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Information overload: All on the page Part 6
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FACTS:
• The number of people who suffer from problematic drug use and mental health problems has risen by more than 60% in five years.
• An analysis of data submitted by doctors to the General Practice Research Database in England and Wales shows that the number of people with mental illness and substance misuse problems has soared from 23,624 in 1993 to 37,361 in 1998.
• Numbers of cases in the 25-34 age bracket more than doubled from 6,874 to 13,240 over the same period. Men are more likely to be affected than women with rates rising by 70% in men, compared with 44% in women.
• The rate of psychosis and problematic drug use has soared by 147% over a five-year period, and rates of schizophrenia combined with substance use rose by 128% in the same time period.
More patients battle mental health and drug problems
http://society.guardian.co.uk/mentalhealth/story/0,,1352466,00.html
DEFINITION:
The term dual diagnosis is a common, broad term that indicates the simultaneous presence of two independent medical disorders. Recently, within the fields of mental health, psychiatry, and addiction medicine, the term has been popularly used to describe the coexistence of a mental health disorder and alcohol and other drug (AOD) problems. The equivalent phrase 'dual disorders' also denotes the coexistence of two independent (but invariably interactive) disorders.
Psychology Today, Oct 10 '02
ORGANISATIONS, LINKS & DIRECTORIES:
Rethink
www.rethink.org
Rethink is the largest severe mental illness charity in the UK
Rethink was previously the National Schizophrenia Fellowship
Information includes diagnosis, the drugs - and their effects - commonly misused by people with dual diagnosis as well as contact details for useful organisations.
Mind
www.mind.org.uk
Mind - understanding dual diagnosis
With clear, comprehensive information on dual diagnosis, this booklet includes sections on symptoms, interactions between illegal drugs and psychiatric medication, misdiagnosis, withdrawal and a short bibliography and list of useful organisations.
General Psychotherapy Links
The Dual Diagnosis Website for co-occurring mental illness and substance disorders
www.psychnet-uk.com/psychotherapy/psychotherapy_general1.htm
toad.net
Dual diagnosis - resources for co-occurring addiction and personality disorders
A comprehensive directory of dual diagnosis research, resources and expertise
The site includes a bibliography, an archive of articles and research, contact details for clinicians and other experts, an online training manual, and a bookstore (with Amazon.com).
Dual Diagnosis Website (USA)
Sciacca - Comprehensive Service Development for Mental Illness, Drug Addiction and Alcoholism
The site provides information and resources on the treatment of dual diagnosis for service providers and service users. It includes articles, research, education and training materials, a database of service providers, a bulletin board and chatroom.
GOVERNMENT ARTICLES:
NTA
www.nta.mhs.uk
Co-morbidity of substance misuse and mental illness collaborative study (COSMIC)
A study of the prevalence and management of co-morbidity amongst adult substance misuse and mental health treatment populations (Weaver et al, 2002)
Publication date: August 2004
Source: National Treatment Agency (NTA)
Department of Health
www.doh.gov.uk
Dual diagnosis good practice guide
This guide drawn up with the Sainsbury Centre for Mental Health and Alcohol Concern recommends that services for people suffering from both mental health and substance misuse problems should be delivered within mental health services.
Mental Health Policy Implementation Guide
Dual Diagnosis Good Practice Guide
www.dh.gov.uk/assetRoot/04/06/04/35/04060435.pdf
Mental health policy implementation guide
Mental health policy implementation guide: Dual diagnosis good practice guide
Published date: 02/05/2002
www.dh.gov.uk/.../PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4009058&chk=sCQrQr
Visit here
Acute Adult Inpatient Care and Dual Diagnosis
PERSONALITY DISORDERS AND SUBSTANCE MISUSE
Journal of Studies on Alcohol 60 271-277.
Verheul, R. (2001) Co-morbidity of personality disorders in individuals with substance use disorders
http://www.publications.doh.gov.uk/mentalhealth/pdwelch.pdf
NHS
Consultation paper
Visit here
NHS National Programme on Forensic Mental Health Research and Development
Expert Paper: Dual Diagnosis of mental Disorder and Substance Misuse
http://www.dh.gov.uk/assetRoot/04/02/07/95/04020795.pdf
The Home Office
www.homeoffice.gov.uk
Substance use by young offenders
http://www.homeoffice.gov.uk/rds/pdfs2/hors261.pdf
Drugs and begging: A practice guide
Dual diagnosis/complex needs - it is essential that mental health services and drug treatment services co-operate fully to meet the needs of those with a dual diagnosis, 15 Nov 2004
www.crimereduction.gov.uk/begging01.htm
Substance misuse among Prisoners
http://www.statistics.gov.uk/downloads/theme_health/PrisonersSubstanceMisuse97_v2.pdf
House of Commons
www.publications.parliament.co.uk
House of Commons - Health - Fourth Report
House of Commons Hansard Debates for 29 Apr 2003 (pt 2)
How long will we allow a presumption in favour of dual diagnosis to be a smokescreen for stopping proper medical treatment for such people?
