Tags

Type your tag names separated by a space and hit enter

Treatment approaches for dual diagnosis clients in England.
Drug Alcohol Rev 2008; 27(6):650-8DA

Abstract

INTRODUCTION

Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health services (MHS).

DESIGN

A questionnaire was sent to managers of 706 DAS and 2374 MHS. Overall, 249 (39%) DAS and 493 (23%) MHS participated in the survey.

RESULTS

In both DAS and MHS, around 32% of clients were estimated to have dual diagnosis problems. However, fewer than 50% of services reported assessing clients for both problem areas. Regarding specific treatment approaches, most services (DAS: 88%, MHS: 87%) indicated working jointly with other agencies. Significantly fewer services used joint protocols (DAS: 55%, MHS: 48%) or shared care arrangements, including access to external drug/alcohol or mental health teams (DAS: 47%, MHS: 54%). Only 25% of DAS and 17% of MHS employed dual diagnosis specialists.

CONCLUSIONS

Dual diagnosis clients constitute a substantial proportion of clients in both DAS and MHS in England. Despite recent policy initiatives, joint working approaches tend to remain unstructured.

Authors+Show Affiliations

Department of Psychology, Elizabeth Gaskell Campus, Manchester Metropolitan University, UK. s.schulte@mmu.ac.ukNo 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

18830860

Citation

Schulte, Sabrina J., et al. "Treatment Approaches for Dual Diagnosis Clients in England." Drug and Alcohol Review, vol. 27, no. 6, 2008, pp. 650-8.
Schulte SJ, Meier PS, Stirling J, et al. Treatment approaches for dual diagnosis clients in England. Drug Alcohol Rev. 2008;27(6):650-8.
Schulte, S. J., Meier, P. S., Stirling, J., & Berry, M. (2008). Treatment approaches for dual diagnosis clients in England. Drug and Alcohol Review, 27(6), pp. 650-8. doi:10.1080/09595230802392816.
Schulte SJ, et al. Treatment Approaches for Dual Diagnosis Clients in England. Drug Alcohol Rev. 2008;27(6):650-8. PubMed PMID: 18830860.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment approaches for dual diagnosis clients in England. AU - Schulte,Sabrina J, AU - Meier,Petra S, AU - Stirling,John, AU - Berry,Mike, PY - 2008/10/3/pubmed PY - 2009/5/15/medline PY - 2008/10/3/entrez SP - 650 EP - 8 JF - Drug and alcohol review JO - Drug Alcohol Rev VL - 27 IS - 6 N2 - INTRODUCTION: Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health services (MHS). DESIGN: A questionnaire was sent to managers of 706 DAS and 2374 MHS. Overall, 249 (39%) DAS and 493 (23%) MHS participated in the survey. RESULTS: In both DAS and MHS, around 32% of clients were estimated to have dual diagnosis problems. However, fewer than 50% of services reported assessing clients for both problem areas. Regarding specific treatment approaches, most services (DAS: 88%, MHS: 87%) indicated working jointly with other agencies. Significantly fewer services used joint protocols (DAS: 55%, MHS: 48%) or shared care arrangements, including access to external drug/alcohol or mental health teams (DAS: 47%, MHS: 54%). Only 25% of DAS and 17% of MHS employed dual diagnosis specialists. CONCLUSIONS: Dual diagnosis clients constitute a substantial proportion of clients in both DAS and MHS in England. Despite recent policy initiatives, joint working approaches tend to remain unstructured. SN - 0959-5236 UR - https://www.unboundmedicine.com/medline/citation/18830860/Treatment_approaches_for_dual_diagnosis_clients_in_England_ L2 - https://doi.org/10.1080/09595230802392816 DB - PRIME DP - Unbound Medicine ER -