TY - JOUR
T1 - Service uptake in a sample of substance misuse and community mental health service clients
T2 - a case control study
AU - Todd, J.
AU - Green, G.
AU - Pevalin, D. J.
AU - Ikuesan, B. A.
AU - Harrison, M.
AU - Self, C.
AU - Baldacchino, Alexander Mario
PY - 2005
Y1 - 2005
N2 - 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.
AB - 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.
U2 - 10.1080/09638230500060011
DO - 10.1080/09638230500060011
M3 - Article
SN - 1746-5729
VL - 14
SP - 95
EP - 107
JO - Journal of Public Mental Health
JF - Journal of Public Mental Health
IS - 2
ER -
