Meeting the training needs of staff working with older people with dual diagnosis

Saxton, Louise; Lancashire, Stuart; Kipping, Cheryl

doi:10.1108/17570971111155603

Cited by 42 publications

(3 citation statements)

References 8 publications

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“…The first UK training course for health professionals on improving knowledge, skills and attitudes regarding alcohol misuse and comorbid psychiatric disorder in older people shows promise in improving competencies in screening and brief intervention and has marked a turning point in the development of a competent workforce (Saxton 2011).…”

Section: Multi-agency Workingmentioning

confidence: 99%

Alcohol misuse in older people

Rao¹,

Crome²

2016

BJPsych advances

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SummaryThe clinical and public mental health aspects of alcohol misuse in older people (both men and women) have increasing relevance for both old age and addiction psychiatrists. Clinical presentations are often complex and involve a number of different psychiatric, physical and psychosocial factors. The assessment, treatment and aftercare of alcohol-related and comorbid other mental disorders will also involve a broad range of interventions from a wide range of practitioners. Given its growing clinical relevance, there are particular areas, such as alcohol-related brain damage and drug interactions with alcohol, that deserve special attention.

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Section: Multi-agency Workingmentioning

confidence: 99%

Alcohol misuse in older people

Rao¹,

Crome²

2016

BJPsych advances

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“…Following an analysis of training needs, a five day level 2 (generic) dual diagnosis course was delivered (Saxton et al, 2011). This provided non-medical staff with the knowledge, skills and attitudes to provide screening, brief intervention and onward referral to specialist services for older people with dual diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Rao

2019

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Purpose The assessment of patterns in risky drinking and its association with dual diagnosis in community services for older people remains under-explored. The paper aims to discuss this issue. Design/methodology/approach Drinking risk using the Alcohol Use Disorders Identification Test (AUDIT) and the presence of co-existing mental disorders was examined in 190 people aged 65 and over. Findings In total, 24 per cent of drinkers drank above lower risk levels and 22 per cent reported binge drinking over the past 12 months. Those scoring 1 or more on the AUDIT were more likely to be male and to have greater cognitive impairment than non-drinkers and those reporting no past problems with alcohol. Research limitations/implications Given the limitations of the Mini Mental State Examination in the detection of alcohol related cognitive impairment (ARCI), the use of other cognitive screening instruments in larger study populations is also warranted. Practical implications Greater attention needs to be paid to the assessment of risky drinking in older male drinkers and those with cognitive impairment. Originality/value There is considerable scope for the routine detection of cognitive impairment and dementia in older people with alcohol use within mainstream mental health services, particularly in those with binge drinking. As ARCI is associated with loss of function and independence, early detection and intervention can improve health and social outcomes.

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“…While a range of studies has explored professionals’ perception of working with patients with dual diagnosis by the use of questionnaires (Hughes et al , 2008; Munro et al , 2007; Saxton et al , 2011), the present study uses qualitative interviews with the professionals from the mental health centres instead. One benefit of this method is that it is possible to gather more details of the perception of the participants compared to questionnaires which often have closed questions that limit the response of the participants.…”

Section: Introductionmentioning

confidence: 99%

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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Meeting the training needs of staff working with older people with dual diagnosis

Cited by 42 publications

References 8 publications

Alcohol misuse in older people

Alcohol misuse in older people

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Challenges in working with patients with dual diagnosis

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