Histories of Social Functioning and Mental Healthcare in Severely Dysfunctional Dual-Diagnosis Psychiatric Patients.
Abstract Disengagement from mental health services is a major obstacle to the treatment of homeless dual-diagnosis patients (i.e., those with severe mental illness and substance-use disorder). A subgroup of these patients is considered to be treatment resistant and we aim to explore whether patients...
| Published in: | International Journal of Mental Health & Addiction Vol. 18; no. 4; pp. 904 - 917 |
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| Main Authors: | , , , , , |
| Format: | Article |
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Springer Nature
Aug2020
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=145305305&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 145305305 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Aug2020 vid: 18 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 145305305 10.1007/s11469-018-9992-7 ppf: 904 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P size: 554KB tig: atl: Histories of Social Functioning and Mental Healthcare in Severely Dysfunctional Dual-Diagnosis Psychiatric Patients. aug: au: van Kranenburg, Grieke D. Diekman, Wout J. Mulder, Wijnand G. Pijnenborg, Gerdina H. M. van den Brink, Rob H. S. Mulder, Cornelis L. affil: Drenthe Mental Healthcare Organization, Sustainable Residence, PO Box 30007, Beilen, 9400 AA, Assen, the Netherlands Bouman GGZ, Rotterdam, the Netherlands Drenthe Mental Healthcare Organization, Department of Psychotic Disorders, Assen, University of Groningen, Groningen, the Netherlands Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Science, University of Groningen, Groningen, the Netherlands University of Groningen, University Medical Center Groningen, Department of Psychiatry, Rob Giel Research Center, Groningen, the Netherlands Department of Psychiatry, Epidemiological and Social Psychiatric Research Institute, Erasmus MC, Rotterdam, the Netherlands su: Social skills Mental health services Social history Involuntary treatment Unemployment Medical care Involuntary hospitalization sug: subj: Social skills Mental health services Social history Involuntary treatment Unemployment Medical care Involuntary hospitalization Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities keyword: Compulsory treatment Difficult-to-engage Dual diagnosis Homeless Severely mentally ill Treatment resistance Compulsory treatment Difficult-to-engage Dual diagnosis Homeless Severely mentally ill Treatment resistance ab: Abstract Disengagement from mental health services is a major obstacle to the treatment of homeless dual-diagnosis patients (i.e., those with severe mental illness and substance-use disorder). A subgroup of these patients is considered to be treatment resistant and we aim to explore whether patients' reasons for disengagement may stem from negative experiences in their lives and treatment histories. This retrospective, explorative study examined the medical files of 183 severely dysfunctional dual-diagnosis patients who had been admitted involuntarily to a new specialized clinic for long-term treatment. Most patients shared common negative experiences with respect to childhood adversities, low school achievement, high levels of unemployment, discontinuity of care, and problems with the judicial system. The lifetime histories of treatment-resistant, severely dysfunctional dual-diagnosis patients showed a common pattern of difficulties that may have contributed to treatment resistance and disengagement from services. If these adversities are targeted, disengagement may be prevented and outcome improved. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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