Schulte, S. J., Meier, P. S. , Stirling, J. and Berry, M. (2010) Unrecognised dual diagnosis - A risk factor for dropout of addiction treatment. Mental Health and Substance Use: Dual Diagnosis, 3(2), pp. 94-109. (doi: 10.1080/17523281003705199)
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Abstract
Background: While many studies have examined the prevalence of concurrent substance misuse and mental health problems across different treatment populations, we know little as to what extent such co-morbidity is identified in routine clinical practice. However, literature in the field has emphasised the importance of recognising co-morbidity early to avoid adverse treatment outcomes. Aims: To determine: (1) the degree to which co-morbidity is recognised and addressed in outpatient addiction services; and (2) whether unaddressed co-morbidity increases the risk of dropout. Method: Clients (n = 176) starting treatment at six UK-based drug and/or alcohol services and their 46 practitioners were followed for 3 months. Multiple assessments were carried out in order to obtain information about clients' mental health, 90-day retention rates, treatment perceptions and practitioners' expertise and training levels in the co-morbidity field. Services' assessment protocols and in-treatment case notes for each client were examined. Results: Of 124 (71%) clients screening positive for mental health problems, services recognised co-morbidity in only 54%, and addressed it in 23%. Clients whose co-morbidity was not addressed were significantly less likely to be retained at 90 days (HR = 0.296, p < 0.005). Conclusions: Improving assessment and care planning procedures is important because of a link between unaddressed co-morbidity and dropout.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Meier, Professor Petra |
Authors: | Schulte, S. J., Meier, P. S., Stirling, J., and Berry, M. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | Mental Health and Substance Use: Dual Diagnosis |
Publisher: | Taylor & Francis |
ISSN: | 1752-3281 |
ISSN (Online): | 1752-3273 |
Published Online: | 04 May 2010 |
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