www.publications.parliament.uk/ pa/cm200203/cmhansrd/vo030429/debtext/30429-02.htm
House of Commons Hansard Written Answers for 27 Jan 2004 (pt 21)
Co-morbidity of substance misuse and mental health problems: a study of the prevalence and patterns of co-morbidity and the need for services
http://www.publications.parliament.uk/pa/cm200304/cmhansrd/vo040127/text/40127w21.htm
House of Commons Hansard Written Answers for 16 Jul 2004 (pt 4)
Co-morbidity of substance misuse and mental health problems: a study of the prevalence and patterns of co-morbidity and the need for services
http://www.parliament.the-stationery-office.co.uk/pa/cm200304/cmhansrd/cm040716/text/40716w04.htm
GENERAL ARTICLES, RESEARCH & ANALYSIS :
http://www.keele.ac.uk/depts/mm/drug-misuse/DrugMisuse.htm
Drug Misuse Research in the Department of Medicines Management is part of the Addiction Research Group at Keele University.
Current work includes: A national epidemiological study of dually diagnosed substance misuse and psychiatric disorders between 1993-1998 using the General Practice Research Database (funded by the Department of Health)
Journal of Public Health
J Keene (March 2005)
A Case Linkage study of co-morbidity in mental health and substance misuse care populations
http://www.rdg.ac.uk/primarycare/staff/keene.htm
www.bmj.com
British Medical Journal - severe mental illness and substance misuse
This editorial highlights the almost complete absence of evidence based services for service users with dual diagnosis.
www.med.ic.ac.uk
Centre for Research on Drugs and Health Behaviour - dual diagnosis report (PDF)
The Co-morbidity of Psychotic Mental Illness and Substance Misuse (1999), by the Centre for Research on Drugs and Health Behaviour at Imperial College, London, recommends more research into the pattern and prevalence of dual diagnosis in the UK.
www.audit-commission.gov.uk
Changing habits: the commissioning and management of drug treatment services for adults
This report by the Audit Commission found that drug treatment services had poor links with mental health services.
New Hampshire-Dartmouth Psychiatric Research Centre
This US website contains research reports, publications and downloadable assessment instruments for dual diagnosis work.
Psychiatric Bulletin - Substance Use and Misuse in Psychiatric Wards
This paper examines the measures available to hospital managers and clinicians to control substance misuse on psychiatric wards.
Dual diagnosis
One US study has found that 50% of people with mental health problems were also abusing drugs or alcohol at a problematic level. Very little research has been conducted in the UK however it is a very real problem here.
What does dual diagnosis mean?
www.thesite.org/youthnet/
National Schizophrenia Fellowship fact sheet 7 Dual diagnosis
Dual diagnosis – people who are affected by both severe mental health and substance misuse problems. What does dual diagnosis mean?
www.rethink.org/publications/pdfs/Dual%20diagnosis%20factsheet.pdf
@ease — dual diagnosis
Dual diagnosis and drug induced problems
www.rethink.org/at-ease/dual_diagnosis.html
College Research Unit - Availability of Treatment
A study of the availability of treatment for substance misuse to people in forensic psychiatric care with a dual diagnosis
www.rcpsych.ac.uk/cru/hsrp/atams.htm
Drugscope - DrugSearch
This refers to co-existing diagnoses of mental illness and substance use.
www.drugscope.org.uk/druginfo/drugsearch/ds_results.asp?file=%5Cwip%5C11%5C1%5C1%5Cdual_diagnosis.html
Drugscope - DrugSearch
What is dual diagnosis?
