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Article
Publication date: 18 May 2012

Caroline J. Easton

This study aims to evaluate differences between substance dependent men who were arrested for intimate partner violence (IPV) with and without concurrent psychiatric problems.

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Abstract

Purpose

This study aims to evaluate differences between substance dependent men who were arrested for intimate partner violence (IPV) with and without concurrent psychiatric problems.

Design/methodology/approach

In total, 63 participants were randomly assigned to manual‐guided group behavioral therapies (cognitive behavioral therapy for substance dependent domestic violence offenders (SADV) or drug counseling (DC)) and assessed across 12 weeks of treatment.

Findings

Despite excluding psychotic disorders and bipolar disorders at baseline, 23 percent of clients reported prior mental health treatment. SADV participants with co‐occurring mental health were different than SADV participants without co‐occurring mental health symptoms on both baseline and post‐treatment time periods. SADV participants with co‐occurring mental health symptoms had more pre‐treatment impairments, more drug use during treatment, a trend for more problems with aggressive behaviors throughout treatment and significantly more impairments in anger control subscales at post treatment compared to SADV participants without co‐occurring mental health symptoms.

Practical implications

The findings suggest the need to target and treat co‐occurring psychiatric symptoms and distress among SADV offenders. Perhaps offering clients targeted behavioral or pharmacotherapy adjunctive treatments can help improve treatment outcomes among substance dependent offenders of IPV when mental health problems are present.

Originality/value

This study is one of the first to evaluate differences between substance dependent men arrested for IPV with and without concurrent psychiatric problems. It shows that men who are violent toward their partners tend to have a co‐occurring problem with addiction, yet little is known about differences between substance dependent male offenders who have dual mental health problems.

Article
Publication date: 30 June 2020

Kenneth J. Gruber, Kelly Jay Poole, Kelly N. Graves and Antonia Monk Richburg

The purpose of this paper is to report on the success of an initiative involving the transformation of a group of small substance use treatment only or mental health…

Abstract

Purpose

The purpose of this paper is to report on the success of an initiative involving the transformation of a group of small substance use treatment only or mental health treatment only provider agencies serving uninsured adults into providers of co-occurring disorder treatment.

Design/methodology/approach

The paper uses a case study narrative to describe the initiative and the transformation of the participant agencies from being providers of mental health or substance use treatment to providers of co-occurring disorders.

Findings

Six agencies serving uninsured adults expanded their scope of patient treatment services to include the capacity to treat adults with co-occurring disorders. This was achieved with modest support funding from a local foundation. The initiative has been ongoing for five years.

Practical implications

The outcome of this initiative demonstrates the financial and practical feasibility of improving and expanding treatment services to low-resourced patient populations. The participating agencies were able to improve their capacity to treat patients with substance use or mental health issues that previously they were not prepared to treat and thus increased their ability to provide integrated care.

Originality/value

The initiative described here shows that the treatment of concomitant substance use and mental health disorders is within the range of many small-scale treatment providers, if provided the leadership and support. Delivery of effective treatments to populations experiencing co-occurring disorders that are underserved and undertreated are achievable in community-based clinical practices. This has implications for developing treatment capacity outside of hospital settings to enable treatment of co-occurring disorders to become more accessible.

Details

Advances in Dual Diagnosis, vol. 13 no. 3
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 5 February 2021

Richa Tripathi, Shalini Singh, Siddharth Sarkar, Rakesh Lal and Yatan Pal Singh Balhara

There is a paucity of comparative literature on pathway to care among patients with co-occurring disorders and those with only substance use disorders. This paper aims to…

Abstract

Purpose

There is a paucity of comparative literature on pathway to care among patients with co-occurring disorders and those with only substance use disorders. This paper aims to compare the pathways to care among patients with co-occurring disorder and those with only substance use disorders.

Design/methodology/approach

A cross-sectional observational study was carried out on male treatment seekers at a tertiary care substance use disorder treatment center in India. Participants were recruited in two groups, those with co-occurring psychiatric and substance use disorders and those with only substance use disorders. The two groups were matched for age and socio-economic status.

Findings

A total of 189 subjects with co-occurring psychiatric and substance use disorders and 197 subjects with substance use disorders only were recruited. Psychiatric services were the most common first point of care. However, a larger proportion of the subjects in the co-occurring disorder group received the first care from faith healers, while a greater proportion received first care from the therapeutic communities in substance use disorder only group. Initial care was sought mostly following suggestion from the family members in both the groups. The time to treatment for substance use disorders did not differ between the two groups, though the treatment seeking for substance use disorder was more delayed than that of psychiatric disorder in the co-occurring disorder group.

Research limitations/implications

The findings shed light on the pathway of care followed in India and is a matter of further research.

Practical implications

Expansion of services and dissemination of information about psychiatric disorders and substance use disorders can provide timely care to patients with substance use disorders and co-occurring disorders.

Social implications

The findings have a social implication as well. More awareness is needed currently in India for timely treatment of dual disorders.

Originality/value

The paper is an original research by the authors. The data were collected from the participants who reported to the dual diagnosis clinic. The findings are important as they tell us about the current understanding of dual diagnosis by the general public.

