Improving treatment for people with cognitive impairment and substance misuse issues: Lessons from an inclusive residential treatment program pilot in Australia

Collings, Susan; Allan, Julaine; Munro, A.

doi:10.1016/j.dhjo.2022.101295

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…This includes difficulty with planning, memory, problem solving and self-regulation. All these factors affect daily functioning, including the capacity to understand concepts and skills learnt in an intervention and apply them to daily living [49]. Several of the participants in the present study reported a short attention span and problems with attention regulation.…”

Section: Discussionmentioning

confidence: 71%

“…It has also been found that a majority of people with MHD and SUD struggle with impaired learning prerequisites in various forms and severities [19]. Executive functioning is the most common problem area observed in people with problematic substance use [49]. This includes difficulty with planning, memory, problem solving and self-regulation.…”

Section: Discussionmentioning

confidence: 99%

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Social Skills Acquisition in Virtual Reality-Based Interventions for People with Mental Health and Substance Use Disorders: A Qualitative Exploration (Preprint)

Aasen,

Nilsson,

Sørensen

et al. 2024

Preprint

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BACKGROUND People with concurrent mental health and substance use disorders (MHD and SUD) suffer from marginalization, leading to high levels of mortality and morbidity. Social participation requires certain social abilities, which are often inadequate in this group. Focusing on functional recovery and aiding people in the process of becoming active and participating citizens are thus key parameters in the recovery process for people with MHD and SUD. Recent research on virtual reality-based interventions shows a particularly promising trans-diagnostic potential in improving social functioning and quality of life across the spectrum of neuropsychiatric disorders. However, research on digitalized cognitive remediation does not show generalization to everyday life. Key working mechanisms of the interactive, digital social environments in virtual realities have yet to be identified. We also lack understanding of how we can best design and structure immersive learning experiences to promote social skills acquisition and retention for people with mental health and substance use disorders. OBJECTIVE The aim of this study was to explore how virtual reality-based interventions may be tailored to promote social skills acquisition and retention for people with concurrent mental health and substance use disorders. METHODS Eight individual in-depth interviews with adults in recovery from mental health and substance use disorders were conducted in a mmedium-sized municipality in eastern Norway during the fall of 2022. The interviews were analyzed using template analysis in a process involving peer researcher collaboration RESULTS The present study shows that human capacity to achieve sustained learning outcomes from multisensory perception in immersive learning experiences is limited in general. This study also shows that people with mental health and substance use disorders have particularly deficient immersive learning abilities, as well as disadvantageous social learning prerequisites. CONCLUSIONS Social skills acquisition and retention depend on restructuring dysfunctional cognitive schemas in the virtual reality user’s long-term memory. Chunking VRI content into micro scenarios that may be repeated and structured according to individual learning prerequisites may enable the restructuring of a dysfunctional social schema and possibly ensure the storage of the new, repaired schema in the user’s long-term memory. It is therefore suggested that virtual reality-based interventions for social skills training should be designed as short, focused micro scenarios, orchestrated in a sequenced or otherwise carefully and deliberately structured learning workflow. CLINICALTRIAL clinicaltrials.gov ref. NCT05653167

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Social Skills Acquisition in Virtual Reality-Based Interventions for People with Mental Health and Substance Use Disorders: A Qualitative Exploration (Preprint)

Aasen,

Nilsson,

Sørensen

et al. 2024

Preprint

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“…There are two possible reasons for the lack of sustained uptake of IC into routine practice. First, service providers may be reluctant to commit their scarce resources and training opportunities to IC because the empirical evidence supporting its effectiveness is still emerging [ 23 ], and the outcomes vary according to the specific combination of MH and substance use disorders [ 21 , 23 , 24 , 25 , 26 ]. For example, meta-analytic evidence shows that IC for alcohol misuse and depression achieves improved treatment outcomes relative to alcohol treatment alone but does not consistently improve the treatment outcomes for alcohol misuse and anxiety [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Utilising the Implementation of Integrated Care to Develop a Pragmatic Framework for the Sustained Uptake of Service Innovations (SUSI)

et al. 2023

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The provision of integrated care (IC) across alcohol and other drug (AOD) and mental health (MH) services represents the best practice, yet the consistent delivery of IC in routine practice rarely occurs. Our hypothesis is that there is no practical or feasible systems-change approach to guide staff, researchers, or consumers through the complex transition that is required for the sustained uptake of IC across diverse clinical settings. To address this gap, we combined clinical and consumer expertise with the best available research evidence to develop a framework to drive the uptake of IC. The goal was to develop a process that is both standardised by the best available evidence and can be tailored to the specific characteristics of different health services. The result is the framework for Sustained Uptake of Service Innovation (SUSI), which comprises six core components that are applied in a specified sequence and a range of flexible activities that staff can use to deliver the core components according to their circumstances and preferences. The SUSI is evidence-based and practical, and further testing is currently underway to ensure it is feasible to implement in different AOD and MH services.

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The complexities of substance use disorder and people with disabilities: Current perspectives

Reif

Mitra

2022

Disability and Health Journal

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Improving treatment for people with cognitive impairment and substance misuse issues: Lessons from an inclusive residential treatment program pilot in Australia

Cited by 4 publications

References 22 publications

Social Skills Acquisition in Virtual Reality-Based Interventions for People with Mental Health and Substance Use Disorders: A Qualitative Exploration (Preprint)

Social Skills Acquisition in Virtual Reality-Based Interventions for People with Mental Health and Substance Use Disorders: A Qualitative Exploration (Preprint)

Utilising the Implementation of Integrated Care to Develop a Pragmatic Framework for the Sustained Uptake of Service Innovations (SUSI)

The complexities of substance use disorder and people with disabilities: Current perspectives

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