Home»
Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland
Accès à distance ? S'identifier sur le proxy UCLouvain
Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland
Aims: Treatment of patients with comorbidity of mental health problems and alcohol use disorder (AUD) constitutes a challenge in many countries. The article aimed at exploration of personal experiences of clinicians and patients with the comorbidity regarding its assessment, treatment and organization of care in Poland and the UK. Methods: Data were collected via in-depth, semi-structured interviews with clinicians (N = 28) and patients (N = 81) in both countries, according to a unified study protocol. Maximum variation sampling was applied to both study groups. All interviews’ transcripts were coded (CAQDA) and the consistency of coding across centres was assessed. Data analysis was performed according to the principles of thematic analysis. Results: Our data show that most patients with AUD admitted at the psychiatric wards—apart from assessment which is a standard procedure during admission—receive only minimal support during their hospital stay. This is the consequence of two factors: lack of trained staff prepared to help those patients and a priority given to self-referrals by AUD units. At the same time, it is recognized by clinicians and patients that more support is needed to encourage the utilization of AUD services and to prevent the drop-out. Conclusions: In order to improve the system response, the use of screening instruments in the process of the assessment of AUD and establishment of special procedures supporting motivation and adherence to treatment and preventing drop-out merits consideration. Moreover, the psychiatric wards and the AUD services could possibly profit from formalization of the collaboration between services.
Aharonovich Efrat, Garawi Fatima, Bisaga Adam, Brooks Daniel, Raby Wilfrid N., Rubin Eric, Nunes Edward V., Levin Frances R., Concurrent Cannabis Use During Treatment for Comorbid ADHD and Cocaine Dependence: Effects on Outcome, 10.1080/00952990600919005
Anthenelli, Principles and Practice of Addictions in Psychiatry, 119 (1997)
Boden M. Tyler, Moos Rudolf, Dually diagnosed patients' responses to substance use disorder treatment, 10.1016/j.jsat.2009.03.012
Booth Brenda M., Walton Maureen A., Barry Kristin L., Cunningham Rebecca M., Chermack Stephen T., Blow Frederic C., Substance Use, Depression, and Mental Health Functioning in Patients Seeking Acute Medical Care in an Inner-City ED, 10.1007/s11414-010-9227-6
Błachut, Psychiatr Pol, 47, 335 (2013)
Chick Jonathan, Unhelpful Prescribing in Alcohol Use Disorder: Risk and Averting Risk, 10.1093/alcalc/agy090
Curran Geoffrey M, Sullivan Greer, Williams Keith, Han Xiaotong, Allee Elise, Kotrla Kathryn J, The association of psychiatric comorbidity and use of the emergency department among persons with substance use disorders: an observational cohort study, 10.1186/1471-227x-8-17
Department of Health, Mental Health Policy Implementation Guide: Dual Diagnosis Good Practice (2002)
Drummond Colin, Cuts to addiction services are a false economy, 10.1136/bmj.j2704
Flynn Patrick M., Brown Barry S., Co-occurring disorders in substance abuse treatment: Issues and prospects, 10.1016/j.jsat.2006.11.013
Giacco Domenico, Bird Victoria Jane, McCrone Paul, Lorant Vincent, Nicaise Pablo, Pfennig Andrea, Bauer Michael, Ruggeri Mirella, Lasalvia Antonio, Moskalewicz Jacek, Welbel Marta, Priebe Stefan, Specialised teams or personal continuity across inpatient and outpatient mental healthcare? Study protocol for a natural experiment, 10.1136/bmjopen-2015-008996
Helzer J E, Pryzbeck T R, The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment., 10.15288/jsa.1988.49.219
Holder, J Occup Med, 33, 453 (1991)
