Dual diagnosis: developing the skill base

Barnes, Anna; Murray, Morag; Ritchie, Fay; Jones, Margaret

doi:10.7748/mhp2002.04.5.7.16.c1715

Cited by 5 publications

(6 citation statements)

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“…In the three studies which featured substance misuse staff, these workers perceived more systems failures (accessibility, co‐ordination, etc.) than mental health professionals (Kavanagh et al . 2000, Barnes et al .…”

Section: Analysis and Discussion Of Key Issuesmentioning

confidence: 99%

“…2000, Richmond & Foster 2003), a combination of mental health nurses working in either generic mental health or addiction services (Munro et al . 2007), rural mental health professionals (Deans & Soar 2005), combinations of mental health and substance misuse staff who provide services for people with comorbidity (Maslin et al . 2001, Barnes et al .…”

Section: Characteristics Of the Literature Reviewedmentioning

confidence: 99%

“…Dolan & Kirwan (2001) found that many staff perceived a lack of facilities or resources available for the management of substance misuse, and many staff showed little awareness of existing policies. Barnes et al . (2002), Grella et al .…”

Section: Key Issues Reported In the Reviewmentioning

confidence: 99%

“…(2004) noting that the characteristics of public funding in the United States for treatment of comorbidity may have had influence on this finding. Barnes et al . (2002) presented views that, where it existed, joint working was thought to be satisfactory, but generally substance misuse staff perceived a lack of support from mental health colleagues.…”

Section: Key Issues Reported In the Reviewmentioning

confidence: 99%

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Comorbidity of mental health and substance misuse problems: a review of workers' reported attitudes and perceptions

Adams

2008

Psychiatric Ment Health Nurs

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A comorbidity of mental health and substance misuse problems has been associated with deleterious outcomes. In the United Kingdom it has been acknowledged that people with comorbidity have often received poor care, with gaps in service provision suggesting ambivalence towards this issue. Previous reviewing authors have concluded that health professionals hold stereotypical views towards people that misuse substances, but these findings may not be directly comparable to those who work within mental health services. There is however a growing body of evidence concerning this context. The author has reviewed the literature from 1996 to 2006 to ascertain mental health professionals and allied workers attitudes and perceptions towards comorbidity, perceptions on the effectiveness of service systems, and perceptions of personal knowledge and skill in providing effective interventions. The evidence presented mainly pertains to mental health nurses, which reflects their status as the largest discipline within the mental health workforce. Overall attitudes towards comorbidity are mixed, possibly being related to contextual issues of practice and are not necessarily negative. However, there is an almost universal negative perception of deficiencies in service provision and the adequacy of training. Implications for research, development and practice are explored.

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Section: Analysis and Discussion Of Key Issuesmentioning

confidence: 99%

Section: Characteristics Of the Literature Reviewedmentioning

confidence: 99%

Section: Key Issues Reported In the Reviewmentioning

confidence: 99%

Section: Key Issues Reported In the Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Comorbidity of mental health and substance misuse problems: a review of workers' reported attitudes and perceptions

Adams

2008

Psychiatric Ment Health Nurs

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“…By contrast, an area such as Gwynedd, which has initially invested in a single worker, in a primarily liaison and developmental role, may feel the need to narrow the working definition of dual diagnosis in order to stem the flow of eligible referrals. A lack of coordination in approach to this client group particularly by mental health services has been further highlighted most recently by the Audit Commission (2002) and fellow clinicians working in the area of dual diagnosis (Barnes et al 2002).…”

Section: Resultsmentioning

confidence: 99%

The triangular treatment paradigm in dual‐diagnosis clients with a mental illness

Sims¹,

Iphofen

Payne³

2003

Journal of Substance Use

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Research evidence suggests that a large number of individuals with substance misuse problems also have accompanying psychopathology. Some of those individuals diagnosed with schizophrenia may warrant a dual-diagnosis. The clinical area of psychiatric 'dual diagnosis' -that is, serious mental illness associated with substance misuse -is often linked to the 'revolving door' admissions of individuals with this complex comorbidity picture. Often, there is limited sharing of information and cooperation between statutory agencies with reference to this highly vulnerable client group. The shortfall in appropriate clinical response to this client group has been highlighted by previous researchers. This article looks at the role of the specialist dual-diagnosis worker in North Wales and how the appointee to this role has been able to facilitate the seamless transition of these individuals through the 'system' of mental health care.

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Addiction and Mental Health Nursing: A Synthesis of Role and Care in the Community

Moore¹,

Rassool²

2006

Dual Diagnosis Nursing

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Dual diagnosis: developing the skill base

Cited by 5 publications

References 0 publications

Comorbidity of mental health and substance misuse problems: a review of workers' reported attitudes and perceptions

Comorbidity of mental health and substance misuse problems: a review of workers' reported attitudes and perceptions

The triangular treatment paradigm in dual‐diagnosis clients with a mental illness

Addiction and Mental Health Nursing: A Synthesis of Role and Care in the Community

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