|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|
|Note générale :||Journal of Mental Health, 2005, 14, (2), 95-107|
|Discipline :||PSY (Psychopathologie / Psychopathology)|
Thésaurus TOXIBASECOMORBIDITE ; ETUDE CAS-TEMOINS ; DISPOSITIF DE SOIN ; COMPARAISON ; DIAGNOSTIC
|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|
Department of Health and Human Sciences, University of Essex.
Royaume-Uni. United Kingdom.
|Numéro Toxibase :||1301677|
|Centre Emetteur :||13 OFDT|