Clinical Outcomes from a 10-Week Follow-Up Psychoeducational Programme for Dual Diagnosis

Chilton, J., Crone, Diane and Tyson, P.J. (2018) Clinical Outcomes from a 10-Week Follow-Up Psychoeducational Programme for Dual Diagnosis. Journal of Dual Diagnosis. ISSN 1550-4263 (In Press)

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Abstract

Background: Dual diagnosis covers a broad spectrum of mental health and substance misuse conditions occurring concurrently (NICE, 2016). Its manifestation is complex and as such, the disorder is recognized as influencing adherence to prescribed medication, service engagement and has a worse prognosis than substance use and mental health conditions occurring independently. Aims: To determine the effectiveness of psycho-educational group therapy on a sample of dual diagnosis patients. Methods: Patients who met the DSM-IV Axis 1 criteria for serious mental illness and current substance misuse were approached to take part in a psycho-educational programme. Those who consented were assessed at baseline and end-point using measures of psychiatric symptomology, psychological well-being and substance use patterns with the following scales; Brief Psychiatric Rating Scale (BPRS), Hospital Anxiety and Depression Rating Scale (HADS), Maudsley Addiction Profile Scale (MAPS) and the Warwick and Edinburgh Mental Well-being Scale (WEMWBS). Results: Fifty-one patients completed the programme whilst 29 dropped out after initial assessment. Between baseline and follow-up there was a decline in the number of participants using alcohol, cannabis, cocaine, amphetamine, illicit benzodiazepines and methadone. However, the number of participants using heroin remained constant. The mean amount of substances used did not reduce over the study period except in the case of alcohol. Overall improvements in symptomology and psychological well-being were observed. Discussion: Mental health services should focus on integrated approaches via multimodal treatment interventions that encapsulate harm reduction and educational initiatives: Despite the modest sample, the findings have emphasized the importance of a broad range of treatment approaches delivered within a unitary delivery system.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: Dual diagnosis; Psychotherapy Group; Harm reduction; Substance use disorders (SUD); Severe mental illness (SMI)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA790 Mental health. Mental illness prevention.
Divisions: Schools and Research Institutes > School of Health and Social Care
Research Priority Areas: Sport, Exercise, Health & Wellbeing
Depositing User: Susan Turner
Date Deposited: 26 Feb 2018 10:44
Last Modified: 01 Mar 2018 00:02
URI: http://eprints.glos.ac.uk/id/eprint/5417

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