Screening and intervention for mental health problems in alcohol and other drug settings: Can training change practitioner behaviour?

Lee, Nicole; Jenner, Linda; Baker, Amanda; Ritter, Alison; Hides, Leanne; Norman, Josephine Sarah; Kay‐Lambkin, Frances; Hall, Kate; Dann, Fiona; Cameron, Jacqui

doi:10.3109/09687631003727847

Cited by 14 publications

(14 citation statements)

References 10 publications

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“…resembles recent studies aiming to train addiction treatment workers to use screening tools and to offer brief interventions for depressed substance users (e.g. see Lee et al, 2011;Watkins et al, 2006). The greatest difficulty we encountered was the high attrition rate resulting in poor engagement with treatment.…”

Section: Variablementioning

confidence: 95%

Feasibility Randomized Controlled Trial of Cognitive and Behavioral Interventions for Depression Symptoms in Patients Accessing Drug and Alcohol Treatment

Delgadillo

Gore²,

Ali

et al. 2015

Journal of Substance Abuse Treatment

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Depressed mood often co-exists with frequent drug and alcohol use. This trial examined the feasibility of screening, recruitment, randomization and engagement of drug and alcohol users in psychological interventions for depression symptoms. A total of 50 patients involved in community drugs and alcohol treatment (CDAT) were randomly allocated to behavioral activation delivered by psychological therapists (n = 23) or to cognitive behavioral therapy based self-help introduced by CDAT workers (n = 27). We examined recruitment and engagement rates, as well as changes in depression (PHQ-9) symptoms and changes in percent days abstinent (PDA within last month) at 24 weeks follow-up. The ratio of screened to recruited participants was 4 to 1, and the randomization schedule successfully generated 2 groups with comparable characteristics. Follow-up was possible with 78% of participants post-treatment. Overall engagement in psychological interventions was low; only 42% of randomized participants attended at least 1 therapy session. Patients offered therapy appointments co-located in CDAT clinics were more likely to engage with treatment (odds ratio = 7.14, p = .04) compared to those offered appointments in community psychological care clinics. Intention-to-treat analyses indicated no significant between-group differences at follow-up in mean PHQ-9 change scores (p = .59) or in PDA (p = .08). Overall, it was feasible to conduct a pragmatic trial within busy CDAT services, maximizing external validity of study results. Moderate and comparable improvements in depression symptoms over time were observed for participants in both treatment groups.

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Section: Variablementioning

confidence: 95%

Feasibility Randomized Controlled Trial of Cognitive and Behavioral Interventions for Depression Symptoms in Patients Accessing Drug and Alcohol Treatment

Delgadillo

Gore²,

Ali

et al. 2015

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

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“…Efforts to improve addiction-treatment workers' identification of CEP require that education target the most commonly presenting disorders (McGovern et al, 2006;Saunders & Robinson, 2002). Studies exploring the effectiveness of training staff in the use of diagnostic tools suggest relatively brief workforce training can improve workers' level of inquiry about CEP at assessment (Cameron, Lee, & Harney, 2010;Lee et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Coexisting addiction and mental health practices of a national addiction workforce

Gilbert

Adamson

Deering

2013

Mental Health and Substance Use

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“…The majority of participants reported that they would change their practice as a result of the training, although the findings do not show the extent to which the training is sustained and implemented as part of routine clinical practice or whether it contributed to improved client outcomes. Mentoring, observation, and supervision of participants post-training was outside the scope of this project and other studies have shown that training of AOD practitioners in screening for mental health disorders, combined with supervision, improved detection rates, and the quality of interventions in AOD services [14]. The sample was also small and restricted to a specific sector, limiting the generalisability of the findings.…”

Section: Discussionmentioning

confidence: 99%

“…Standardised tools such as Psycheck can be used by the AOD workforce to screen for symptoms of mental health conditions in their clients [14] and an Indigenous-specific assessment, the Indigenous risk impact Screen (IRIS), assists with detection of AOD problems and some mental health risks [15]. Despite these resources, it remains a challenge for AOD services to empower consumers [16] and provide recovery oriented client-centred care that respects lived experience, promotes mutual self-help, is holistic and looks beyond symptoms and illness [17].…”

Section: Isrn Public Healthmentioning

confidence: 99%

Evaluation of a Culturally Adapted Training in Indigenous Mental Health and Wellbeing for the Alcohol and Other Drug Workforce

Hinton

Nagel

2012

ISRN Public Health

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Indigenous Australians have high rates of mental illness comorbid with substance misuse. The complex needs of this client group create challenges for the alcohol and other drug (AOD) workforce. This paper describes the outcomes of an Indigenous-specific "Yarning about Mental Health" training for the AOD workforce to strengthen knowledge and skills in mental health approaches and in their engagement with Indigenous clients. The training provides culturally adapted strategies and tools for understanding mental health, promoting wellbeing, and delivering brief interventions in the substance misuse setting. A nonexperimental evaluation which incorporated pre-post questionnaires was conducted with workshop participants attending one of four trainings. The training was perceived to be highly appropriate and helpful in participants' work with Indigenous AOD clients. There was significant improvement in confidence and knowledge related to Indigenous mental health and wellbeing and qualitative data supported these positive outcomes. This study supports the need to blend Indigenous concepts of health and wellbeing with nonIndigenous ways of understanding and treating illness in order to develop services which are appropriate to Indigenous peoples. It also suggests research is required to understand whether self-reported increases in knowledge and confidence can translate into behavioural changes in participants' teaching and practice of culturally competent care and to improved client outcomes.

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Screening and intervention for mental health problems in alcohol and other drug settings: Can training change practitioner behaviour?

Cited by 14 publications

References 10 publications

Feasibility Randomized Controlled Trial of Cognitive and Behavioral Interventions for Depression Symptoms in Patients Accessing Drug and Alcohol Treatment

Feasibility Randomized Controlled Trial of Cognitive and Behavioral Interventions for Depression Symptoms in Patients Accessing Drug and Alcohol Treatment

Coexisting addiction and mental health practices of a national addiction workforce

Evaluation of a Culturally Adapted Training in Indigenous Mental Health and Wellbeing for the Alcohol and Other Drug Workforce

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