Details

Advances in Dual Diagnosis, vol. 14 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 4 March 2022

Esther Ogundipe, Knut Tore Sælør and Stian Biong

This study aims to explore and describe staff working in a Norwegian supportive housing site’s experiences with promoting social community participation for residents with…

Abstract

Purpose

This study aims to explore and describe staff working in a Norwegian supportive housing site’s experiences with promoting social community participation for residents with co-occurring problems. The research question addressed was: how does residential support staff experience promoting social community participation for residents with co-occurring problems?

Design/methodology/approach

Nine residential support staff participated in qualitative interviews. All interviews were recorded and transcribed verbatim. The transcripts were analysed using Braun and Clarke's approach to thematic analysis.

Findings

The analysis process resulted in two themes: “It is all about economics” and “Who will pay for it?”

Practical implications

Regarding the Nordic welfare system, the need for a redistribution of financial resources in health services is discussed. The authors recommend that further studies explore people outside the regular health-care system perspectives on how they can contribute to making community inclusion a reality for persons experiencing co-occurring problems.

Originality

This study provides a nuanced understanding of how financial resources can impede or support efforts and opportunities to promote community inclusion for residents experiencing co-occurring problems.

Article
Publication date: 9 April 2020

Eva Brekke, Ottar Ness and Lars Lien

The purpose of this paper is to explore and describe first-person experiences of relational recovery in co-occurring mental health and substance use conditions.

Abstract

Purpose

The purpose of this paper is to explore and describe first-person experiences of relational recovery in co-occurring mental health and substance use conditions.

Design/methodology/approach

Within a phenomenological and collaborative approach, in-depth individual interviews with eight persons with co-occurring conditions were analysed using systematic text condensation.

Findings

Participants described interpersonal relationships as both supporting and hindering recovery in fundamental ways. Four categories of experiences of relational recovery were described as follows: choosing one’s child; living with loneliness and a painful past; sacrificing everything for one’s partner; and regaining trust and support.

Originality/value

This paper provides an enhanced understanding of how interpersonal relationships may be experienced by persons who live with co-occurring conditions. The results generally support an understanding of recovery as a relational process.

Details

Advances in Dual Diagnosis, vol. 13 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 20 February 2017

Eva Brekke, Lars Lien, Larry Davidson and Stian Biong

The purpose of this paper is to explore and describe experiences of recovery among people with co-occurring mental health and substance use conditions (co-occurring

Abstract

Purpose

The purpose of this paper is to explore and describe experiences of recovery among people with co-occurring mental health and substance use conditions (co-occurring conditions) in a rural community in Norway.

Design/methodology/approach

In-depth individual interviews with eight persons with co-occurring conditions were conducted, audiotaped, transcribed and analysed using a phenomenological approach. This study is part of a research project investigating recovery orientation of services in a Norwegian district.

Findings

The analysis yielded four dimensions of recovery: feeling useful and accepted; coming to love oneself; mastering life; and emerging as a person. Insecure and inadequate housing and limited solutions to financial problems were described as major obstacles to recovery.

Research limitations/implications

Further research into the facilitation of recovery as defined by persons with concurrent disorders is needed, particularly regarding the facilitation of community participation.

Practical implications

This study supports an increased focus on societal and community factors in promoting recovery for persons with co-occurring conditions, as well as service designs that allow for an integration of social services and health care, and for collaboration among services.

Social implications

The results suggest that the community can aid recovery by accepting persons with co-occurring conditions as fellow citizens and welcoming their contributions.

Originality/value

The paper provides an enhanced understanding of how persons with co-occurring conditions may experience recovery.

Details

Advances in Dual Diagnosis, vol. 10 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 7 May 2021

Linda Nesse, Geir Aamodt, Marianne Thorsen Gonzalez, Michael Rowe and Ruth Kjærsti Raanaas

Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery…

Abstract

Purpose

Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and quality of life. However, persons with co-occurring substance use and mental health problems experience extensive obstacles to engagement in occupations and citizenship. The relationship between objective measures of occupational status and subjective experiences of occupational meaningfulness, citizenship and recovery, is scarcely researched in the context of co-occurring problems. As such, the purpose of this study is to examine associations between occupational status, occupational meaningfulness, citizenship and recovery and quality of life and to examine the roles of occupational meaningfulness and citizenship as possible mediators between occupational status and recovery and quality of life.

Design/methodology/approach

The study used a cross-sectional design with a sample of 104 residents at supported housing sites across six Norwegian cities.

Findings

Linear regression analyzes indicated that occupational status was significantly associated with the citizenship domains caring for others and community participation and with the quality of life measure positive affect. Occupational meaningfulness and citizenship were significantly associated with different domains of recovery and quality of life. Furthermore, mediation analyzes showed that the relationship between occupational status and recovery and quality of life was mediated by caring for others and community participation.

Originality/value

The results suggest that emphasizing opportunities for occupational meaningfulness and citizenship in practice may have positive implications for recovery among persons with co-occurring problems.

