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Dual diagnosis : practice in context / edited by Peter Phillips, Olive McKeown, Tom Sandford.
- Format:
- Book
- Language:
- English
- Subjects (All):
- Dual diagnosis.
- Comorbidity.
- Physical Description:
- xxi, 266p. ; ill.
- Edition:
- 1st ed.
- Place of Publication:
- Chichester, West Sussex ; Ames, Iowa : Blackwell, 2009.
- Summary:
- Dual Diagnosis: Practice in Context is a practical evidence-based guide for practitioners working in multi-disciplinary mental health and substance misuse service settings. Divided into three sections, this comprehensive and international text first explores the contemporary contextual issues surrounding the subject area. It then goes on to review dual diagnosis in some of the 'special' populations (including people diagnosed with personality disorders, women, young people, and older adults) and contemporary issues (e.g. crystal methamphetamine and mental health). Part three reviews the development of international service responses to dual diagnosis and discusses the development and commissioning of service models, research and practice development. The text concludes with a chapter outlining priorities for the development of interventions, service approaches, research and education. KEY FEATURES: * A authoritative in-depth review of both theoretical, clinical and policy issues within a single text * Draws together a range of established contributors from a variety of disciplines, including mental health nurses, occupational therapists, social workers and psychiatrists * International in focus, with contributors from the UK, USA, Europe and Australia
- Contents:
- Intro
- Dual Diagnosis: Practice in Context
- Contents
- Contributors
- Foreword
- Part 1 Contemporary Context
- 1 Definition, Recognition and Assessment
- Introduction
- Definition and terminology
- General considerations in the recognition and assessment of dual diagnosis
- How significant is the problem of dual diagnosis?
- Recognition and assessment
- Hypotheses
- Conclusion
- 2 Explanatory Models for Dual Diagnosis
- Is substance misuse more prevalent among people with psychotic illnesses than in the general population?
- Which problem generally develops first in dual diagnosis?
- Does dual diagnosis have a neurobiological basis?
- Is dual diagnosis mediated by personality disorder?
- Do people with schizophrenia use substances as a form of self-medication?
- Have changes in the care and social circumstances of people with schizophrenia, particularly deinstitutionalisation, led to a rise in substance misuse in this population?
- Do the social situations and social difficulties of people with schizophrenia lead to substance use?
- Do people with schizophrenia tend to begin using drugs and alcohol within mental health service settings or in the company of other users of such services?
- 3 Consumer Perspectives
- Human experience and medicine
- Diagnosis, treatment and human rights
- Two worlds
- Significant contrasts
- Diagnosis
- Treatment
- Dual diagnosis and policy
- Part 2 Common Presentations and Special Populations
- 4 Risk Assessment and Dual Diagnosis
- Clinical risk assessment
- Principles of risk assessment and management
- The process of risk assessment and management
- 5 Reducing Drug-Related Harm Among Mentally Ill People
- Interventions and approaches
- Harm reduction.
- Using harm reduction approaches with mentally ill individuals
- Dual diagnosis and harm reduction: the future?
- 6 Motivational Interviewing
- What is MI?
- 7 Psychological Interventions
- The nature and type of psychological interventions
- The evidence for psychological interventions in dual diagnosis
- Individual therapies
- Group therapies
- Cognitive behaviour therapy and relapse prevention
- Family interventions
- Contingency management
- 8 Alcohol and Mood Disorders
- Harm, alcohol and mental illness
- Presentation: alcohol and mental illness
- Medication and dual diagnosis
- 9 Polysubstance Use and Personality Disorder
- Prevalence
- Service delivery
- What is personality disorder?
- Treatment and intervention approaches
- Assessment
- Stages of change
- Therapeutic principles
- 10 Older People and Dual Diagnosis
- An increasing population
- Policy framework
- Media representation of information on alcohol
- Perception of old age
- Alcohol use in older people
- Complications of excessive alcohol use
- Assessment and screening
- Under-reporting
- Over-the-counter medication (OTC)
- Prescribed medication
- 11 Stimulant Use and Psychosis
- Stimulant use in the United Kingdom
- Stimulants and drug-induced psychosis
- Stimulants and mental illness
- Stimulants and their use by people with existing psychotic illnesses
- Implications for practice
- 12 Women and Dual Diagnosis
- Gender differences in dual diagnosis
- The impact of dual diagnosis on families
- Dual diagnosis and domestic violence
- Dual diagnosis within the female prison service
- A case for gender-specific services
- Conclusion.
- 13 Drug-Induced Psychosis
- Dual diagnosis: a common problem
- The relationship between substance use and psychosis: aetiology
- A model of relationships between psychotic illness and drug and alcohol use
- 14 Cannabis Use and Psychosis
- What is cannabis?
- How is it used?
- Legal issues
- How it affects the user
- Psychological effects
- Physical effects
- Safety issues
- The links between cannabis and psychosis
- Interventions for cannabis and psychosis
- 15 Methamphetamine and Mental Health
- Initiation and continuation of methamphetamine use: missed opportunities
- Methamphetamine and mental health: intoxication, withdrawal and psychiatric illness
- Methamphetamine addiction: treatment and outcomes
- Acknowledgements
- 16 Public Health and Dual Diagnosis
- Epidemiology
- Causal relationship
- Treatment for BBV
- Other co-infections
- 17 Comorbidity or Complexity: A Primary Care Perspective on Dual Diagnosis
- Key features of general practice care
- Physical health care
- Mental health and substance misuse care
- Limitations and potential in primary care
- Part 3 International Perspectives, Policy and Development
- 18 Dual Diagnosis - North America
- Historical context
- Socio-cultural and public policy considerations
- Approaches to treatment
- Research
- Issues and challenges
- 19 Dual Diagnosis - Australasia
- Drivers for system change
- Consumer and carer demand
- Harms and unwanted outcomes strongly associated with dual diagnosis.
- Opportunity to provide more effective treatment of 'target' disorders via improved recognition and more effective responses to co-occurring disorders
- Barriers to better outcomes for persons with dual diagnosis
- Indigenous Australians
- Rural and remote regions of Australia
- Australia's responses to dual diagnosis
- Structure of the Australian health care system
- National level responses to dual diagnosis
- The National Comorbidity Initiative
- Improved Services for People with Drug and Alcohol Problems and Mental Illness Measure
- 'Can Do' - Managing Mental Health and Substance Use in General Practice
- Headspace
- State level responses to dual diagnosis
- 20 Dual Diagnosis - Europe
- The historical and social context
- Elements of dual diagnosis in the region
- Alcohol
- Other psychoactive substances
- Care and treatment responses
- Problems and solutions
- 21 Commissioning Services for Users with Dual Diagnosis
- Background
- The history of commissioning
- Implications for commissioning dual diagnosis services
- 22 Practice, Research and Education Development
- Education development
- Practice
- Index.
- Notes:
- Description based upon print version of record.
- Includes bibliographical references and index.
- ISBN:
- 9786612280276 : (ebk : EbookCentral)
- 9781444314571 : (ebk : EbookCentral)
- 9781444314588 : (ebk : EbookCentral)
- OCLC:
- 609848773
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