Historique
Périodique
What are the implications for clinical management and service development of prevalent comorbidity in UK mental health and substance misuse treatment populations ?
(Quelles sont les implications pour la gestion et le développement de service clinique de la prévalence de la comorbidité dans les populations en traitement pour abus de drogues et maladie mentale au Royaume-Uni)
Auteur(s) :
WEAVER, T. ;
STIMSON, G. ;
TYRER, P. ;
BARNES, T. ;
RENTON, A.
Année
2004
Page(s) :
329-348
Langue(s) :
Anglais
Refs biblio. :
42
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ROYAUME-UNI
Thésaurus mots-clés
COMORBIDITE
;
PSYCHOPATHOLOGIE
;
PREVALENCE
;
ETUDE TRANSVERSALE
;
TRAITEMENT
Note générale :
Drugs Education, Prevention and Policy, 2004, 11, (4), 329-348
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
There is limited evidence about the prevalence of mental illness and substance misuse comorbidity (comorbidity) and its current management. This hampers service development in the UK. We measured the prevalence of comorbidity in community mental health teams (CMHTs) and drug and alcohol services in four urban UK centres. We also described the patterns of comorbidity, assessed the health and social care needs of patients and described current management. Among CMHT patients, 44% report past year problem drug use and/or harmful alcohol use. The majority of drug (74.5%) and alcohol patients (80.6%) had a past year psychiatric disorder. In each population most comorbid patients exhibit multiple disorders and have greater community care needs than non-comorbid patients. Comorbid status did not restrict access to interventions provided through the patient's allocated service, but joint management between services was uncommon. Resources need to be deployed to enable substance misuse services to provide evidence-based interventions to a higher proportion of comorbid patients. The treatment need of comorbid CMHT patients are likely to be best met by mainstream mental health services. However, CMHTs need to develop these competencies through staff training and research into the effectiveness of novel interventions tailored to UK service contexts. (Author's abstract.)
Affiliation :
Dept Soc. Science Med., Imperial Coll. London, Charing Cross Campus, Reynolds Building, St Dunstan's Rd, London W6 8RP
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.