...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Nordic journal of psychiatry. >Identifying co-occurring substance use disorders in community mental health centres. Tailored approaches are needed.
【24h】

Identifying co-occurring substance use disorders in community mental health centres. Tailored approaches are needed.

机译：识别社区精神卫生中心中同时发生的物质使用失调。需要量身定制的方法。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Increasing evidence shows that substance use disorders (SUD) and psychiatric illness co-occur, and that this co-morbidity renders treatment more difficult and results in greater use of health services. Thus, clinical routines to identify SUD amongst patients in mental healthcare should have high priority in order to provide optimal treatment. AIM: In this study, we examine whether common and well-known substance use measures are appropriate in detecting SUD in Community Mental Health Centres (CMHCs). MATERIAL AND METHODS: The present study used a subset of data from an evaluation of the National Plan for Mental Health. Clinicians at eight CMHCs registered socio-demographic and treatment information about their patients during a 4-week period in 2007. This included diagnostic measures, the Alcohol and Drug Use Scales and the substance use item of the Health of the Nation Outcome Scales. Prevalence rates from the different substance use measures and the observed agreement between them were calculated. The prevalence rates were compared with other estimates of substance use prevalence. RESULTS: All the different measures gave low prevalence rates of SUD, and the inter-measure agreement was poor. A combination of the measures gave prevalence rates closer to what is expected from previous epidemiological studies. CONCLUSION: The CMHCs participating in this study lack sufficient diagnostic routines and specific instruments to identify SUD. Clinical research that relies on methods used in this study will need combined approaches to provide reliable findings. Both clinical practice and research would benefit from valid, reliable screening methods and diagnostic procedures.
机译：背景：越来越多的证据表明，物质使用障碍（SUD）和精神病同时发生，并且这种合并症使治疗更加困难，并导致更多地使用卫生服务。因此，在精神卫生保健患者中识别SUD的临床程序应优先考虑以提供最佳治疗。目的：在这项研究中，我们研究了在社区心理健康中心（CMHCs）中检测常见的SUD是否合适。材料与方法：本研究使用了国家心理健康计划评估的一部分数据。 8家CMHC的临床医生在2007年的4周内记录了有关其患者的社会人口统计学和治疗信息。这些信息包括诊断措施，酒精和药物使用量表以及《国家健康结果量表》中的物质使用项。计算了不同物质使用措施的流行率以及它们之间观察到的一致性。将患病率与其他物质使用患病率估算值进行了比较。结果：所有不同措施均使SUD患病率低，且措施间一致性较差。这些措施的组合使患病率更接近先前流行病学研究的预期。结论：参与这项研究的CMHCs缺乏足够的诊断程序和专用工具来识别SUD。依赖于本研究中使用的方法的临床研究将需要组合的方法来提供可靠的发现。有效，可靠的筛查方法和诊断程序将有益于临床实践和研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号