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, A.
PY - 2005/4
Y1 - 2005/4
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.
UR - http://www.scopus.com/inward/record.url?scp=20444449386&partnerID=8YFLogxK
U2 - 10.1080/09638230500060011
DO - 10.1080/09638230500060011
M3 - Article
AN - SCOPUS:20444449386
SN - 1360-0567
VL - 14
SP - 95
EP - 107
JO - Journal of Mental Health
JF - Journal of Mental Health
IS - 2
ER -