Dual Diagnosis: Practice in Context / Edition 1 available in Paperback
Dual Diagnosis: Practice in Context is a practicalevidence-based guide for practitioners working inmulti-disciplinary mental health and substance misuse servicesettings. Divided into three sections, this comprehensive andinternational text first explores the contemporary contextualissues surrounding the subject area. It then goes on toreview 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 serviceresponses to dual diagnosis and discusses the development andcommissioning of service models, research and practice development.The text concludes with a chapter outlining priorities for thedevelopment of interventions, service approaches, research andeducation.
- A authoritative in-depth review of both theoretical,clinical and policy issues within a single text
- Draws together a range of established contributors from avariety of disciplines, including mental health nurses,occupational therapists, social workers and psychiatrists
- International in focus, with contributors from the UK, USA,Europe and Australia
|Product dimensions:||6.80(w) x 9.50(h) x 0.60(d)|
About the Author
Dr Peter Phillips is Senior Lecturer in Addiction in theDepartment of Mental Health & Learning Disability at CityUniversity London, and Honorary Research Fellow in the Departmentof Mental Health Sciences, at University College London MedicalSchool. Peter’s background is in low threshold drug servicesin inner London, and substance use research.Dr Olive McKeown works at St George’s Medical Schoolin London, taking a lead role in under-graduate medical education.She is actively involved in substance misuse and dual diagnosiseducation within a wide range of medical, nursing andinter-professional programmesTom Sandford is Director of RCN England and former RCNAdvisor on Mental Health. Tom was previously general managerof mental health services in the London boroughs of Camden andIslington.
Table of Contents
Part 1 Contemporary Context.
1 Definition, Recognition and Assessment (OliveMcKeown).
Definition and terminology.
General considerations in the recognition and assessment of dualdiagnosis.
How significant is the problem of dual diagnosis?
Recognition and assessment.
2 Explanatory Models for Dual Diagnosis (Peter Phillips andSonia Johnson).
Is substance misuse more prevalent among people with psychoticillnesses 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 ofself-medication?
Have changes in the care and social circumstances of people withschizophrenia, particularly deinstitutionalisation, led to a risein substance misuse in this population?
Do the social situations and social difficulties of people withschizophrenia lead to substance use?
Do people with schizophrenia tend to begin using drugs andalcohol within mental health service settings or in the company ofother users of such services?
3 Consumer Perspectives (David Webb).
Human experience and medicine.
Diagnosis, treatment and human rights.
Dual diagnosis and policy.
Part 2 Common Presentations and Special Populations.
4 Risk Assessment and Dual Diagnosis (Lisa Reynolds and JennyOates).
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 (PeterPhillips).
Interventions and approaches.
Using harm reduction approaches with mentally illindividuals.
Dual diagnosis and harm reduction: the future?
6 Motivational Interviewing (Chris Glover).
What is MI?
7 Psychological Interventions (Patrick Callaghan and DavidJones).
The nature and type of psychological interventions.
The evidence for psychological interventions in dualdiagnosis.
Cognitive behaviour therapy and relapse prevention.
8 Alcohol and Mood Disorders (Julie Attenborough).
Harm, alcohol and mental illness.
Presentation: alcohol and mental illness.
Medication and dual diagnosis.
9 Polysubstance Use and Personality Disorder (SimonMcArdle).
What is personality disorder?
Treatment and intervention approaches.
Stages of change.
10 Older People and Dual Diagnosis (Sue Excell).
An increasing population.
Media representation of information on alcohol.
Perception of old age.
Alcohol use in older people.
Complications of excessive alcohol use.
Assessment and screening.
Over-the-counter medication (OTC).
11 Stimulant Use and Psychosis (Lorna Saunder).
Stimulant use in the United Kingdom.
Stimulants and drug-induced psychosis.
Stimulants and mental illness.
Stimulants and their use by people with existing psychoticillnesses.
Implications for practice.
12 Women and Dual Diagnosis (Julie Winnington).
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.
13 Drug-Induced Psychosis (Hülya Bilgin, Murat Sonculand Peter Phillips).
Dual diagnosis: a common problem.
The relationship between substance use and psychosis:aetiology.
A model of relationships between psychotic illness and drug andalcohol use.
14 Cannabis Use and Psychosis (Liz Hughes).
What is cannabis?
How is it used?
How it affects the user.
The links between cannabis and psychosis.
Interventions for cannabis and psychosis.
15 Methamphetamine and Mental Health (MelindaCampopiano).
Initiation and continuation of methamphetamine use: missedopportunities.
Methamphetamine and mental health: intoxication, withdrawal andpsychiatric illness.
Methamphetamine addiction: treatment and outcomes.
16 Public Health and Dual Diagnosis (Linda Bailey).
Treatment for BBV.
17 Comorbidity or Complexity: A Primary Care Perspective on DualDiagnosis (John Budd).
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 andDevelopment.
18 Dual Diagnosis – North America (Theodora Sirota andKathleen Leo).
Socio-cultural and public policy considerations.
Approaches to treatment.
Issues and challenges.
19 Dual Diagnosis – Australasia (Gary Croton).
Drivers for system change.
Consumer and carer demand.
Harms and unwanted outcomes strongly associated with dualdiagnosis.
Opportunity to provide more effective treatment of‘target’ disorders via improved recognition and moreeffective responses to co-occurring disorders.
Barriers to better outcomes for persons with dual diagnosis.
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 andMental Illness Measure.
‘Can Do’ – Managing Mental Health andSubstance Use in General.
State level responses to dual diagnosis.
20 Dual Diagnosis – Europe (Jane Salvage and RobKeukens).
The historical and social context.
Elements of dual diagnosis in the region.
Other psychoactive substances.
Care and treatment responses.
Problems and solutions.
21 Commissioning Services for Users with Dual Diagnosis(Sharon Dennis).
The history of commissioning.
Implications for commissioning dual diagnosis services.
22 Practice, Research and Education Development (KevinGournay).