Staff Perspectives on Modified Therapeutic Community Services for Homeless Dually Diagnosed Clients: An Exploratory Pilot Study

Siddiqui, Nadia; Astone-Twerell, Janetta; Hernitche, Ted

doi:10.1080/02791072.2009.10399773

Cited by 8 publications

(8 citation statements)

References 16 publications

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“…There are few previous studies that specifically explore the value of art occupations to people experiencing homelessness, although a number of descriptive articles were identified (Bryne, Raphael & Coleman‐Wilson, 2010; Connor & Donohue, 2010; Feen‐Calligan, Washington & Moxley, 2009; Kidd, 2009; Siddiqui, Astone‐Twerell & Hermitche, 2009). Collectively publications suggest that art can provide opportunities for people to express themselves and their trauma, to communicate with staff and others, to develop personal strengths and identity and to facilitate survival.…”

Section: Introductionmentioning

confidence: 99%

Homeless adults engagement in art: First steps towards identity, recovery and social inclusion

Thomas

Gray

McGinty

et al. 2011

Australian Occupational Therapy Journal

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Background: The Australian policy on homelessness identifies participation in structured activities as the first step towards social inclusion and increasing the likelihood of permanently leaving a homeless lifestyle. Art interventions increase interpersonal function and social participation and provide a means of expression and transformation with people who are homeless. Aim: This study explores the value of an art programme provided by a non‐government agency for homeless adults. Method: Qualitative methods including participant observation and purposive interviews were analysed inductively and thematically to gain an understanding of the participants’ experience of art and its value. Interviews with stakeholders provided additional information and triangulation of the data. Results: The study demonstrates that art occupations provide a starting point for participation in community and a positive experience that encourages the construction of new identities, routines and roles. Furthermore, art provides an alternative from the problems associated with homelessness, mental health and substance abuse and allows for public recognition and social inclusion. Conclusions: Health professionals should work towards the social inclusion of homeless people through providing occupational opportunities for participation in safe settings as a first step to community engagement.

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Section: Introductionmentioning

confidence: 99%

Homeless adults engagement in art: First steps towards identity, recovery and social inclusion

Thomas

Gray

McGinty

et al. 2011

Australian Occupational Therapy Journal

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“…Of the 38 studies included in this review, 12 had identified co-occurring disorders in their studies, despite this not being the key focus of their research (Åström et al , 2013; Bradford et al , 2005; Coxe et al , 2021; Fedock et al , 2013; Moore et al , 2016; Padgett and Henwood, 2011; Powers et al , 2017; Price et al , 2017; Proeschold-Bell et al , 2016; Rosen et al , 2006; Siddiqui et al , 2009; Slayter, 2010). Of these 12 studies, 3 studies concentrated on interventions for homeless dually diagnosed participants (Bradford et al , 2005; Padgett and Henwood, 2011; Siddiqui et al , 2009) and 2 studies focused on participants experiencing a HIV diagnosis in addition to co-occurring mental health and substance use disorders (Powers et al , 2017; Proeschold-Bell et al , 2016).…”

Section: Resultsmentioning

confidence: 99%

Social work, mental health and substance use: a scoping review

Benson

Cameron

Allan

2023

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Purpose Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research literature regarding social work and its intersection with co-occurring substance use and mental health disorders. Design/methodology/approach An iterative and systematic search of five electronic databases CINAHL, Scopus, PsycINFO, Social Science Database and Medline was conducted to identify studies published between 2002 and 2022. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by a full-text screening of eligible studies. Data from each included publication were screened and extracted using Covidence. Findings A total of 38 eligible studies were included in the final scoping review. The included studies were conducted in eight different counties, including a range of study designs (e.g. cross-sectional, RCT, pilot studies). Only 8 of the 38 studies included people with co-occurring disorders as participants. Study settings were broad, for example, dual-diagnosis, military, homeless, substance use and community-based settings. Originality/value A review of the literature surrounding social work practice and its intersection with co-occurring mental health and Alcohol and other drug was warranted to document the evidence on this largely unexplored area of research. This review found that there was a paucity of literature that focused specifically on the role of social work practice in relation to individuals with co-occurring disorders, with a limited number of studies focusing on dual diagnoses.

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“…It is possible that adverse effects were underreported by patients with comorbid substance abuse. A previous study has demonstrated that patients with a dual diagnosis tend to be less engaged in patient‐provider interviews than patients who do not suffer from substance abuse [37] . These patients may also be more likely to self‐medicate in response to adverse effects, possibly decreasing their need to seek help managing adverse effects.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study has demonstrated that patients with a dual diagnosis tend to be less engaged in patientprovider interviews than patients who do not suffer from substance abuse. [37] These patients may also be more likely to self-medicate in response to adverse effects, possibly decreasing their need to seek help managing adverse effects. Future studies are necessary to determine how to engage dual diagnosis patients in reporting their experiences with adverse effects.…”

Section: Discussionmentioning

confidence: 99%

The relationship between medication-related problems and behavioural health condition among patients served by a health care for the homeless centre

Marks¹,

Moczygemba

Gatewood

et al. 2012

Journal of Pharmaceutical Health Services Research

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Objectives To evaluate the association between behavioural health conditions and the presence of a medication‐related problem (MRP) and the association between the type of MRP and the presence of a dual diagnosis. Methods We used an existing database from a behavioural health clinic for homeless persons. Logistic regression was used to assess the relationship between the type of behavioural health condition and MRP presence, and whether the type of MRP varied with the presence of a dual diagnosis. Key findings A total of 426 patients were eligible. The majority were black (61%) and women (53%). Patients were 44.7 ± 10.2 years old, taking 3.4 ± 2.4 medications and had 2.3 ± 0.9 behavioural health conditions. The majority (53%) had a dual diagnosis, 44% had depression, 30% had a bipolar disorder, 26% had a personality disorder and 12% had an anxiety disorder. Bipolar [odds ratio (OR) 4.0, 95% confidence interval (CI) 1.8–8.9] and anxiety disorders (OR 3.1, CI 1.0–9.2) and a dual diagnosis (OR 2.1, CI 1.2–3.8) were independently associated with the presence of an MRP. Patients with a dual diagnosis were more likely to have ineffective drug therapy (OR 1.7, CI 1.1–2.8) and less likely to have an adverse effect (OR 0.5, CI 0.3–0.9). Conclusions Patients with bipolar or anxiety disorders and/or a dual diagnosis may benefit from a pharmacist intervention to address MRPs. Pharmacists can make recommendations to improve the effectiveness of patients' medication therapy and help to resolve adverse effects.

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Staff Perspectives on Modified Therapeutic Community Services for Homeless Dually Diagnosed Clients: An Exploratory Pilot Study

Cited by 8 publications

References 16 publications

Homeless adults engagement in art: First steps towards identity, recovery and social inclusion

Homeless adults engagement in art: First steps towards identity, recovery and social inclusion

Social work, mental health and substance use: a scoping review

The relationship between medication-related problems and behavioural health condition among patients served by a health care for the homeless centre

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