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Service uptake in a sample of substance misuse and community mental health service clients: A case control study
(L'intérêt pour le service de soins dans un échantillon de patients d'un service de soins pour mésusage de substance et de santé mentale communautaire : une étude cas-témoins)
Auteur(s) :
TODD J. ;
GREEN, G. ;
PEVALIN D. J. ;
IKUESAN B. A. ;
HARRISON, M. ;
SELF C. ;
BALDACCHINO, A.
Année
2005
Page(s) :
95-107
Langue(s) :
Anglais
Refs biblio. :
30
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
COMORBIDITE
;
ETUDE CAS-TEMOINS
;
DISPOSITIF DE SOIN
;
COMPARAISON
;
DIAGNOSTIC
Thésaurus géographique
ROYAUME-UNI
Note générale :
Journal of Mental Health, 2005, 14, (2), 95-107
Résumé :
Background: The difficulties in engaging and treating individuals with comorbid psychiatric problems and substance misuse has been acknowledged as a growing problem likely to have implications for treatment. Aims: This study compared service use in clients with single and comorbid diagnoses from Adult Mental Health (AMH) and Drug and Alcohol services (DAS). Methods: A retrospective matched case-control study of a sample of service users of a mental health Trust in East Anglia drawn across AMH (n = 400) and DAS (n = 190). Odds ratios were estimated and used to test for differences in client groups with respect to uptake of community services, formal and informal in-patient services, out-of-hours services and engagement with statutory services. Results: Marked differences were observed in terms of service use between clients of AMH who had a single diagnosis of severe, chronic or recurrent psychiatric problems and clients of AMH who had additional substance misuse problems. Differences were less pronounced between clients of DAS who had a single diagnosis of substance misuse and clients of DAS who had substance misuse and psychiatric problems. Conclusions: Different patterns of service uptake were observed between singly diagnosed and comorbid AMH clients. There was a lack of differences in patterns of service uptake in singly diagnosed and comorbid DAS clients. Substance misuse could be a factor influencing service uptake rather than comorbidity per se.
Affiliation :
Department of Health and Human Sciences, University of Essex.
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.
Cote :
A02855