Pathways through care for people with dual diagnosis in Europe: results from the treatment options for dual diagnosis user zoom instrument

Greacen, Tim and Baldacchino, Alexander M. and Charzynska, Katarzyna and Sorsa, Minnie and Groussard-Escaffrea, Noelle and Clancy, Carmel and Lack, Carole and Hyldager, Eline and Hodges, Claire-Louise and Merinder, Lars B. and Meder, Joanna and Henderson, Zoe and Laijarvi, Heidi and Baeck-Moller, Kerstin (2010) Pathways through care for people with dual diagnosis in Europe: results from the treatment options for dual diagnosis user zoom instrument. Mental health and substance use: dual diagnosis, 4 (3). pp. 195-210. ISSN 1752-3273

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Official URL: http://www.tandfonline.com/doi/full/10.1080/175232...

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Abstract

Differences in care philosophies between the mental healthcare system and the substance misuse treatment system have a significant impact on treatment options for people with dual diagnosis. The aim of the study was to identify pathways through care for people with dual diagnosis in Europe using the Treatment Options for Dual Diagnosis User Zoom instrument. Declared pathways through care were categorised for 331 subjects with severe dual diagnosis recruited after admission to psychiatric wards at seven European sites and followed up over 9 months. At baseline, more than one in four subjects did not declare using either mental health or substance misuse centres or services. Mental health centres played the major role through follow-up with similar rates of declared use at all sites. By contrast, use of substance misuse treatment centres was half as frequent and varied considerably between sites. Declaring any use of substance misuse centres was generally associated with decreased overall contact with the mental healthcare system for this population of psychotic patients with comorbid substance misuse problems.

Item Type:Article
Research Areas:Middlesex University Schools and Centres > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
ID Code:7967
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Deposited On:04 Jul 2011 08:10
Last Modified:10 Dec 2014 20:22

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