JournalTOCs

Advances in Dual Diagnosis
Journal Prestige (SJR): 0.21

Citation Impact (citeScore): 1
Number of Followers: 45

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1757-0972 - ISSN (Online) 2042-8324
Published by Emerald

[362 journals]

Integrated care – panacea or white elephant' A review of integrated
care approaches in Australia over the past two decades
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  Authors: Ali Cheetham, Shalini Arunogiri, Dan Lubman
  Abstract: Integrated care is widely supported as a means of improving treatment outcomes for people with co-occurring mental health and substance use disorders. Over the past two decades, Australian state and federal governments have identified integrated care as a policy priority and invested in a number of research and capacity building initiatives. This study aims to examine Australian research evaluating the effectiveness of integrated treatment approaches to provide insight into implications for future research and practice in integrated treatment. This narrative review examines Australian research evaluating empirical evidence of the effectiveness of integrated treatment approaches within specific populations and evidence from initiatives aimed at integrating care at the service or system level. Research conducted within the Australian context provides considerable evidence to support the effectiveness of integrated approaches to treatment, particularly for people with high prevalence co-occurring disorders or symptoms of these (i.e. anxiety and depression). These have been delivered through various modalities (including online and telephone-based services) to improve health outcomes in a range of populations. However, there is less evidence regarding the effectiveness of specific models or systems of integrated care, including for more severe mental disorders. Despite ongoing efforts on behalf of the Australian government, attempts to sustain system-level initiatives have remained hampered by structural barriers. Effective integrated interventions can be delivered by trained clinicians without requiring integration at an organisational or structural level. While there is still considerable work to be done in terms of building sustainable models at a system level, this evidence provides a potential foundation for the development of integrated care models that can be delivered as part of routine practice.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-26
  DOI: 10.1108/ADD-10-2022-0026
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Social work in alcohol and other drug service navigation: supporting
social complexity in dual diagnosis
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  Authors: Sally Thomas, Sophia Cotroneo, Daniel Pham, Rosemary Kalogeropoulos, Jonathan Tyler, Shalini Arunogiri
  Abstract: Many people with dual diagnosis present with social complexity that impedes service access. The role of social work support in such service navigation is poorly understood. This study aims to characterise client presentations to an Australian telephone-based social work alcohol and other drug (AOD) service navigation and linkage program, with consideration of presentation complexity compared between those clients who present with or without self-reported mental health (MH) concerns and a history of MH diagnoses, to identify differences in baseline characteristics, and linkage outcomes. A retrospective audit was conducted of routinely collected clinical information from a six-month period, selected to capture the social and health challenges experienced during the mid-pandemic period (mid-2021) in Victoria, Australia, during which a number of lockdowns resulted in a reliance on telephone-based services. The audit focused on client and presentation characteristics, and compared clients with and without a history of co-occurring MH and AOD concerns. It was found that three in four people accessing an Australian telephone-based AOD service navigation and linkage program presented with dual diagnosis. Individuals with dual diagnosis required more support from the service compared to those without a co-occurring MH disorder; but overall, were just as likely to achieve a successful linkage to services, when offered holistic, long-term social work support. This study focused on the role of social workers in this service navigation program in supporting individuals with complexity. It also highlights the challenges in operationalising social complexity factors alongside clinical MH and AOD diagnoses, and points to the need for further research to guide future service development for this vulnerable client group.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-20
  DOI: 10.1108/ADD-10-2022-0027
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Addiction recovery stories: Bethany Holmes in conversation with Lisa
Ogilvie
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  Authors: Bethany Holmes, Lisa Ogilvie
  Abstract: The purpose of this paper is to examine recovery through lived experience. It is part of a series that explores candid accounts of addiction and recovery to identify important components in the recovery process. The G-CHIME model comprises six elements important to addiction recovery (growth, connectedness, hope, identity, meaning in life and empowerment). It provides a standard to against which to consider addiction recovery, having been used in this series, as well as in the design of interventions that improve well-being and strengthen recovery. In this paper, a first-hand account is presented, followed by a semi-structured e-interview with the author of the account. Narrative analysis is used to explore the account and interview through the G-CHIME model. This paper shows that addiction recovery is a remarkable process that can be effectively explained using the G-CHIME model. The significance of each component in the model is apparent from the account and e-interview presented. Each account of recovery in this series is unique, and as yet, untold.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-18
