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Contrasting views and experiences of health professionals on the management of comorbid substance misuse and mental disorders.
Aust N Z J Psychiatry 2000; 34(2):279-89AN

Abstract

OBJECTIVES

To determine opinions and experiences of health professionals concerning the management of people with comorbid substance misuse and mental health disorders.

METHOD

We conducted a survey of staff from mental health services and alcohol and drug services across Queensland. Survey items on problems and potential solutions had been generated by focus groups.

RESULTS

We analysed responses from 112 staff of alcohol and drug services and 380 mental health staff, representing a return of 79% and 42% respectively of the distributed surveys. One or more issues presented a substantial clinical management problem for 98% of respondents. Needs for increased facilities or services for dual disorder clients figured prominently. These included accommodation or respite care, work and rehabilitation programs, and support groups and resource materials for families. Needs for adolescent dual diagnosis services and after-hours alcohol and drug consultations were also reported. Each of these issues raised substantial problems for over 70% of staff. Another set of problems involved coordination of client care across mental health and alcohol and drug services, including disputes over duty of care. Difficulties with intersectoral liaison were more pronounced for alcohol and drug staff than for mental health. A majority of survey respondents identified 13 solutions as practical. These included routine screening for dual diagnosis at intake, and a range of proposals for closer intersectoral communication such as exchanging client information, developing shared treatment plans, conducting joint case conferences and offering consultation facilities.

CONCLUSIONS

A wide range of problems for the management of comorbid disorders were identified. While solution of some problems will require resource allocation, many may be addressed by closer liaison between existing services.

Authors+Show Affiliations

Department of Psychiatry, The University of Queensland, Mental Health Centre, Royal Brisbane Hospital, Herston, Australia. davidk@psychiatry.uq.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10789533

Citation

Kavanagh, D J., et al. "Contrasting Views and Experiences of Health Professionals On the Management of Comorbid Substance Misuse and Mental Disorders." The Australian and New Zealand Journal of Psychiatry, vol. 34, no. 2, 2000, pp. 279-89.
Kavanagh DJ, Greenaway L, Jenner L, et al. Contrasting views and experiences of health professionals on the management of comorbid substance misuse and mental disorders. Aust N Z J Psychiatry. 2000;34(2):279-89.
Kavanagh, D. J., Greenaway, L., Jenner, L., Saunders, J. B., White, A., Sorban, J., & Hamilton, G. (2000). Contrasting views and experiences of health professionals on the management of comorbid substance misuse and mental disorders. The Australian and New Zealand Journal of Psychiatry, 34(2), pp. 279-89.
Kavanagh DJ, et al. Contrasting Views and Experiences of Health Professionals On the Management of Comorbid Substance Misuse and Mental Disorders. Aust N Z J Psychiatry. 2000;34(2):279-89. PubMed PMID: 10789533.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contrasting views and experiences of health professionals on the management of comorbid substance misuse and mental disorders. AU - Kavanagh,D J, AU - Greenaway,L, AU - Jenner,L, AU - Saunders,J B, AU - White,A, AU - Sorban,J, AU - Hamilton,G, PY - 2000/5/2/pubmed PY - 2000/7/25/medline PY - 2000/5/2/entrez SP - 279 EP - 89 JF - The Australian and New Zealand journal of psychiatry JO - Aust N Z J Psychiatry VL - 34 IS - 2 N2 - OBJECTIVES: To determine opinions and experiences of health professionals concerning the management of people with comorbid substance misuse and mental health disorders. METHOD: We conducted a survey of staff from mental health services and alcohol and drug services across Queensland. Survey items on problems and potential solutions had been generated by focus groups. RESULTS: We analysed responses from 112 staff of alcohol and drug services and 380 mental health staff, representing a return of 79% and 42% respectively of the distributed surveys. One or more issues presented a substantial clinical management problem for 98% of respondents. Needs for increased facilities or services for dual disorder clients figured prominently. These included accommodation or respite care, work and rehabilitation programs, and support groups and resource materials for families. Needs for adolescent dual diagnosis services and after-hours alcohol and drug consultations were also reported. Each of these issues raised substantial problems for over 70% of staff. Another set of problems involved coordination of client care across mental health and alcohol and drug services, including disputes over duty of care. Difficulties with intersectoral liaison were more pronounced for alcohol and drug staff than for mental health. A majority of survey respondents identified 13 solutions as practical. These included routine screening for dual diagnosis at intake, and a range of proposals for closer intersectoral communication such as exchanging client information, developing shared treatment plans, conducting joint case conferences and offering consultation facilities. CONCLUSIONS: A wide range of problems for the management of comorbid disorders were identified. While solution of some problems will require resource allocation, many may be addressed by closer liaison between existing services. SN - 0004-8674 UR - https://www.unboundmedicine.com/medline/citation/10789533/Contrasting_views_and_experiences_of_health_professionals_on_the_management_of_comorbid_substance_misuse_and_mental_disorders_ L2 - http://journals.sagepub.com/doi/full/10.1080/j.1440-1614.2000.00711.x?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -