Mental health articles
OF mental health care and mentally ill
substance misuse
WOMEN AND SUBSTANCE MISUSE
WOMEN AND SUBSTANCE MISUSE Misuse of drugs and alcohol is an increasing social problem. Alcohol dependence affects around 8 per cent of adults and 13 per cent use illicit drugs. These figures are likely to be underestimates. Substance misuse is common among young people. Opiate addiction represents a significant social issue and there are around […]
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Substance misuse in parents has effects on infant mental health
Substance misuse in parents has effects on infant mental health Substance misuse in parents has both direct and indirect effects on infant mental health. Infants may be born with addiction and withdrawal symptoms, affecting sleep behaviour, responsiveness and the amount of crying. This creates additional challenges for the new parent attempting to comfort and respond […]
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Case study on substance misuse: Joan for old people
Case study on substance misuse: Joan for old people The following case study highlights some of the issues to consider when an older person has a drink problem. Joan was a sprightly 74-year-old Scottish woman who had lived in London for many years. She approached the substance misuse service for help with her drinking, but […]
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substance misuse of meeting the needs of families and carers
substance misuse of meeting the needs of families and carers Despite the breakdown in relationships which can be associated with substance misuse many users do live with a partner, family or friends. This can often be a confusing and distressing experience for them. Some of these people will be actively involved in the care and […]
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substance misuse case study: Ray
substance misuse case study: Ray To illustrate some of the treatment interventions, which can be used with people with a dual diagnosis, Ray’s case is considered further. Ray was referred to the substance misuse team from an inpatient psychiatric ward where he had been admitted following a deterioration in his mental state. This had stabilized […]
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Case study about substance misuse: Ken
Case study about substance misuse: Ken Ken has an alcohol problem and a severe depressive disorder for which he has regular contact with his community mental health nurse (CMHN) and consultant psychiatrist. Ken decided that he wanted to stop drinking so was referred to the substance misuse team. The substance misuse nurse obtained detailed information […]
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substance misuse treatment:relapse prevention
substance misuse treatment:relapse prevention In this stage it is assumed that change has been achieved and the aim is to ensure that gains which have been made are maintained. For people with mental health problems the notion of relapse is broader than a return to problematic substance misuse. They may also experience a relapse of […]
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Persuasion of substance misuse
Persuasion of substance misuse In this stage the aim is to persuade the client that change would be desirable. Motivational interviewing (MI) is the key intervention. The five principles of MI are to: express empathy, develop discrepancy, avoid argumentation, roll with resistance, and support self-efficacy. Specific techniques that might be used to develop discrepancy and […]
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Engagement on substance misuse
This stage concerns the development of a therapeutic alliance between client and professional. Persistence may be needed to engage the client and techniques associated with assertive outreach, such as visiting the client at home and helping sort out practical issues (for example, getting benefit payments, dealing with housing difficulties, providing clean injecting equipment) can serve […]
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substance misuse and mood disorders
The relationship between substance misuse and mood disorders is a complex one.There is no doubt that the effect drugs have can depend on the mood the person isin before using them and the expectation they have of the outcome. Mood changesare also affected by the type of drug, its strength, frequency of use and withdrawal.Again, […]
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