Dual Diagnosis and Application Problems in the Use of the Construct

Iudici, Antonio; Girolimetto, Riccardo; Volponi, Giulia; Eletto, Alba

doi:10.1097/nmd.0000000000001092

Cited by 16 publications

(17 citation statements)

References 34 publications

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“…To date, literature has discussed the definition and relevance of dual diagnosis, the inclusion of knowledge and guidance from the lived experience perspective (Iudici et al , 2020) and attitudes to working with people living with dual diagnosis (Foster, 2020; Marel et al , 2016; Petrakis, 2018). Other papers include government leadership, system design and the development and evaluation of integrated treatment models (Department of Health and Human Services, 2007; Mueser et al , 2003; Deady et al , 2014; Fantuzzi and Mezzina, 2020).…”

Section: Dual Diagnosis Integrated Treatment – Literature Reviewmentioning

confidence: 99%

The dual diagnosis clinician shared care model – a clinical mental health dual diagnosis integrated treatment initiative

Foster

Robertson²,

Pallis³

et al. 2022

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Purpose To improve outcomes for people with co-occurring mental health and substance use disorders, the Eastern Health Mental Health Service implemented an integrated treatment model known as the dual diagnosis clinician shared care model. This study aims to provide evidence for a relatively unexplored model in clinical mental health services within the state of Victoria, Australia. Design/methodology/approach Dual diagnosis clinicians were placed into community mental health clinics in a shared-care, modified case management role, to provide primary and secondary consultations to select consumers and/or their carers, as well as to provide capacity-building training to the mental health staff facing real world clinical challenges in dual diagnosis service delivery. Findings Since the commencement of this service, more than 800 consumers of the adult mental health service have been supported to concurrently address their harmful substance use, while receiving recovery-focused community mental health care. Preliminary findings include previously unknown figures on the prevalence for co-occurring substance use at the point of referral and a demonstrated preference by consumers for treatment of both disorders at the same time by the same service (in-house treatment). Originality/value The establishment of a dedicated, integrated dual diagnosis team has significantly increased the capacity of a community-based clinical mental health service to engage with and treat consumers with dual diagnosis disorders. This model is beginning to produce evidence challenging traditional siloed approaches to mental health and alcohol and drug treatment.

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Section: Dual Diagnosis Integrated Treatment – Literature Reviewmentioning

confidence: 99%

The dual diagnosis clinician shared care model – a clinical mental health dual diagnosis integrated treatment initiative

Foster

Robertson²,

Pallis³

et al. 2022

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“…This study uses an interactionist epistemological theory framework (Iudici et al, 2020;Salvini, 1998;Salvini and Dondoni, 2011). From this perspective, thought processes and meanings are shaped by the social interactions surrounding an individual, and discourses form a structural sequence of intentional acts (Blumer, 1969;Harr e and Gillett, 1994;Iudici and Fabbri, 2017;Iudici et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the assessment of witnesses in juridical contexts: a literature review. Legal, civil and psychological implications

Iudici

Stefano²,

Binato³

2023

JFP

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Purpose This study aims to provide an overview of studies concerning bias in law, particularly in judges’ decisions. The authors intend to bring to light the factors that can most frequently lead to unequal decisions to enable judges to better perform their function. Design/methodology/approach A literature review was used as a methodology based on studies involving judges and juries. Findings The evidence reported by this review suggests how difficult the judge’s job is and how they can be unconsciously influenced by inferences, deductions and biases. The results show that the pleasantness of the witness and the confidence they exhibit during testification are crucial factors in influencing the decisions of judges and jurors. From these studies, it can be assumed that different personal aspects – smiling, pleasantness and the witness’s credibility – can be positively associated with each other, which could compromise the ongoing evaluation. Gender is another factor that can influence evaluations; in fact, witnesses are evaluated based on their own “gender” as well as that of the jurors. Another essential factor is self-confidence. Also, the age of both of the judge and of the witness can be a factor that influences decisions in court. Other factors such as communication effectiveness, degree of accuracy of reported information and non-verbal behaviour were also found to be important. Research limitations/implications Among the limitations of this research, the authors have to consider the low number of available research and that the most of these derive from a specific cultural context – the American one. There may also be limits to the way in which certain concepts are used in different parts of the world, particularly through a very broad construct, such as the credibility of witness. Practical implications This study highlights which inferences and biases can characterise decision-making processes and, above all, highlights the need for specific training courses aimed at managing the many processes involved in influencing human decisions. Social implications The authors believe that this work can raise awareness about the series of unconscious reasoning that may happen in the legal field, which has a major impact on people’s lives and on the general perception of justice. Originality/value In this research, the authors have considered some of the criteria that may intervene in the evaluation of witnesses, those present in the current scientific literature. From the research, it seems appropriate and necessary to provide judges with adequate training aimed at the recognition of their cognitive processes and bias. In fact, when they were made aware of them, they were less affected by bias, resulting in more objective and limiting improper inferences.

