Objective: The aim of this paper is to describe an initiative in Victoria, Australia, aimed at improving the detection and management of co-occurring mental health issues within the youth Alcohol and Other Drug (AOD) sector.
Conclusions: Over the past 4 years, in partnership with local youth AOD services, we have developed a successful service model that addresses co-occurring mental health issues within the youth AOD sector. However, such capacity-building requires the full support of workers and senior management, and a cultural shift whereby the assessment and management of mental health issues are seen as a priority and core service issue. The capacity-building process was facilitated by embedding experienced mental health clinicians within each service to support and implement the initiative. This model offered learning opportunities through the modelling of relevant skills and the provision of ‘on-the-job’ training. Such approaches demonstrate that integrated models of care can be delivered within youth AOD services, although further research is needed to determine their effectiveness.
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References
1.
BakerKLubmanDICosgraveEM. The impact of co-occurring substance use on six-month outcomes for young people seeking mental health treatment. Australian & New Zealand Journal of Psychiatry2007; 41: 896–902.
2.
LambertMConusPLubmanDI. The impact of substance use disorders on clinical outcome in 643 patients with first-episode psychosis. Acta Psychiatrica Scandinavica2005; 112: 141–148.
3.
RoweCLiddleHGreenbaumPHendersonC. Impact of psychiatric comorbidity on treatment of adolescent drug abusers. Journal of Substance Abuse Treatment2004; 26: 129–140.
4.
LubmanDIAllenNBRogersNCementonEBonomoY. The impact of co-occurring mood and anxiety disorders among substance-abusing youth. Journal of Affective Disorders2007; 103: 105–112.
5.
LubmanDI, HidesL, ElkinsK.Management of co-occurring substance use and mental health disorders in youthIn: SitharthanT. Clinical Practice Guidelines for Managing ComorbiditySydney: Australian Centre for Addiction Research (in press).
6.
LubmanDI, HidesL, ElkinsK.Dual diagnosis: an issue of dual disorders or a dual system?In: MooreD, DietzeP. Theory, Evidence and Context: Contemporary Innovations in Alcohol and Other Drug Practice in AustraliaMelbourne: Oxford University Press (in press).
7.
DrakeREMueserKTBrunetteMFMcHugoGJ. A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric Rehabilitation Journal2004; 27: 360–374.
8.
HidesLLubmanDIElkinsKCataniaLSRogersN. Feasibility and acceptability of a mental health screening tool and training programme in the youth alcohol and other drug (AOD) sector. Drug & Alcohol Review2007; 26: 509–515.
9.
WaldronHBKaminerY. On the learning curve: the emerging evidence supporting cognitive-behavioral therapies for adolescent substance abuse. Addiction2004; 99 (Suppl. 2)93–105.
10.
BakerABucciSKay-LambkinFJHidesL. Cognitive behaviour therapy for people with co-existing mental health and drug and alcohol problems. Clinical Handbook of Co-existing Mental Health and Drug and Alcohol Problems, BakerAVellemanR. Routledge, East Sussex2007; 1–19.
11.
HidesLElkinsKCataniaLSMathiasSKay-LambkinFLubmanDI. Feasibility and outcomes of an innovative cognitive-behavioural skill training programme for co-occurring disorders in the youth alcohol and other drug (AOD) sector. Drug & Alcohol Review2007; 26: 517–523.
12.
HarwoodHJKowalskiJAmeenA. The need for substance abuse training among mental health professionals. Administration and Policy in Mental Health2004; 32: 189–205.
13.
LubmanDIJurdSBaigentMKrabmanP. Putting “addiction” back in psychiatry: The RANZCP Section of Addiction Psychiatry. Australasian Psychiatry2008; 16: 39–43.
14.
LubmanDIHidesLJormAFMorganAJ. Health professionals’ recognition of co-occurring alcohol and depressive disorders in youth: a survey of Australian general practitioners, psychiatrists, psychologists and mental health nurses using case vignettes. Australian & New Zealand Journal of Psychiatry2007; 41: 830–835.
15.
DaweS, LoxtonN, HidesL, KavanaghD, MattickR.Review of Diagnostic Screening Instruments for Alcohol and Other Drug Use and Other Psychiatric DisordersSydney: National Drug and Alcohol Research Centre, 2002.
16.
Kay-LambkinF, BakerA, BucciS.Self-help for Alcohol/Other Drug Use and Depression (SHADE)Newcastle: Centre for Mental Health Studies, University of Newcastle, 2004.
TorreyWCDrakeRECohenM. The challenge of implementing and sustaining integrated dual disorders treatment programs. Community Mental Health Journal2002; 38: 507–521.