  DOI: 10.1108/ADD-01-2023-0001
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Programme responses for men who perpetrate intimate partner violence in
the context of alcohol or other drugs: a scoping review
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  Authors: Van Nguyen, Margaret Kertesz, Jennifer Davidson, Cathy Humphreys, Anne-Marie Laslett
  Abstract: Substance use plays a significant role in the perpetration of much intimate partner violence (IPV). However, responses to these two issues are rarely integrated. Single focus programme responses can lead to poor outcomes for men as well as their families experiencing these intersecting issues. This scoping paper aims to establish the current state of knowledge on contextual factors influencing the development and implementation of combined programmes. Four electronic databases were systematically searched in May 2021 and December 2021. Twenty-one peer-reviewed studies reporting on ten programmes were included. This scoping review revealed that combined programme responses are an underdeveloped area of research and evaluation. The limited evidence base indicated systemic barriers hindering services’ capacity to expand this field of work, affecting implementation and outcomes. Support is required from the wider service systems to intervene in men’s perpetration of IPV in the context of substance use. Findings in this scoping review demonstrate the importance of fostering a coordinated and collective response to IPV in the context of substance use. Combined programmes have the potential to reduce siloed practices, enabling more holistic responses for men with intersecting issues. However, researchers and policymakers must also address contextual issues hindering or enabling combined programmes’ implementation and development. Mapping the evidence based on combined programmes provides direction for further development and research to expand this field of inquiry.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-10
  DOI: 10.1108/ADD-07-2022-0021
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Comparison of characteristics between adolescent and adult pregnant women
who used methamphetamine: a retrospective study in a tertiary hospital
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  Authors: Woraphat Ratta-apha, Vinn Jinanarong, Jingswat Sirikunchoat, Piangmas Tasneeyapant, Punyisa Prachgosin, Naratip Sa-guanpanich
  Abstract: This study aims to examine the characteristics of pregnant women who used methamphetamine to determine the differences in characteristics between teenagers (aged under 20 or 20–25 years) and adult women who used methamphetamine during this period. This retrospective study extracted data from the medical records of obstetric patients who gave birth between 2011 and 2015 in a tertiary hospital in Thailand. All included patients were diagnosed with amphetamine use disorder. Demographic data, history of antenatal care, history of substance use and psychiatric evaluations were recorded. Four hundred and twelve patients were recruited for analysis. Of these, 194 (53.4%) did not attend regular antenatal care, 326 (92.1%) had unplanned pregnancies and 42 (12.5%) had a history of abortions. Socially, 47 patients (21.7%) reported drug use in their families and 160 (49.5%) reported a history of parental separation. Compared with the adult and 20–25 years groups, the < 20 years group tended to have a lower educational level, have experienced parental separation and had more regular antenatal care. Pregnant teenagers with methamphetamine use had psychosocial difficulties. Physicians should be aware of these psychosocial issues, including education and family planning. These findings showed that pregnant women who used methamphetamine faced psychosocial difficulties, unplanned pregnancies and inadequate antenatal care. Adult and teenage pregnant women who used methamphetamine differed in some ways. For example, teenage pregnant women tended to be of a lower education level, experienced parental separation and had a history of more frequent antenatal care. Further longitudinal research exploring the outcomes of mothers who used methamphetamine and their children is needed to build on the existing evidence.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-09
  DOI: 10.1108/ADD-08-2022-0024
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Hearing the voice of child welfare social workers: planning safe care for
a child with or suspected of having fetal alcohol spectrum disorders
(FASDs)
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  Authors: William Christopher Curran, Matthew C. Danbrook
  Abstract: In the early 1970s, clinical evidence emerged documenting causal links between prenatal alcohol exposure (PAE) and children’s behaviors as observed by child welfare social workers (CWSWs). Unfortunately, fetal alcohol spectrum disorders (FASD) remain on the margins of public health priorities. The purpose of this study was to elicit the views of child welfare social workers when responding to case of or suspected FASD. A sample (N = 18) of CWSWs, allied health professionals and foster parents were interviewed. Findings indicate that social workers struggle with their statutory duty to plan safe care for children with or suspected of having FASD. Emergent themes include struggling with advocacy, professional devaluation and lack of procedural guidance. Social workers need a clear pathway and FASD knowledge to guide their interventions and enhance their capacity to advocate for affected children. An abundance of research documents the direct effect of PAE on physical, cognitive and behavioral outcomes. However, few studies focus on the critical interface of children with an FASD entering public care and the social workers responsible for planning their safe care. This study sought to document social workers’ response to this vulnerable cohort of children.
