Assessment of coexisting psychosis and substance misuse: complexities, challenges and causality

2020 ◽  
Vol 27 (1) ◽  
pp. 38-48
Author(s):  
Rajan Nathan ◽  
Emily Lewis
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Illness ◽  
Substance Use ◽  
Mental Health Service ◽  
Health Service ◽  
Clinical Experience ◽  
Substance Misuse ◽  
Evidence Base ◽  
Mental Health Clinicians

SUMMARYSubstance misuse worsens the prognosis for people suffering psychosis and places them at risk of being denied appropriate mental health service interventions. To increase the chances of its success, the plan of management for patients with coexisting psychosis and substance misuse should be based on a valid formulation of their problems, which in turn is dependent on the clinician having (a) a thorough understanding of the bidirectional and changing ways that substance use and mental illness symptoms can interact, (b) an awareness of their own biased implicit assumptions about causality in explaining these interactions and (c) a framework for assessment and formulation. This article addresses these three areas with reference to the evidence base and to clinical experience in a way that guides mental health clinicians in the assessment of patients with coexisting psychosis and substance misuse.

Trends in mental health service use by age among adults with serious mental illness

2019 ◽  
Vol 30 ◽  
pp. 71-73
Author(s):  
Natasha E. Latzman ◽  
Heather Ringeisen ◽  
Valerie L. Forman–Hoffman ◽  
Breda Munoz ◽  
Shari Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Serious Mental Illness ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

Learning together about the needs of parents with a mental illness and their children: The implementation of the Mums' and Dads' Practice Research Project

2004 ◽  
Vol 29 (2) ◽  
pp. 35-40 ◽  
Author(s):  
Carmel Alakus
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Parent Education ◽  
Consumer Satisfaction ◽  
Practice Research ◽  
Short Term ◽  
Adult Mental Health ◽  
Difficult Issue

The busy clinical practitioner, while being encouraged to innovate and formally evaluate his or her work, has less time than ever before to do either.The Mums' and Dads' Project represented a modest attempt to implement a short-term parent education project in adult mental health and review it in the style of practice-research. A number of qualitative methods were employed to research the Project conducted in the Mid West Area Mental Health Service exploring consumer satisfaction and parents' perspectives of their children's needs.Consumers attended the sessions readily, demonstrating knowledge of child development and a willingness to confront the difficult issue of informing children about mental illness. They reiterated how much they appreciated meeting other parents with a mental illness.Service delivery to parents with a mental illness and their children deserves dedicated funding if their needs are to be addressed and programs carefully evaluated.

Prevalence of mental illness within families in a regional child-focussed mental health service

2017 ◽  
Vol 27 (2) ◽  
pp. 901-910 ◽  
Author(s):  
Michael F. A. Naughton ◽  
Darryl J. Maybery ◽  
Melinda Goodyear
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service

Residential Transience Among Adults: Prevalence, Characteristics, and Association with Mental Illness and Mental Health Service Use

2019 ◽  
Vol 55 (5) ◽  
pp. 784-797
Author(s):  
Cristie Glasheen ◽  
Valerie L. Forman-Hoffman ◽  
Sarra Hedden ◽  
Ty A. Ridenour ◽  
Jiantong Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Reciprocity membership: A potential pathway towards recovery from mental illness in a Middle Eastern context

2019 ◽  
pp. 136346151989236
Author(s):  
Jason E. Hickey ◽  
Steven Pryjmachuk ◽  
Heather Waterman
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Middle Eastern ◽  
Service Users ◽  
Mutual Exchange ◽  
Classic Grounded Theory ◽  
Group Members ◽  
Recovery Models

While recovery has become a popular framework for mental health services, there is limited understanding of its applicability outside of Western countries. In fact, recent studies in non-Anglophone populations suggest that recovery is contextually dependent and that the implementation of mainstream recovery models risks imposing inappropriate values. We used classic grounded theory to explore the main concerns of mental health service users in a Middle Eastern context and the strategies they use to resolve those concerns. The theory of ‘reciprocity membership’, a process involving ongoing mutual exchange with a group or community, was developed. Reciprocity membership becomes balanced when an individual is satisfied with their ‘contribution to’ the group, the ‘acknowledgement from’ other group members, the ‘expectations of’ the group, and their ‘alignment with’ the values of the group. Balance among these conditions is appraised by a sub-process called ‘valuing’, and developed or maintained by two further sub-processes called ‘positioning’ and ‘managing relationships’. Balanced reciprocity membership seems to be associated with recovery. This study is the first in-depth exploration of people's experience of mental illness in a Middle Eastern context; findings provide evidence for a novel potential pathway towards recovery.

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