Mental health articles

OF mental health care and mentally ill

February, 2014

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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dual diagnosis treatment model of treatment

Approaches to treatment and care of dual diagnosis A model for the treatment of people with a dual diagnosis Treatment of people with a dual diagnosis requires an integration of principles from the mental health and substance misuse fields. These authors propose a four-staged model: engagement, persuasion, active treatment and relapse prevention. These stages closely […]

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Client’s perception of situation, reasons for use and motivation to change

To complement the more specific information that is obtained during assessment it is important to gain some insight into the client’s perceptions of their situation, their reasons for using and readiness for change. This, in conjunction with other information obtained, will also inform care planning and treatment interventions. Prochaska and DiClemente have developed a model […]

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ecstasy side effects short term/long term

Ecstasy (‘Es’) Ecstasy usually comes in tablet form and is swallowed. After about 20–30 minutes it produces a relaxed, euphoric state, a heightened perception of surroundings and a feeling of understanding and acceptance of others. This lasts for 2–4 hours. Tolerance does occur but physical dependence is not thought to. Many tablets sold as ecstasy […]

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stimulants side effects urine

Stimulant drugs include a mphetamine, cocaine and crack cocaine. Some amphetamine and amphetamine-like drugs are legally produced and used therapeutically. For example, dexamphetamine (dexedrine) and methylphenidate (ritalin) are, somewhat controversially, used for the management of children with attention deficit disorder. In the past amphetamine was prescribed as an appetite suppressant and in the treatment of […]

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benzodiazepines side effects on the body

 Benzodiazepines are commonly prescribed for their therapeutic effects in relieving anxiety and promoting sleep. They can also be used as a muscle relaxant and an anti-convulsant. Diazepam, temazepam and nitrazepam are examples. Benzodiazepines are most commonly available in tablet form but when misused may be injected (after crushing). Tolerance develops to both therapeutic and non-therapeutic […]

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dual diagnosis services

Despite growing concern about dual diagnosis, services have been slow to respond. Two main reasons have been identified for this. First, the way in which mental health and substance misuse services have traditionally operated. They have been separate parts of organizational structures and had different expectations and ways of working with clients. Second, staff in […]

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dual diagnosis definition

Overview of dual diagnosis Dual diagnosis, the coexistence of mental health and substance misuse disorders, is widely seen as a major challenge to mental health services and the staff working in them. While this definition may seem straightforward, the range of people who might be categorized in this way is very diverse. The Department of […]

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Matching patients to treatments in bulimia nervosa

In contrast to anorexia nervosa, there is no evidence to support the need to match patients to treatment in bulimia nervosa. Although a number of pretreatment prognostic indicators have been identified, few of them have been replicated across studies and across different treatments. Hay and Bacaltchuk’s systematic review found no evidence of heterogeneity between studies, […]

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