alicia K Klanecky, Dennis E McChargue
{"title":"Emotional reactivity across individuals with varying trauma and substance dependence histories.","authors":"Alicia K Klanecky,&nbsp;Dennis E McChargue","doi":"10.1080/17523280903192011","DOIUrl":"https://doi.org/10.1080/17523280903192011","url":null,"abstract":"<p><p>BACKGROUND: Research has reported a high rate of substance dependence in traumatized individuals who do not develop PTSD (TWP). While past studies have failed to consistently demonstrate that TWP individuals experience PTSD symptoms, findings have indicated that TWP and a history of substance dependence aside from nicotine dependence (SDH) are linked to affect disruption. AIMS: The present study explored positive and negative affective mechanisms across four groups with varying SDH and TWP including TWP + SDH, TWP only, SDH only, or no history. Researchers hypothesized that adults (n = 78) would be more emotionally reactive to an experimentally-induced negative mood compared to a neutral mood induction as the presence of co-existing TWP and SDH increased. METHOD: After a brief telephone screening, eligible participants completed baseline self-report questionnaires and experimentally-manipulated negative and neutral mood inductions. RESULTS: Most notably, results showed a significant TWP x SDH x Mood induction interaction (F (1, 63) = 4.154; Mse = 51.999; p = .046) for positive affect responses. Simple effects indicated that all participants except TWP + SDH individuals experienced a significant decrease in positive affect during the negative compared to the neutral mood condition. CONCLUSION: Findings may identify a protective mechanism for relapse among individuals with a history of both TWP and SDH.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"2 3","pages":"191-202"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523280903192011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28553770","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: 8
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