  Citation: Advances in Dual Diagnosis
  PubDate: 2023-01-06
  DOI: 10.1108/ADD-04-2022-0014
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
Coproduction in evaluating a dual diagnosis tool with youth in a
residential mental health service
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  Authors: Simon Kroes, Kevan Myers, Grace McLoughlan, Sarah O'Connor, Erin Keily, Melissa Petrakis
  Abstract: The purpose of this study was to utilise a lived experience (LE) informed/co-designed approach to explore the service-user experience of using the reasons for use package (RFUP) within a youth residential rehabilitation mental health setting. LE researchers (those who have lived through mental illness or distress), Master of social work students, a community of mental health service manager, community of mental health researchers, dual diagnosis service researchers and university-based researchers collaborated on the project. The study used an exploratory, qualitative approach of semi-structured interviews to invite young people's experiences of the resource. The research team conducted a collaborative thematic analysis drawing on the range of perspectives. Through five interviews with young people, key themes identified included: client factors and extra-therapeutic events, relationship factors, technique/model factors/delivery and outcomes/things noticed. The RFUP was a useful clinical tool with the young people in this pilot as it improved awareness of reasons for drug use and impact on mental health, service user to staff relationship, quality of the resource, mode of delivery and participant self-knowledge. Young people valued the supportive role that the RFUP played in facilitating positive relationships with their workers.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-12-29
  DOI: 10.1108/ADD-06-2022-0017
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
Dual diagnosis, social work and the perspective of a social work student
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  Authors: Damien Luke Correia, Rebecca Garvie, Julaine Allan
  Abstract: This paper reports a social work student’s experience of a mental health rehabilitation placement. The term “dual diagnosis” in this context includes people who experience both a mental health diagnosis and a substance use disorder. The purpose of this paper is to highlight the student experience as the author learnt about some of the challenges that people with dual diagnoses face during the recovery process. The author kept a journal during the placement. Critical reflection was used to interrogate the journal entries for key themes and events that contributed to the author’s learning about social work practice and dual diagnosis. This study found that social workers are in a fortunate position to work in this multi-disciplinary setting and contribute the social work perspective to care for people with dual diagnosis. However, there are still some gaps in achieving optimal care. Suggestions for further practice development include a more integrated approach between services, further training for clinicians and a focus on a community-based setting as opposed to an institutionalised one. According to the author, the student experience is important because students see situations and settings with fresh eyes that can highlight things that experienced practitioners take for granted.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-12-22
  DOI: 10.1108/ADD-07-2022-0020
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
Addiction recovery stories: Lauren Wearing in conversation with Lisa
Ogilvie
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  Authors: Lauren Wearing, Lisa Ogilvie
  Abstract: This purpose of this paper is to contribute to a series of recovery stories that examine candid accounts of addiction and recovery. Shared components in the recovery process are considered, along with the change and growth needed to support the transition from addiction to recovery. The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery. CHIME provides a standard to qualitatively study recovery. As a model, it has been extended to include growth (G-CHIME), an element that is important for sustained addiction recovery. In this paper a first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account that is based on the G-CHIME model. This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented. Each account of recovery in this series is unique, and as yet, untold.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-12-01
  DOI: 10.1108/ADD-11-2022-0030
  Issue No: Vol. ahead-of-print, No. ahead-of-print (2022)
Editorial
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  Authors: Rahul (Tony) Rao
  Abstract: Editorial
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-11-23
  DOI: 10.1108/ADD-11-2022-049
  Issue No: Vol. 15, No. 4 (2022)
News, guidance and resources
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  Authors: Rahul (Tony) Rao
  Abstract: News, guidance and resources
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-11-23
  DOI: 10.1108/ADD-11-2022-050
  Issue No: Vol. 15, No. 4 (2022)
Clinical care of patients with dual disorders in India: diverse models of
care delivery
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  Authors: Yatan Pal Singh Balhara, Abhishek Ghosh, Siddharth Sarkar, Jayant Mahadevan, Arghya Pal, Venkata Lakshmi Narasimha, Dheeraj Kattula, Sambhu Prasad, Arpit Parmar, Preethy Kathiresan, Anirudha Basu, Gayatri Bhatia, Raghav Shah, Naveen Kumar Dhagudu, Richa Tripathi, Balaji Bharadwaj
