Addiction recovery stories: Jerome Carson in conversation with Lisa Ogilvie
Jerome Carson, Lisa Ogilvie Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this paper is to explore the accomplishments of those who realise addiction recovery. To the best of the authors’ knowledge, this is the first in a series of recovery stories, where candid accounts of addiction and recovery are examined. In doing so, shared components of recovery are considered, along with the change and growth necessary to facilitate it. The CHIME (Connectedness, Hope, Identity, Meaning and Empowerment) framework comprises five elements important to recov...
Source: Advances in Dual Diagnosis - December 28, 2021 Category: Psychiatry Authors: Jerome Carson Lisa Ogilvie Source Type: research

Investigating the experience of individuals with comorbid posttraumatic stress disorder and substance misuse attending a Seeking Safety group
Jac Neirin Airdrie, Alexandra Lievesley, Emma Griffith Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- There is no specific recommended treatment for the co-morbid presentation of post-traumatic stress disorder (PTSD) and substance use disorder in the United Kingdom (UK). Seeking Safety (SS), a group-based treatment that targets symptoms of both disorder, has emerging evidence in the USA but lacks evidence from UK-based samples. The purpose of this study was to explore UK service users’ experience of attending SS and evaluate its impact on mental health symptomology ...
Source: Advances in Dual Diagnosis - December 2, 2021 Category: Psychiatry Authors: Jac Neirin Airdrie Alexandra Lievesley Emma Griffith Source Type: research

An evaluation of the psychosocial group programme at an inpatient detoxification and stabilisation unit: a service improvement project
Hannah Rettie, Joya Georgewill, Sarah Stacey, Emma Griffith Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- The benefits of including a psychosocial group programme alongside a medical inpatient detoxification and stabilisation regime has been recognised within addiction research; however, a “gold standard” psychosocial intervention has not been established. This small-scale study aimed to evaluate the psychosocial group (“Straight Ahead”) currently running at a substance use inpatient unit based in the UK. A mixed-methods questionnaire design aimed to cap...
Source: Advances in Dual Diagnosis - November 18, 2021 Category: Psychiatry Authors: Hannah Rettie Joya Georgewill Sarah Stacey Emma Griffith Source Type: research

The rate and impact of substance misuse in psychiatric intensive care units (PICUs) in the UK
Hattie Catherine Ann Moyes, Lana MacNaboe, Kate Townsend Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- This paper aims to understand the current scale of substance misuse in psychiatric intensive care units (PICUs), identify how substance misuse affects members of staff, patients and the running of wards and explore with staff what resources would be most useful to more effectively manage substance misuse and dual diagnosis on PICUs. The paper used a mixed-methods approach, using a quantitative survey to determine the extent of substance use in PICUs and a co-de...
Source: Advances in Dual Diagnosis - November 11, 2021 Category: Psychiatry Authors: Hattie Catherine Ann Moyes Lana MacNaboe Kate Townsend Source Type: research

Locked down and drinking? Are more people self-identifying as having mental health difficulties alongside their drinking via an online platform?
Angela Calcan, Mark Holmes Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this paper is to offer a viewpoint on the impact that the COVID-19 pandemic has had on people’s engagement with an online alcohol service in the UK. This paper examines whether self-reported mental health concerns increased during the pandemic compared to pre-pandemic times. A comparison was made between service data captured in one contract area – West Sussex, England – pre-pandemic (April 2019 to March 2020) and during pandemic (April 2020 to March 2021). Self-re...
Source: Advances in Dual Diagnosis - July 30, 2021 Category: Psychiatry Authors: Angela Calcan Mark Holmes Source Type: research

Barriers for homeless with dual diagnosis: lessons learned from intensive mobile psychosocial assertive community treatment program
This study adds to the growing body of literature showing that patient-centered care allows for more effective treatment and ultimately, improved health outcomes. (Source: Advances in Dual Diagnosis)
Source: Advances in Dual Diagnosis - July 26, 2021 Category: Psychiatry Authors: Tara Rava Zolnikov Michael Hammel Frances Furio Brandon Eggleston Source Type: research

News, guidance and resources related to dual diagnosis in older adults
Rahul (Tony) Rao Advances in Dual Diagnosis, Vol. 14, No. 2, pp.80-82 (Source: Advances in Dual Diagnosis)
Source: Advances in Dual Diagnosis - July 13, 2021 Category: Psychiatry Authors: Rahul (Tony) Rao Source Type: research

Guest editorial
Rahul (Tony) Rao Advances in Dual Diagnosis, Vol. 14, No. 2, pp.33-35 (Source: Advances in Dual Diagnosis)
Source: Advances in Dual Diagnosis - July 13, 2021 Category: Psychiatry Authors: Rahul (Tony) Rao Source Type: research

