Comparing treatment and substance use in case-managed and non-case managed clients receiving opiate replacement therapy with a co-existing mental illness: a cross-sectional study.
This study examines the differences in clinical presentation, treatment, and clinical outcomes for clients with co-existing psychiatric and substance use disorders (CED) undergoing opioid replacement therapy (ORT) through a physician-led metropolitan specialist addiction clinic (SAC), in comparison...
| Publicado en: | Journal of Substance Use Vol. 28; no. 3; pp. 335 - 342 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163823046&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163823046 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14659891 ILV jtl: Journal of Substance Use issn: 14659891 maglogo: Y pubinfo: dt: Jun2023 vid: 28 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 163823046 155584259 163823046 163823046 10.1080/14659891.2022.2047804 163823046 ppf: 335 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparing treatment and substance use in case-managed and non-case managed clients receiving opiate replacement therapy with a co-existing mental illness: a cross-sectional study. aug: au: Burchgart, Brook Akosile, Wole affil: BMBS, Masters of Psychiatry, Franzcp, Cert Addiction Psychiatry. Bachelor of Occupational Therapy (UQ), Addiction & General Adult Psychiatrist in Full-time Private Practice, Consultant Psychiatrist and Addiction Medicine Specialist, Gold Coast, Australia sug: subj: Mental Disorders Symptoms Substance Use Disorders Symptoms Comorbidity Mental Disorders Therapy Substance Use Disorders Therapy Human Cross Sectional Studies Descriptive Statistics Data Analysis Software T-Tests Male Female Chi Square Test Fisher's Exact Test Male Female ab: This study examines the differences in clinical presentation, treatment, and clinical outcomes for clients with co-existing psychiatric and substance use disorders (CED) undergoing opioid replacement therapy (ORT) through a physician-led metropolitan specialist addiction clinic (SAC), in comparison to clients who receive concurrent community mental health case management (CMH-CM). A cross-sectional study of data extracted from electronic medical records was conducted on all active clients identified with CED who were actively engaged with the SAC for ORT over a 2-month period. Of 310 clients on ORT, 21% (N = 64) had a CED. CMH-CM was concurrent in a minority of those with a CED (N = 18, 28%). CMH-CM clients were significantly more likely to have a single psychiatric diagnosis (X2 9.2627; P <.01), a diagnosis of psychotic disorder (X2 8.2197; P <.01), and be prescribed antipsychotics (X2 12.863; P <.01). Multiple psychiatric diagnoses (X2 9.2627; P <.01) and a diagnosis other than psychotic disorder (X2 6.7046; P <.01) were significantly more common in Non-CM clients. In the absence of fully integrated addiction and CMH services, the provision of evidence-based treatment requires building clinical capacity to identify and manage CED across mental health and addiction services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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