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Dual diagnosis of severe mental health problems and substance abuse/dependence: a major priority for mental health nursing.

Gournay, K; Sandford, T; Johnson, S; Thornicroft, G; (1997) Dual diagnosis of severe mental health problems and substance abuse/dependence: a major priority for mental health nursing. J Psychiatr Ment Health Nurs , 4 (2) pp. 89-95.

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Abstract

It is now established that very significant numbers of people with severe mental illness abuse or depend on drugs and/or alcohol. This combination (Dual Diagnosis) leads to increased rates of violence and service use, a reduction in adherence to treatment regimes, an increase in susceptibility to human immunodeficiency virus (HIV) infection and is now found in in-patient populations. Because of their vulnerability to accidents and physical illnesses, dual diagnosis patients are found increasingly in accident and emergency departments, general medical wards and primary care settings. For this reason nurses and other health professionals working in general hospitals should be as aware as their mental health colleagues of the specific needs of this population. There are some excellent models of service organization and training for dealing with dual diagnoses populations in some parts of the USA. However, there is little such development in the UK. There are clear pathways to be followed, but the need for action is urgent.

Type: Article
Title: Dual diagnosis of severe mental health problems and substance abuse/dependence: a major priority for mental health nursing.
Location: England
Keywords: Humans, Mental Disorders, Models, Nursing, Prevalence, Psychiatric Nursing, Substance-Related Disorders, United Kingdom
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: http://discovery.ucl.ac.uk/id/eprint/80150
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