When dual diagnosis means no diagnosis: co-occurring mental illness and problematic drug use in clients of alcohol and drug services in eastern metropolitan Melbourne

Cole, Jennifer; Sacks, Tobie

doi:10.1080/17523280701747289

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…The negative predictive accura-cy or value is the proportion or percentage of cases screening negative that are truly negative for mental disorder (Sacks, 2008;Zimmerman et al, 2004). If in the above example the measure actually screened 120 participants as positive for the condition (including the 80 who actually were), its positive predictive value would be 80/120 (66%).…”

Section: Receiver+operating+characteristic+curve+analysis+mentioning

confidence: 99%

“…The positive predictive accuracy or value is the proportion or percentage of cases screening positive that are truly positive for mental disorder (Sacks, 2008;Zimmerman, Sheeran, Chelminski, & Young, 2004). The negative predictive accura-cy or value is the proportion or percentage of cases screening negative that are truly negative for mental disorder (Sacks, 2008;Zimmerman et al, 2004).…”

Section: Receiver+operating+characteristic+curve+analysis+mentioning

confidence: 99%

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Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings

Mortlock

Deane

Crowe

2011

Journal of Substance Abuse Treatment

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Section: Receiver+operating+characteristic+curve+analysis+mentioning

confidence: 99%

Section: Receiver+operating+characteristic+curve+analysis+mentioning

confidence: 99%

Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings

Mortlock

Deane

Crowe

2011

Journal of Substance Abuse Treatment

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“…Less improvement in the dual diagnosis capable group may also have been caused by underreporting; patients in this group were more stable, which may have caused underestimation of symptoms both by themselves and the assessment personnel. Issues regarding self-report measures on psychiatric symptoms from patients have been raised, and Cole and Sacks (2008) found that patients were more likely to underestimate their psychiatric symptoms.…”

Section: Discussionmentioning

confidence: 98%

Convergent Validity of the ASAM Criteria in Co-Occurring Disorders

Stallvik

Nordahl

2014

Journal of Dual Diagnosis

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“…Weaver et al (2002) suggest 74.5 per cent of users of drug services and 85.5 per cent of users of alcohol services also experienced mental health difficulties. Further evidence is also provided by Strathdee et al (2002) and Cole and Sacks (2008) regarding the high prevalence rates of co-existing difficulties within drug and alcohol services and other primary care settings.…”

Section: Prevalence Rates Of ''Dual Diagnosis'' Within Mental Health Servicesmentioning

confidence: 95%

Co‐existing mental health and substance use and alcohol difficulties – why do we persist with the term “dual diagnosis” within mental health services?

Guest

Holland

2011

Advances in Dual Diagnosis

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Purpose -The term ''dual diagnosis'' has been widely accepted as referring to co-existing mental illness and substance misuse. However, it is clear from the literature that individuals with these co-existing difficulties continue to be excluded from mainstream mental health services. The term ''dual diagnosis'' can be pejorative and therefore, complicate or obstruct engagement. It is argued within this paper that the association between mental illness and substance misuse (including alcohol misuse) is an intricate and often a complex relationship involving a multitude of psychosocial factors that cannot be simply explained by an individual having two co-existing disorders. From this perspective, this paper seeks to argue that the term ''dual diagnosis'' should be actively de-emphasised.Design/methodology/approach -This paper offers a critique of ''dual diagnosis'' and the potential impact on access and treatment through discussion of the literature and reflections on service provision.Findings -The paper identifies five principles termed the ''5 key principles'', which support individuals with a wide spectrum of co-existing difficulties and to counteract the stigma often associated with the term ''dual diagnosis''. These collective principles allow the practitioner to consider the needs of the service user from the service user's perspective and therefore not be distracted by the perceived set of expected behaviours that are implied by the ''dual diagnosis'' label.Originality/value -This paper offers a critique of the term ''dual diagnosis'' and explores the impact of this in terms of service users and makes practical suggestions for alternative ways of conceptualising co-existing mental health and substance difficulties.

show abstract

When dual diagnosis means no diagnosis: co-occurring mental illness and problematic drug use in clients of alcohol and drug services in eastern metropolitan Melbourne

Cited by 10 publications

References 19 publications

Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings

Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings

Convergent Validity of the ASAM Criteria in Co-Occurring Disorders

Co‐existing mental health and substance use and alcohol difficulties – why do we persist with the term “dual diagnosis” within mental health services?

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