Dual diagnosis may also involve a primary diagnosis of drug dependence which leads to, or contributes to, mental health problems.
www.drugscope.org.uk/druginfo/drugsearch/faq_template.asp?file=%5Cwip%5C11%5C1%5C2%5Cdualdiag.html
Priory Healthcare | Dual diagnosis
Dual diagnosis
www.prioryhealthcare.co.uk/default.asp?sID=1089220594343
College Research Unit - The Royal College of Psychiatrists
The Dual Diagnosis Information Project
www.rcpsych.ac.uk/cru/complete/ddip.htm
CARES: Current Research
Integrated Services Aimed at Dual Diagnosis and Optimal Recovery from Addiction (ISADORA)
www.dundee.ac.uk/psychiatry/res_addictions/_CurRes_000.htm
Dual diagnosis
It is estimated that 30 per cent of people with mental health problems also have drug and/or alcohol problems
www.scmh.org.uk/80256BED004B72D9/vWeb/wpEHOK5DTFWQ?Open
Drugs Misuse Research Initiative
A National Epidemiological Study of Dually Diagnosed Substance Misuse and Psychiatric Disorders between 1993 and 1998
www.mdx.ac.uk/www/drugsmisuse/treatment.html
Flying Aardvark > Dual diagnosis
Dual diagnosis - Manic depression and Addiction: Three snapshots of mania
www.danb.dircon.co.uk/writing/dual_diagnosis.htm
Mental Health and Learning Disabilities
Dual diagnosis (particularly concepts of self-medication and social factors related to drug use among the mentally ill); folk pharmacology etc
www.city.ac.uk/barts/mentalhealthnursing/staff/phillips_p.htm
www.biomedcentral.com
Managing Co-morbid Schizophrenia and Substance Abuse
Academic Division of Clinical Psychology
Substance misuse in schizophrenia is high, with estimates for community samples in the range of 20–40%
www.clinical-psychology.man.ac.uk/researchprojects/midas.asp
Imperial - Dr Timothy D Weaver
http://www1.imperial.ac.uk/medicine/about/divisions/pcphs/pcsm/staff/people/t.weaver.html
PERSONALITY DISORDERS AND SUBSTANCE MISUSE
R Verheul (2001) Co-morbidity of personality disorders in individuals with substance use disorders
European Psychiatry 16 274-282
http://www.nimhe.org.uk/downloads/welch.doc
COGNITIVE-BEHAVIOUR THERAPY SUB-UNIT
The particular difficulties in working with people who have both mental health and substance use problems and the challenges co-morbidity presents
http://www.ucl.ac.uk/clinical-health-psychology/pdfFiles/Unit_Booklets/SEMHP-2004-05.pdf
Mental Health - Specific Problems
Study of prevalence and management of co-morbidity amongst adult substance misuse and mental health treatment populations
http://www.lho.org.uk/HIL/Disease_Groups/MentalHealth_SpecificProblems.htm
SchizophreniaUK
What is Co-morbidity? About 50% of schizophrenics will present themselves to psychiatric services with a substance abuse problem
http://mysite.wanadoo-members.co.uk/SchizophreniaUK/Comorbidity.htm
“Categorisation: a 'final' solution?”
DEVELOPING SERVICES & GOOD PRACTICE:
Developing a new Dual Diagnosis Service
Developing a new Dual Diagnosis Service Dual diagnosis refers to a combination of mental health needs and substance misuse.
www.slam.nhs.uk/news/detail.aspx?id=60
CORE - Dual Diagnosis
Dual Diagnosis
An increase in staff knowledge and confidence in managing individuals with dual diagnosis
www.psychol.ucl.ac.uk/CORE/dualdiagnosis.html
Alcohol Concern: dual diagnosis
Collaboration and Good Practice for Services April 2003
www.alcoholconcern.org.uk/files/20030829_160048_Dual%20Diagnosis%20keynote%20(PDF).pdf
Dual Diagnosis Primary Care Referral Tool - HOMEPAGE
Dual Diagnosis Referral Tool
www.substancemisuse.net/referral/
SAMH - The Point Online - Doubly Excluded
Offering an introduction to successful engagement with people who are described as having a 'dual diagnosis'
www.samh.org.uk/thepoint/spring2002/doublyexcluded.html
SMMGP - Library - Newsletters - No 019 (March 2001)
Working with 'Dual Diagnosis' in a Substance Misuse Team
Is Dual Diagnosis a Red Herring?
www.smmgp.demon.co.uk/html/newslett/news019.htm
Substance Misuse Management in General Practice (SMMGP)
Co-morbidity Standards are currently being developed by the Substance Misuse Advisory Service (SMAS)/Health Advisory Service (HAS)
http://www.smmgp.demon.co.uk/download/newslett/smmgp019.pdf
Daily Dose and Weekly Dose (Wired) offers daily collections and a large resource of Archive material
www.drugscope.org.uk |
