Dual diagnosis competencies: A systematic review of staff training literature

Petrakis, Melissa; Robinson, Rebecca; Myers, Kevan; Kroes, Simon; O’Connor, Sarah

doi:10.1016/j.abrep.2018.01.003

Cited by 23 publications

(34 citation statements)

References 18 publications

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“…It is strategic to focus on the initial assessment of DD, including the importance of evaluating possible traumas experienced and to better contextualize the disorder from a psychosocial point of view (Dass-Brailsford & Myrick, 2010; Shahriyarmolki & Meynen, 2014). Training could also help to fight against prejudices attached to users, and to acknowledge the nonlinear nature of the recovery process, which includes the possibility of relapse (Petrakis et al, 2018). Other necessary themes to be developed are relational aspects (Edland-Gryt & Skatvedt, 2013), continuity of care (McCallum et al, 2015; Peterson, 2013), coordination of services (Peterson, 2013) and sociological and systemic aspects, which often exceed the boundaries of the health workers’ spheres of practice (Roberts, 2012).…”

Section: Discussionmentioning

confidence: 99%

Dual diagnosis: A systematic review of the organization of community health services

Fantuzzi

Mezzina

2020

Int J Soc Psychiatry

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Background: Dual diagnosis (DD), as the co-occurrence of a substance use disorder and a psychiatric disorder, is underestimated, under-diagnosed and often poorly treated throughout the world, although it is highly prevalent in people suffering from a mental disorder. Aims and methods: This review analyzed 48 studies from a PubMed and PsycINFO databases search, in order to verify the state of the art regarding the organization of community health services for DD treatment. Results: Four macro-themes have been identified: service organization, critical issues, assessment tools and evidence-based interventions. An effective service recognizes the complexity of DD, promotes a common staff culture, and tailors the organization to local needs. The main critical issues in its implementation include the lack of specific staff training, the poor management of resources and the need for greater personalization of care plans, with attention to psychosocial interventions. Integrated service assessment tools can be used as a benchmark measure at the program level for implementation planning and at the national level to affect policy change. The integrated treatment model for DD should also aim to improve access to care and offer treatments based on scientific evidence. It is also evident that the integration of services can improve outcomes but it is not a guarantee for it. Conclusion: There is an urgent need to improve networking between mental health and addiction services in order to deal with DD and create new integrated intervention models, paying attention to an approach to the whole person, seen in his/her absolute uniqueness.

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Section: Discussionmentioning

confidence: 99%

Dual diagnosis: A systematic review of the organization of community health services

Fantuzzi

Mezzina

2020

Int J Soc Psychiatry

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“…This includes developing the ability to respond to patient needs for information regarding the influence of illicit drugs and alcohol on their mental illness as well as helping patients understand how these substances interact with prescribed and nonprescribed medications. The importance of the nursing role in addressing dual diagnosis in an integrated and comprehensive manner has been highlighted in the literature (Antai-Otong et al, 2016;Edwards, 2008;Gallagher & Scott, 2008;Howard & Holmshaw, 2010;McGovern et al, 2014;Petrakis et al, 2018). For example, as proposed by Lawrence-Jones (2010), and as indicated by the participants in this study, the opportunity to address substance use issues and mental illness with the same clinician is of potential benefit, provided that this clinician has expertise in both areas.…”