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“…Over the past decade, the incidence of a diagnosed mental disorder along with a co-occurring substance use disorder (SUD) in the same person, referred to as dual diagnosis (DD), has become a well-established and evolving field of research (Iudici et al 2020 ; Morisano, Babor & Robaina 2014 ; Vitali et al 2018 ). Recent findings found that up to 75% of patients with a severe mental illness have also been diagnosed with an SUD, while 60% of adult patients with an SUD were found to be diagnosed with at least one severe mental illness (Temmingh et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…The DSM-V utilises a categorical approach but proposes a “dimensional” approach that allows for a more flexible understanding of DD that attempts to accommodate the subjectivity of each patient and has the potential to improve the clinical practice and diagnostic accuracy (Vitali et al 2018 ). However, due to the high prevalence of this psychiatric presentation, standardised diagnostic criteria need to be developed and added to newer editions of the DSM to assist clinicians in the effective and timely diagnosis and treatment of DD patients (Iudici et al 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Patients with DD present with significantly complex clinical profiles (Iudici et al 2020 ). When compared to patients with single morbidities, patients with DD present with higher rates of treatment non-compliance and relapse (Horsfall et al 2009 ), lower levels of motivation to change, reduced treatment engagement, poor adaptive coping skills (Priester et al 2016 ), increased psychiatric morbidities, impaired quality of life (McCallum et al 2015 ; Morojele, Saban & Seedat 2012 ), and severely compromised socio-economic functioning (Vitali et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Integrated vs non-integrated treatment outcomes in dual diagnosis disorders: A systematic review

Chetty

Guse

Malema

2023

Health SA Gesondheid

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Background: The incidence of dual diagnosis (DD) (i.e. substance use disorders [SUD] and co-occurring mental disorders) is widespread; however, they vary widely in permutation and combination. As a result, establishing effective and empirically supported interventions for this clinical population remains challenging.Aim: This study aimed to examine current literature on the treatment outcomes for patients with DD.Method: A systematic review of randomised controlled trials (RCTs) published between 2009 and 2018 was conducted for two broad intervention categories identified by the literature: non-integrated and integrated treatment. Multiple electronic databases were searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA).Results: The search generated a total of 743 studies, of which 11 satisfied the inclusion criteria. These studies were thematically synthesised into two main analytical themes: ‘treatment outcomes’ and ‘reported strengths and limitations of DD treatment’. Specifically, integrated treatment held an advantage over non-integrated treatment in significantly improving psychiatric symptomatology. However, no significant benefits were found between integrated and non-integrated treatment regarding substance misuse and treatment retention.Conclusion: Overall, the results provided insufficient evidence to support the enhanced efficacy of integrated or non-integrated treatment over the other in treating patients with DD.Contribution: The study’s findings were used to provide recommendations to inform the clinical psychological service delivery of dual diagnosis treatment in South Africa and also to identify gaps in the literature and highlight areas for future research.

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Dual Diagnosis and Application Problems in the Use of the Construct

Cited by 16 publications

References 34 publications

The dual diagnosis clinician shared care model – a clinical mental health dual diagnosis integrated treatment initiative

The dual diagnosis clinician shared care model – a clinical mental health dual diagnosis integrated treatment initiative

Factors influencing the assessment of witnesses in juridical contexts: a literature review. Legal, civil and psychological implications

Integrated vs non-integrated treatment outcomes in dual diagnosis disorders: A systematic review

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