Drug and Alcohol Education for Consumer Workers and Caregivers: A Pilot Project Assessing Attitudes Toward Persons With Mental Illness and Problematic Substance Use

Cleary, Michelle; Hunt, Glenn E.; Malins, Gillian; Matheson, Sandra; Escott, Phil

doi:10.1016/j.apnu.2008.05.004

Cited by 11 publications

(16 citation statements)

References 33 publications

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“…However, studies suggest that patients with dual diagnosis often receive insufficient treatment (Back et al , 2009; Carrà et al , 2015; Drake and Mueser, 2000; Sorsa et al , 2017). A consistent finding in the literature is that mental health professionals often find their competencies inadequate to provide dual diagnosis treatment which makes it challenging to treat the patient group (Back et al , 2009; Barry et al , 2002; Cleary et al , 2009; Griffin et al , 2008; Sorsa et al , 2017). Insufficient knowledge of dual diagnosis treatment and insufficient clinical skills have been associated with negative attitudes towards patients with dual diagnosis (Adams, 2008; Richmond and Foster, 2003), which can impede the treatment (Sorsa et al , 2017; Todd et al , 2002; van Boekel et al , 2013).…”

Section: Introductionmentioning

confidence: 87%

Challenges in working with patients with dual diagnosis

Pinderup

2018

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Purpose Studies have shown that mental health professionals find working with patients with dual diagnosis challenging, and the purpose of this paper is to examine some of these challenges. Design/methodology/approach In total, 85 mental health professionals from 8 different mental health centres in Denmark were interviewed. The data analysis was inspired by a grounded theory approach. Findings Different challenges in the dual diagnosis treatment were identified and they suggested that the focus of treatment was mainly on the mental illness rather than the substance use disorder. The single focus of the treatment made it challenging to treat patients with dual diagnosis sufficiently. While several studies explain the single focus by inadequate competencies among professionals, the present study suggests that the single focus is also explained by the way that the treatment is organised. For instance, standardized treatment packages and insufficient guidelines on substance abuse treatment make it challenging to treat patients with dual diagnosis. Originality/value This paper suggests that a more flexible, and a longer period of, treatment, together with more sufficient guidelines on dual diagnosis treatment and a more formalized collaboration with the substance abuse treatment centres, will make it a less challenging issue to treat patients with dual diagnosis.

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Section: Introductionmentioning

confidence: 87%

Challenges in working with patients with dual diagnosis

Pinderup

2018

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“…Two phases of training were implemented by the "Dual Diagnosis Lead" in order to build trust, develop professional relationships and to develop knowledge and interest among practitioners. Other studies have also observed improvements in practitioner attitudes, confidence and skills following the delivery of "Dual Diagnosis" training programmes (Graham et al, 2006;Munro et al, 2007;Cleary et al, 2009b;Hughes et al, 2008).…”

Section: Training Programmementioning

confidence: 96%

Delivery of a mainstreaming treatment model towards co-existing difficulties: a brief exploration of practitioners’ understanding, views and reported experiences

Guest

Chrisp

2015

Advances in Dual Diagnosis

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Purpose – The purpose of this paper is to describe the delivery of a mainstreaming model within a public sector, mental health (National Health Service (NHS)) organisation. The model promotes the inclusivity of a spectrum of presentations from co-existing moderate anxiety and depression to severe mental disorder (psychosis) and problematic substance and alcohol use. Design/methodology/approach – This paper introduces the delivery of three collective approaches, termed the “three essential elements” to support a mainstreaming treatment model, facilitated by a “Dual Diagnosis Lead”. The model encompasses; a “direct access” referral pathway, joint collaboration with practitioners and the delivery of a “Dual Diagnosis” training programme. An independent evaluation was commissioned to explore eight mental health and substance misuse practitioners’ views and experiences in relation to the impact of the mainstreaming model. This paper also considers feedback from 230 course participants attending a one day “Dual Diagnosis” training programme. Findings – This paper suggests that practitioners may benefit from the implementation of the mainstreaming approach and the delivery of this approach could be moving “Dual Diagnosis” interventions closer to mainstream practice. Research limitations/implications – The limitations of the mainstreaming model are acknowledged in relation to the generalisation of practitioners’ views and reported experiences. Originality/value – This paper offers a description of the delivery of a mainstreaming model involving the “three essential elements”. The model provides a useful insight and demonstrates the possibilities which may be achieved when attempting to implement a mainstreaming treatment approach within mainstream mental health and drug and alcohol services.

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“…Studies that employed lectures as a teaching method addressed topics such as drug dependence and treatment of alcohol withdrawal, as well as the 12 steps of the Alcoholics Anonymous (AA) (Meltzer et al, 2013;Rose et al, 2006). Studies employed interactive activities involving participants in the form of workshops (Cleary, Hunt, Malins, Matheson, & Escott, 2009), fostering the connection between general ideas and practical aspects specific to their workplace. Some studies also conducted training modules in Screening, Brief Intervention, and Referral to Treatment (SBIRT) (n = 5; 18%), stimulated discussions of clinical cases (n = 4; 14%), and used audiovisual resources (n = 6; 21%).…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Interventions to Reduce Stigma Related to People who Use Drugs: Systematic Review

Tostes

Dias

Reis

et al. 2020

Paidéia (Ribeirão Preto)

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Interventions to reduce stigma related to people who use drugs can improve their quality of life and adherence to treatment. This review aimed to identify and analyze studies on interventions to reduce the stigma related to people who use drugs. Searches were performed in the following databases, without period delimitation: PubmMed, APA PsycNET, ScienceDirect, Web of Science, and VHL. Considering secondary referencing, we identified a total of 5,488 records. This review covered 28 articles and was based on PRISMA. Although target audiences comprising students and health professionals were predominant, as well as the use of quantitative methods, sample size and interventions varied among studies. The selected studies present considerable methodological limitations. We concluded that no evidence confirms the effectiveness of the proposed interventions and which of them should continue to be applied for this specific aim. It is essential to invest in approaches other than those traditionally adopted.

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Drug and Alcohol Education for Consumer Workers and Caregivers: A Pilot Project Assessing Attitudes Toward Persons With Mental Illness and Problematic Substance Use

Cited by 11 publications

References 33 publications

Challenges in working with patients with dual diagnosis

Challenges in working with patients with dual diagnosis

Delivery of a mainstreaming treatment model towards co-existing difficulties: a brief exploration of practitioners’ understanding, views and reported experiences

Interventions to Reduce Stigma Related to People who Use Drugs: Systematic Review

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