Integrated treatment of dual disorders in The Netherlands: a qualitative study of client experiences
This study aims to contribute to the knowledge of why integrated treatment is helpful by conducting in-depth interviews with dual disorder clients who are currently receiving integrated treatment. This study is a qualitative thematic analysis using a timeline tool to elicit participants’ responses. In the interviews, dual diagnosis clients with severe problems reflected on their situation at admission, the care they received in integrated treatment and their opinions on positive and negative elements. The interviews were coded and analysed with MAXQDA. In the analyses of the interviews, this study found three c...
Source: Advances in Dual Diagnosis - July 7, 2021 Category: Psychiatry Authors: Anneke van Wamel Ankie Lempens Arjen Neven Source Type: research

The workplace culture in addiction psychiatry in Finland as described by healthcare personnel
Eeva Lyyra, Mervi Roos, Tarja Suominen Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this study is to describe the workplace culture and factors associated with it from the viewpoint of the personnel providing care to patients with dual diagnosis. Data were collected from six organizations using an electronic survey in 2019. The respondents (n = 75) worked in addiction psychiatry in specialized health care and provided care to patients. The data were statistically analyzed. Workplace culture was evaluated as positive. Stress was experienced o...
Source: Advances in Dual Diagnosis - July 5, 2021 Category: Psychiatry Authors: Eeva Lyyra Mervi Roos Tarja Suominen Source Type: research

Psychiatric severity and stress among recovery home residents utilizing medication assisted treatment: a moderated mediation analysis of homophily
This study suggests the social networks within recovery homes reduce the effects of psychiatric severity and stress, and that these effects are lessened for residents who use MAT when they live with others who also use MAT. Little is known about recovery home residents who use MAT and have high psychiatric severity. Findings suggest homophily among persons using MAT living in recovery homes who have high psychiatric severity can promote resilience. (Source: Advances in Dual Diagnosis)
Source: Advances in Dual Diagnosis - June 13, 2021 Category: Psychiatry Authors: John M. Majer Ted J. Bobak Leonard A. Jason Source Type: research

The role of rash-impulsivity, emotional dysregulation and reward drive in comorbid disordered eating and substance use disorders
This study aims to examine the role of these psychological factors in comorbid DEBs and SUDs among individuals in treatment for SUDs. The role of gender is tested as a moderator. A cross-sectional self-report survey was completed by 131 participants attending Australian residential substance use treatment centres. A binomial logistic regression analysis was performed to examine the effects of emotional dysregulation, RI and RS on comorbid DEB and SUD. Further, moderation analyses were used to examine the moderating effect for gender on the relationship between these three personality variables and comorbidity. Th...
Source: Advances in Dual Diagnosis - June 8, 2021 Category: Psychiatry Authors: Natalie Merinuk Stephanie C. Varcoe Peter J. Kelly Laura D. Robinson Source Type: research

Cognitive impairment and treatment outcomes amongst people attending an alcohol intervention service for those aged 50+
This study aims to explore the extent of cognitive impairment amongst older adults seeking alcohol treatment and examine the relationship between cognitive impairment, treatment retention and alcohol use following treatment. The study used data from the Drink Wise Age Well programme; an alcohol intervention service for older adults (aged 50+). The Montreal Cognitive Assessment was used to screen for cognitive impairment; alcohol use was assessed using the alcohol use disorders identification test. In total, 531 participants completed the assessment at treatment entry. Over half the sample were male (57%), with a ...
Source: Advances in Dual Diagnosis - May 28, 2021 Category: Psychiatry Authors: Jennifer Seddon Sarah Wadd Lawrie Elliott Iolo Madoc-Jones Source Type: research

The impact of depressive symptoms on response to integrated cognitive behavioral therapy for substance use disorders and intimate partner violence
This study found some evidence for differential response to CBT by depressive symptoms on cocaine and aggression at end of treatment, which did not persist three months later. Future studies should explore mechanisms of integrated CBT for SUD and IPV, including mood regulation, on depressive symptoms in real-world samples. Integrated CBT buffered depressive symptoms’ impact on cocaine use, yet only improved non-IPV aggression in men without depressive symptoms. Although integrated CBT’s efficacy for improving SUD and IPV has been established, moderators of treatment response have not been investigated. (Sourc...
Source: Advances in Dual Diagnosis - May 21, 2021 Category: Psychiatry Authors: Lourah M. Kelly Cory A. Crane Kristyn Zajac Caroline J. Easton Source Type: research

Dual diagnosis in older drinkers during the COVID-19 pandemic
Rahul Rao, Christoph Mueller, Matthew Broadbent Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use. Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompani...
Source: Advances in Dual Diagnosis - May 17, 2021 Category: Psychiatry Authors: Rahul Rao Christoph Mueller Matthew Broadbent Source Type: research