Dual Diagnosis Practice in Context

Name: Dual Diagnosis Practice in Context
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ISBN: 9781405180092

ISBN-10: 1405180099

ISBN-13: 9781405180092

Edition: 2010

Authors: Peter Phillips, Olive McKeown, Tom Sandford

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Book details

List price: $38.99
Copyright year: 2010
Publisher: John Wiley & Sons, Limited
Publication date: 10/16/2009
Binding: Paperback
Pages: 288
Size: 7.00" wide x 9.75" long x 0.75" tall
Weight: 1.122
Language: English

Peter Phillips is the director of Project Censored & an associate professor of sociology at Sonoma State University. Phillips writes op-ed pieces in the alternative press & independent newspapers nationwide. He frequently speaks on media censorship & various sociopolitical issues on radio & TV talk shows, including "Talk of the Nation", "Public Interest", "Talk America", "Democracy Now!", & the "Jim Hightower Show".

#60;b#62;Peter Phillips#60;/b#62; is a lecturer/practitioner in Substance Misuse at St Bartholomew School of Nursing & Midwifery, City University, and at Camden & Islington Mental Health & Social Care NHS Trust. He is Advisor to the National Association for Mental Health (MIND) for dual diagnosis, and an active member of the International Harm Reduction Association. #60;br#62;#60;p#62;#60;br#62;#60;p#62;#60;b#62;Dr Olive McKeown#60;/b#62; is Senior Lecturer in Mental Health in the School of Health and Social Care at The University of Greenwich where she is co-ordinator of two dual diagnosis courses: Concepts of Dual Diagnosis and Approaches to Dual Diagnosis.…

Peter Phillips is Senior Lecturer in Addiction at City University London, and Honorary Lecturer in Social and Community Mental Health at University College London.Tom Sandford is executive director of services across England for the Royal College of Nursing. His previous roles in the organisation include five years as a mental health policy adviser.Claire Johnston is the Director of Nursing for Camden and Islington NHS Foundation Trust, which provides mental health and substance misuse services in central London.ï¿½



Contributors


Foreword



Contemporary Context



Definition, Recognition and Assessment



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



Explanatory Models for Dual Diagnosis



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



Consumer Perspectives



Introduction


Human experience and medicine


Diagnosis, treatment and human rights


Two worlds


Significant contrasts


Diagnosis


Treatment


Dual diagnosis and policy


Conclusion



Common Presentations and Special Populations



Risk Assessment and Dual Diagnosis



Introduction


Clinical risk assessment


Principles of risk assessment and management


The process of risk assessment and management


Conclusion



Reducing Drug-Related Harm Among Mentally Ill People



Introduction


Interventions and approaches


Harm reduction


Using harm reduction approaches with mentally ill individuals


Dual diagnosis and harm reduction: the future?


Conclusion



Motivational Interviewing



Introduction


What is MI?


Conclusion



Psychological Interventions



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



Alcohol and Mood Disorders



Introduction


Harm, alcohol and mental illness


Presentation: alcohol and mental illness


Medication and dual diagnosis


Conclusion



Polysubstance Use and Personality Disorder



Introduction


Prevalence


Service delivery


What is personality disorder?


Treatment and intervention approaches


Assessment


Stages of change


Therapeutic principles


Conclusion



Older People and Dual Diagnosis



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



Stimulant Use and Psychosis



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



Women and Dual Diagnosis



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



Drug-Induced Psychosis



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



Cannabis Use and Psychosis



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



Methamphetamine and Mental Health



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



Public Health and Dual Diagnosis



Introduction


Epidemiology


Causal relationship


Treatment for BBV


Other co-infections


Conclusion



Comorbidity or Complexity: A Primary Care Perspective on Dual Diagnosis



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



International Perspectives, Policy and Development



Dual Diagnosis North America



Introduction


Prevalence


Historical context


Socio-cultural and public policy considerations


Approaches to treatment


Research


Issues and challenges


Conclusion



Dual Diagnosis Australasia



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


Australi'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



Dual Diagnosis Europe



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



Commissioning Services for Users with Dual Diagnosis



Introduction


Background


The history of commissioning


Implications for commissioning dual diagnosis services


Conclusion



Practice, Research and Education Development



Introduction


Research


Education development


Practice


Conclusion


Index