Dual Diagnosis Practice in Context 1st Edition by Peter Phillips, Olive McKeown, Tom Sandford ISBN 978-1405180092 1405180092
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ISBN 10: 1405180092
ISBN 13: 978-1405180092
Author: Peter Phillips, Olive McKeown, Tom Sandford
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
Table of contents:
Part1 Contemporary Context
1 Definition, Recognition and Assessment
Olive McKeown
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
Peter Phillips and Sonia Johnson
Introduction
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?
Conclusion
3 Consumer Perspectives
David Webb
Introduction
Human experience and medicine
Diagnosis, treatment and human rights
Two worlds
Significant contrasts
Diagnosis
Treatment
Dual diagnosis and policy
Conclusion
Part 2 Common Presentations and Special Populations
4 Risk Assessment and Dual Diagnosis
Lisa Reynolds and Jenny Oates
Introduction
Clinical risk assessment
Principles of risk assessment and management
The process of risk assessment and management
Conclusion
5 Reducing Drug-Related Harm Among Mentally III People
Peter Phillips
Introduction
Interventions and approaches
Harm reduction
Using harm reduction approaches with mentally ill individuals
Dual diagnosis and harm reduction: the future?
Conclusion
6 Motivational Interviewing
Chris Glover
Introduction
What is MI?
Conclusion
7 Psychological Interventions
Patrick Callaghan and David Jones
Introduction
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
Conclusion
8 Alcohol and Mood Disorders
Julie Attenborough
Introduction
Harm, alcohol and mental illness
Presentation: alcohol and mental illness
Medication and dual diagnosis
Conclusion
9 Polysubstance Use and Personality Disorder
Simon McArdle
Introduction
Prevalence
Service delivery
What is personality disorder?
Treatment and intervention approaches
Assessment
Stages of change
Therapeutic principles
Conclusion
10 Older People and Dual Diagnosis
Sue Excell
Introduction
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
Conclusion
11 Stimulant Use and Psychosis
Lorna Saunders
Introduction
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
Conclusion
12 Women and Dual Diagnosis
Julie Winnington
Introduction
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
Hülya Bilgin, Murat Soncul and Peter Phillips
Introduction
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
Conclusion
14 Cannabis Use and Psychosis
Liz Hughes
Introduction
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
Conclusion
15 Methamphetamine and Mental Health
Melinda Campopiano
Introduction
Initiation and continuation of methamphetamine use: missed opportunities
Methamphetamine and mental health: intoxication, withdrawal and psychiatric illness
Methamphetamine addiction: treatment and outcomes
Conclusion
Acknowledgements
16 Public Health and Dual Diagnosis
Linda Bailey
Introduction
Epidemiology
Causal relationship
Treatment for BBV
Other co-infections
Conclusion
17 Comorbidity or Complexity: A Primary Care Perspective
on Dual Diagnosis
John Budd
Introduction
Policy framework
Epidemiology
Key features of general practice care
Physical health care
Mental health and substance misuse care
Limitations and potential in primary care
Conclusion
Part 3 International Perspectives, Policy and Development
18 Dual Diagnosis – North America
Theodora Sirota and Kathleen Leo
Introduction
Prevalence
Historical context
Socio-cultural and public policy considerations
Approaches to treatment
Research
Issues and challenges
Conclusion
19 Dual Diagnosis – Australasia
Gary Croton
Introduction
Drivers for system change
Consumer and carer demand
Prevalence
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
Conclusion
20 Dual Diagnosis – Europe
Jane Salvage and Rob Keukens
Introduction
The historical and social context
Elements of dual diagnosis in the region
Alcohol
Other psychoactive substances
Care and treatment responses
Problems and solutions
Conclusion
21 Commissioning Services for Users with Dual Diagnosis
Sharon Dennis
Introduction
Background
The history of commissioning
Implications for commissioning dual diagnosis services
Conclusion
22 Practice, Research and Education Development
Kevin Gournay
Introduction
Research
Education development
Practice
Conclusion
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Tags: Peter Phillips, Olive McKeown, Tom Sandford, Dual Diagnosis, Practice in Context