Hsieh Hsiu-Fang, Shannon Sarah E., Three Approaches to Qualitative Content Analysis, 10.1177/1049732305276687
Kessler Ronald C., Lifetime Co-occurrence of DSM-III-R Alcohol Abuse and Dependence With Other Psychiatric Disorders in the National Comorbidity Survey, 10.1001/archpsyc.1997.01830160031005
Kessler Ronald C., Nelson Christopher B., McGonagle Katherine A., Edlund Mark J., Frank Richard G., Leaf Philip J., The epidemiology of co-occurring addictive and mental disorders: Implications for prevention and service utilization., 10.1037/h0080151
Klimkiewicz Anna, Klimkiewicz Jakub, Jakubczyk Andrzej, Kieres-Salomoński Ilona, Wojnar Marcin, Comorbidity of alcohol dependence with other psychiatric disorders, part I – epidemiology of dual diagnosis, 10.12740/pp/25704
Klimkiewicz Anna, Klimkiewicz Jakub, Jakubczyk Andrzej, Kieres-Salomoński Ilona, Wojnar Marcin, Comorbidity of alcohol dependence with other psychiatric disorders, part II – pathogenesis and treatment, 10.12740/pp/26071
Knight John R., Sherritt Lon, Shrier Lydia A., Harris Sion Kim, Chang Grace, Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients, 10.1001/archpedi.156.6.607
Kranzler, Dual Diagnosis and Treatment (1998)
Langås Anne-Marit, Malt Ulrik F, Opjordsmoen Stein, Comorbid mental disorders in substance users from a single catchment area - a clinical study, 10.1186/1471-244x-11-25
Marmorstein Naomi R., Associations between subtypes of major depressive episodes and substance use disorders, 10.1016/j.psychres.2010.10.003
Martín-Santos Rocío, Fonseca Francina, Domingo-Salvany Antonia, Ginés José María, Ímaz María Luisa, Navinés Ricard, Pascual Juan Carlos, Torrens Marta, Dual diagnosis in the psychiatric emergency room in Spain, 10.4321/s0213-61632006000300002
Miles, Qualitative Data Analysis. An Expanded Sourcebook (1994)
Philpot M., Pearson N., Petratou V., Dayanandan R., Silverman M., Marshall J., Screening for problem drinking in older people referred to a mental health service: A comparison of CAGE and AUDIT, 10.1080/1360786031000101120
Regier Darrel A., Comorbidity of Mental Disorders With Alcohol and Other Drug Abuse : Results From the Epidemiologic Catchment Area (ECA) Study, 10.1001/jama.1990.03450190043026
Schmoll S., Boyer L., Henry J.-M., Belzeaux R., Patients récurrents aux urgences psychiatriques : analyse démographique et clinique, 10.1016/j.encep.2013.01.002
Szerman Nestor, Lopez-Castroman Jorge, Arias Francisco, Morant Consuelo, Babín Francisco, Mesías Beatriz, Basurte Ignacio, Vega Pablo, Baca-García Enrique, Dual Diagnosis and Suicide Risk in a Spanish Outpatient Sample, 10.3109/10826084.2011.636135
Torrens, EMCDDA Insights, 19 (2017)
Group WHO ASSIST Working, The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility, 10.1046/j.1360-0443.2002.00185.x
Williams Roger, Alexander Graeme, Aspinall Richard, Batterham Rachel, Bhala Neeraj, Bosanquet Nick, Severi Katherine, Burton Anya, Burton Robyn, Cramp Matthew E, Day Natalie, Dhawan Anil, Dillon John, Drummond Colin, Dyson Jessica, Ferguson James, Foster Graham R, Gilmore Ian, Greenberg Jonny, Henn Clive, Hudson Mark, Jarvis Helen, Kelly Deirdre, Mann Jake, McDougall Neil, McKee Martin, Moriarty Kieran, Morling Joanne, Newsome Philip, O'Grady John, Rolfe Liz, Rice Peter, Rutter Harry, Sheron Nick, Thorburn Douglas, Verne Julia, Vohra Jyotsna, Wass John, Yeoman Andrew, Gathering momentum for the way ahead: fifth report of the Lancet Standing Commission on Liver Disease in the UK, 10.1016/s0140-6736(18)32561-3
Wu, Am J Psychiatry, 156, 1230 (1999)
Bibliographic reference
Klingemann, Justyna ; Welbel, Marta ; Nicaise, Pablo ; Priebe, Stefan ; Matanov, Aleksandra ; et. al. Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland. In: Alcohol and Alcoholism, Vol. 54, no. 3, p. 279-286 (2019)