  Abstract: This study aims to offer an overview of the models of clinical care of the patients with dual disorders in India. All the members of the Dual Diagnosis India Network (DDIN) who shared the clinical care delivery at their center were invited to share the details of their model. In addition, an invite was also sent to those members who could not attend the online session but were interested in contributing the required information about their model. The information shared by the respondents was collated. The different models were then categorized based on their features. Following the categorization of the clinical care services organization across different settings, five different models emerged. These were specialized dual diagnosis clinic; services for dual disorders offered as substance use disorder (SUD) treatment services within general psychiatry care; services for dual disorders in general psychiatry care; services for dual disorders offered as SUD treatment services separated from general psychiatry care; and services for dual disorders offered in general psychiatry services combined with exclusive SUD treatment services. Currently, there is limited literature on models of dual disorders from the low- and middle-income countries. The authors believe that the documentation of these models from India shall be of help while setting up services for dual disorders in other health-care settings. This study can be a valuable resource for making informed choices while setting up new services.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-11-16
  DOI: 10.1108/ADD-09-2022-0025
  Issue No: Vol. 15, No. 4 (2022)
Establishing behavioral health services in homeless shelters and using
telehealth digital tools: best practices and guidelines
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  Authors: Rupa Kalahasthi, Jacob Wadsworth, Cory A. Crane, Jonathan Toole, Cassandra Berbary, Caroline J. Easton
  Abstract: Homelessness is a growing concern across the globe that has multiplied during the pandemic. According to a recent report by the Department of Housing and Urban Development (HUD, 2018), 20% of the homeless population have a severe mental illness and 16% chronically used substances. This paper aims to address the effectiveness of in-shelter mental health services provided by qualified clinicians. In this study, clients from a homeless shelter were provided in-shelter mental health intake and resources by predoctoral clinicians. Their pre- and postdistress scores were recorded to establish the effectiveness of the intervention. Ninety-eight guests were provided services of which 51% reported co-occurring mental health and substance use diagnoses. There was a clinically significant difference in the pre- to postsession distress levels based on the ratings at the intake session. It was noted that making services accessible increased the ability to provide triage services, help with housing options and integrate care with other providers and decrease distress levels. The current program was implemented in only one shelter in Upstate New York, other similar settings need to be explored in different locations. Objective indicators will be analyzed in the future to establish the effectiveness of services. This paper outlines a procedure that can guide and help future projects to establish clinical care at homeless shelters across the USA and globally. This paper provides examples of the intake form, list of resources and basic coping strategies that can aid other clinicians and researchers to establish similar programs. This paper sheds light on the mental health needs of an underserved and underrepresented population in the field of mental health – the homeless. The guidelines outlined in this paper can help set up more mental health clinics at homeless shelters and make mental health services more accessible, which can help prevent recurring homelessness. This paper establishes guidelines for effective single session interventions that help decrease distress levels. This paper also establishes the need for in-shelter services to overcome barriers in mental health care for the homeless population.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-09-28
  DOI: 10.1108/ADD-07-2022-0019
  Issue No: Vol. 15, No. 4 (2022)
Positive addiction recovery therapy: a pilot study
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  Authors: Lisa Ogilvie, Jerome Carson
  Abstract: The purpose of this study is to evaluate a new programme of work designed to improve the recovery and well-being of people in early addiction recovery. The programme, known as positive addiction recovery therapy (PART), is attentive to the recovery process through the G-CHIME (growth, connectedness, hope, identity, meaning in life and empowerment) model of addiction recovery. It also uses the values in action character strengths and includes a set of relapse prevention techniques. An experimental design using repeated measures has been adopted. Measures for recovery capital, well-being and level of flourishing were selected and pre- and post-data collected. Primary data analysis was conducted using the non-parametric Wilcoxon signed-rank test. Participants (n = 30) were required to be in early addiction recovery, classified as having been abstinent for between three and six months. The results showed a statistically significant improvement in participant well-being. This was also true for recovery capital and flourishing. Whilst a meaningful increase was seen in all measures, exploratory analysis found females responded better to the PART programme. This study emphasises the importance of adopting a holistic therapeutic approach, one that considers multifaceted components of recovery such as those outlined in the G-CHIME model. This study evaluates a new programme of work designed to improve the recovery outcome and mental well-being of people who are in early addiction recovery.
  Citation: Advances in Dual Diagnosis
  PubDate: 2022-08-31
  DOI: 10.1108/ADD-06-2022-0018
  Issue No: Vol. 15, No. 4 (2022)