Service uptake in a sample of substance misuse and community mental health service clients: a case control study

J. Todd, G. Green, D. J. Pevalin, B. A. Ikuesan, M. Harrison, C. Self, Alexander Mario Baldacchino

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: The difficulties in engaging and treating individuals with comorbid psychiatric problems and substance misuse has been acknowledged as a growing problem likely to have implications for treatment.Aims: This study compared service use in clients with single and comorbid diagnoses from Adult Mental Health (AMH) and Drug and Alcohol services (DAS).Methods: A retrospective matched case-control study of a sample of service users of a mental health Trust in East Anglia drawn across AMH (n = 400) and DAS (n  = 190). Odds ratios were estimated and used to test for differences in client groups with respect to uptake of community services, formal and informal in-patient services, “out-of-hours” services and engagement with statutory services.Results: Marked differences were observed in terms of service use between clients of AMH who had a single diagnosis of severe, chronic or recurrent psychiatric problems and clients of AMH who had additional substance misuse problems. Differences were less pronounced between clients of DAS who had a single diagnosis of substance misuse and clients of DAS who had substance misuse and psychiatric problems.Conclusions: Different patterns of service uptake were observed between singly diagnosed and comorbid AMH clients. There was a lack of differences in patterns of service uptake in singly diagnosed and comorbid DAS clients. Substance misuse could be a factor influencing service uptake rather than comorbidity per se.
Original languageEnglish
Pages (from-to)95-107
Number of pages13
JournalJournal of Public Mental Health
Volume14
Issue number2
DOIs
Publication statusPublished - 2005

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