Section: Responding To Dual Diagnosis: Integrating Mental Illness Carmentioning

confidence: 87%

“…Known as a dual diagnosis, an estimated one third to one half of adults diagnosed with a mental illness also have a substance use disorder (Antai-Otong, Theis, & Patrick, 2016;Drake, Mueser, & Brunette, 2007; European Monitoring Centre for Drugs and Drug Addiction [EMCDDA], 2015; Petrakis, Robinson, Myers, Kroes, & O'Connor, 2018). Also referred to as having a concurrent disorder or a co-occurring disorder (EMCDDA, 2015), individuals in this subgroup face many challenges including being more likely to have added health problems (Drake et al, 2006;Rosenberg, Drake, Brunette, Wolford, & Marsh, 2005) as well as being at increased risk for adverse outcomes, including treatment nonadherence and suicide (Beeber & Stein, 2015;Cosci & Fava, 2011;Czobor et al, 2015;Drake, O'Neal, & Wallach, 2008;Greenberg & Rosenheck, 2014;Jacobs et al, 2010;Krausz et al, 2013;Montes, Maurino, de Dios, & Medina, 2013;Roque, Findlay, Okoli, & El-Mallakh, 2017;Sendt, Tracy, & Bhattacharyya, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…The needs of patients with a dual diagnosis are complex and delivering effective care calls for specialized knowledge, novel approaches, and clinical skills specific to this population (EMCDDA, 2015;McCallum, Mikocka-Walus, Gaughwin, Andrews, & Turnbull, 2016;McGovern, Lambert-Harris, Gotham, Claus, & Xie, 2014;Petrakis et al, 2018). Acquiring and developing these competencies requires further staff education, standardized training, and professional support (Antai-Otong et al, 2016;Delaney & Lynch, 2008;McGovern et al, 2014;Petrakis et al, 2018;Van Boekel, Brouwers, Van Weeghel, & Garretsen, 2013). Many also argue in favor of an integrated care model, in which the management of substance use is incorporated as an integral part of mental health services.…”

Section: Introductionmentioning

confidence: 99%

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Understanding Helpful Nursing Care From the Perspective of Mental Health Inpatients With a Dual Diagnosis: A Qualitative Descriptive Study

Brahim

Hanganu

Gros

2019

J Am Psychiatr Nurses Assoc

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BACKGROUND: An estimated 30% to 50% of people with a mental illness also have a substance use problem. Referred to as having a dual diagnosis, these patients experience high levels of unmet needs, poor health outcomes, and require specialized care during psychiatric hospitalization. Research on nursing inpatients with a dual diagnosis is limited and patient perceptions of helpful care during hospitalization are unknown. AIMS: What nursing interventions, attitudes, actions, and/or behaviors are perceived as helpful by patients with a dual diagnosis during psychiatric hospitalization? METHODS: A qualitative-descriptive design was used. Twelve adult inpatients with a dual diagnosis were recruited using purposive sampling. Individual, semistructured interviews were conducted, and interview data were analyzed using content analysis. RESULTS: Helpful nursing occurred across three themes: (1) promoting health in everyday living, (2) managing substance use in tandem with mental illness, and (3) building therapeutic relationships. CONCLUSIONS: Specific examples of helpful interventions and their reported outcomes reinforce the critical role that nurses play in the health and recovery of inpatients with a dual diagnosis. The importance of collaborative, strengths-based approaches is highlighted, and expanding the nurse’s role to include evidence-based responses to substance use is recommended.

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“…As part of this research study, a systematic literature review was conducted in 2015, which looked at literature regarding approaches to staff training in dual diagnosis competencies. Some of the key themes emerging included the following point, “In particular there is limited literature regarding the efficacy of dual diagnosis competency resources, and a gap as to use of the mentoring in dual diagnosis capacity building” (Petrakis et al, 2018, p. 53).…”

Section: Systematic Literature Reviewmentioning

confidence: 99%

Reasons for Use Package: Outcomes From a Case Comparison Evaluation

Myers

Kroes

O’Connor

et al. 2020

Research on Social Work Practice

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The objective was to explore the efficacy of a dual diagnosis resource—the Reasons For Use Package (RFUP)—to build staff capacity to work with service users and explore service user experiences. A two-state case comparison evaluation was conducted employing a mixed methods action research design, utilizing staff and service user surveys combined with focus groups involving staff trained and mentored in use of the RFUP. Results were that both staff and service users responded positively to the RFUP. Staff self-reported improvements in knowledge and confidence, and service users reported the RFUP assisted them with reflecting on interactions between their mental health and substance use; this assisted them with goal planning and improved their working relationship with staff. Implications were that training and mentoring in the RFUP can contribute to building staff knowledge and confidence in dual diagnosis interventions in mental health community services, and benefit service users.

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Dual diagnosis competencies: A systematic review of staff training literature

Cited by 23 publications

References 18 publications

Dual diagnosis: A systematic review of the organization of community health services

Dual diagnosis: A systematic review of the organization of community health services

Understanding Helpful Nursing Care From the Perspective of Mental Health Inpatients With a Dual Diagnosis: A Qualitative Descriptive Study

Reasons for Use Package: Outcomes From a Case Comparison Evaluation

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