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ARE MENTAL HEALTH SERVICES FULLY MEETING THE NEEDS OF SERVICE USERS WITH DUAL DIAGNOSIS ILLICIT SUBSTANCE MISUSE AND SERIOUS MENTAL ILLNESS - Essay Example

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Summary
Dual diagnosis is defined as coexisting serious mental illnesses and substance misuse problems in the same individual. The needs of these individuals are complex and arise from the comorbid nature of both these problems. There is a paucity of research in this area in the background of the United Kingdom; however, research from the United States indicates that the effectiveness of the services to these individuals can be enhanced with a better understanding of their problem…
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ARE MENTAL HEALTH SERVICES FULLY MEETING THE NEEDS OF SERVICE USERS WITH DUAL DIAGNOSIS ILLICIT SUBSTANCE MISUSE AND SERIOUS MENTAL ILLNESS
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Download file to see previous pages However, in order to implement this framework in practice, the mental health professionals must be educated and trained suitably enough to be first aware of such conditions so they in turn can raise awareness of the clients in order to motivate them better.
Substance misuse and addictive behaviour are very common and are regarded as a major public health problem in the United Kingdom. Dual diagnoses of substance abuse and mental disorders are among the most prevalent mental disorders worldwide. The mental disorders comprise mostly of schizophrenia, affective, anxiety, personality, or attention deficit/hyperactivity disorder. Research has shown that they place enormous burden on individuals and society and hence the nation (Copello, Graham, & Birchwood, 2001, 585-587). The common co-occurrence of psychiatric disorders with alcohol and drug use disorders is well recognized. The reasons for co-occurrence, the best methods to differentiate substance abuse from psychiatric syndromes, and the best treatments for comorbidity remain open research questions. There is now an emerging consensus that when the clinical picture is limited to a single disorder, there are chances of fewer complications (Drake & Wallach, 2000, 1126-1129). Along with that, it has been acknowledged that comorbid psychiatric and substance abuse disorders present problems. Research again has demonstrated that co-occurring mental and substance use disorders are associated with problems among users, dependence among problem users, with severity and persistence of both mental and alcohol-drug disorders, poor health and failed treatment attempts, with violence, incarceration, and poverty (Essock et al, 2001, 469-476). Therefore, it would be pertinent to investigate or to find evidence whether these available mental health services are adequate enough to meet the growing needs of these individuals with dual diagnosis. In this review article, a systemic review has been proposed to be undertaken within a methodological framework, so the evidence may be culled in order to substantiate the focus question and rationale to conduct this review.
Focus Question
Are mental health services fully meeting the needs of service users with dual diagnosis, illicit substance misuse and serious mental illness
Rationale
The problems of dual diagnosis are further compounded by the fact that clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, these clients often are poor historians and are noncompliant during the assessment process. Individuals with dual diagnosis often have complex and multiple needs that are difficult to assess in a comprehensive manner. There are indeed barriers to care for this population, which are significant and multidimensional. Services available for these individuals are absent, inadequate, and ...Download file to see next pagesRead More
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