Titre : | Service uptake in a sample of substance misuse and community mental health service clients: A case control study |
Titre traduit : | (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) |
Auteurs : | TODD J. ; G. GREEN ; PEVALIN D. J. ; IKUESAN B. A. ; M. HARRISON ; SELF C. ; A. BALDACCHINO |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 95-107 |
Note générale : | Journal of Mental Health, 2005, 14, (2), 95-107 |
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus mots-clés COMORBIDITE ; ETUDE CAS-TEMOINS ; DISPOSITIF DE SOIN ; COMPARAISON ; DIAGNOSTICThésaurus géographique ROYAUME-UNI |
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. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 30 |
Affiliation : |
Department of Health and Human Sciences, University of Essex. Royaume-Uni. United Kingdom. |
Numéro Toxibase : | 1301677 |
Centre Emetteur : | 13 OFDT |
Cote : | A02855 |
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