Article
Publication date: 8 August 2018

Caroline J. Easton, Cassandra M. Berbary and Cory A. Crane

The purpose of this paper is to review the research on the use of technology in mental health and addiction treatment, focusing on the use of technology-assisted…

Abstract

Purpose

The purpose of this paper is to review the research on the use of technology in mental health and addiction treatment, focusing on the use of technology-assisted treatment. Although initial research investigating technology-assisted treatment for substance use has demonstrated promising results, this paper highlights the need for treatment to address co-occurring substance use and intimate partner violence (IPV). This paper defines the benefits associated with the use of behavioral health avatar coaches in mental health treatment targeting substance use and IPV as well as providing preliminary research results regarding the use of avatar coaches in clinical settings.

Design/methodology/approach

A literature review of the research relating to the use of technology in mental health and addiction treatment is provided. Additionally, a preliminary study aimed to develop an interactive therapy platform that utilizes virtual avatars as therapy coaches to help clients with substance abuse and IPV is presented. In this preliminary study, male participants were shown videos of various technology-based coaches matched on length, gestures and content. Researchers investigated whether patients preferred a virtual reality health coach, a cartoon health coach or a human health coach; as well as patient satisfaction and preference between two versions of the avatar.

Findings

A review of the relevant literature suggests that a majority of research has focused on using technology to replace face-to-face therapy with little research focusing on technology-assisted or augmented mental health and addiction treatment. Although initial research investigating avatar-assisted treatment for substance use has demonstrated promising results, research suggests a high prevalence of co-occurring substance use and IPV, suggesting the need for treatment to address co-occurring substance use and IPV. A preliminary research study was conducted to obtain patient feedback for personalizing avatar development into behavioral health interventions that target addiction and IPV.

Research limitations/implications

Although results of the preliminary study combined with previous research on avatar-assisted treatment for substance use has demonstrated promising results, theory-based research needs to be expanded to focus on randomized controlled trials of avatar-assisted treatment for co-occurring substance use and IPV.

Practical implications

This paper provides an overview of the use of technology-assisted treatment for co-occurring substance use and IPV. The preliminary results regarding patient satisfaction led to the development of additional avatars for use in interactive therapy.

Originality/value

This paper is one of the first to explore the use of avatar-assisted treatment for male offenders with co-morbid substance use and IPV.

Details

Advances in Dual Diagnosis, vol. 11 no. 3
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 13 February 2017

Elan Sasson, Gilad Ravid and Nava Pliskin

Although acknowledged as a principal dimension in the context of text mining, time has yet to be formally incorporated into the process of visually representing the…

Abstract

Purpose

Although acknowledged as a principal dimension in the context of text mining, time has yet to be formally incorporated into the process of visually representing the relationships between keywords in a knowledge domain. This paper aims to develop and validate the feasibility of adding temporal knowledge to a concept map via pair-wise temporal analysis (PTA).

Design/methodology/approach

The paper presents a temporal trend detection algorithm – vector space model – designed to use objective quantitative pair-wise temporal operators to automatically detect co-occurring hot concepts. This PTA approach is demonstrated and validated without loss of generality for a spectrum of information technologies.

Findings

The rigorous validation study shows that the resulting temporal assessments are highly correlated with subjective assessments of experts (n = 136), exhibiting substantial reliability-of-agreement measures and average predictive validity above 85 per cent.

Practical implications

Using massive amounts of textual documents available on the Web to first generate a concept map and then add temporal knowledge, the contribution of this work is emphasized and magnified against the current growing attention to big data analytics.

Originality/value

This paper proposes a novel knowledge discovery method to improve a text-based concept map (i.e. semantic graph) via detection and representation of temporal relationships. The originality and value of the proposed method is highlighted in comparison to other knowledge discovery methods.

Details

Journal of Knowledge Management, vol. 21 no. 1
Type: Research Article
ISSN: 1367-3270

Keywords

Article
Publication date: 13 May 2014

Knut Tore Sælør, Ottar Ness, Helge Holgersen and Larry Davidson

Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the…

Abstract

Purpose

Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of this paper is to explore how hope, and what may inspire it, is described within the literature by persons experiencing co-occurring mental health and substance use problems.

Design/methodology/approach

The method chosen when conducting this literature review was a scoping study. This allows for a broad approach, aiming to examine research activity and identifying potential gaps within existing literature. Searches were conducted in EMBASE Ovid, PsychINFO Ovid, MEDLINE Ovid, CINAHL Ebsco, SveMed+ and Brithish Nursing Index.

Findings

The authors included five articles and one book. None of these presented first-hand experiences of hope and there appears to be a gap in the literature. All included material underlined the importance of the phenomenon to those experiencing co-occurring mental health and substance use problems.

Originality/value

Hope seems as important to people experiencing co-occurring problems as to anyone else. There appears to be a need for further research on how persons experiencing co-occurring problems perceive hope and what may inspire it. Hope and what people hope for take many forms and can arise unexpectedly. Practitioners need to take in account the diversity of the phenomenon and find ways of inspiring hope in collaboration with those in need of support.

Details

Advances in Dual Diagnosis, vol. 7 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

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