TY - JOUR
T1 - Service provider barriers to treatment and care for people with mental health and alcohol and other drug comorbidity in a metropolitan region of South Australia
AU - De Crespigny, Charlotte
AU - Grønkjær, Mette
AU - Liu, Dennis
AU - Moss, John
AU - Cairney, Imelda
AU - Procter, Nicholas
AU - Posselt, Miriam
AU - Jebaraj, Hepsibah Sharmil Francis
AU - Schultz, Tim
AU - Banders, Andris
AU - King, Rosie
AU - Lee, Deb
AU - Galletly, Cherrie
PY - 2015/8/17
Y1 - 2015/8/17
N2 - Purpose – The purpose of this paper is to elicit clinicians’ and workers’ knowledge, experiences and opinions of key issues pertaining to comorbidity service needs of people aged 12 years and over in a metropolitan region of South Australia. Design/methodology/approach – As one component of a participatory action research project, this qualitative study used semi-structured interviews with mental health (MH) and alcohol and other drug (AOD) clinicians and workers (n=20). Findings – The participants expressed concerns involving stigma towards their clients. They highlighted lack of adequate MH and AOD comorbidity service accessibility and models, regularly available clinical comorbidity workforce development, and practice supervision and skills training. These factors influenced participants’ and their colleagues’ capacity and ability to access and provide appropriate help for people needing integrated treatment and care of their co-existing comorbid conditions. Practical implications – Findings highlight the need for coordinated and integrated, individualised holistic comorbidity services, including treatment and care best suited to Aboriginal people and refugees. Originality/value – This study emphasises the importance of government and non-government MH and AOD services ensuring that comorbidity is responded to collaboratively and systemically. It also demonstrates the importance of professional development.
AB - Purpose – The purpose of this paper is to elicit clinicians’ and workers’ knowledge, experiences and opinions of key issues pertaining to comorbidity service needs of people aged 12 years and over in a metropolitan region of South Australia. Design/methodology/approach – As one component of a participatory action research project, this qualitative study used semi-structured interviews with mental health (MH) and alcohol and other drug (AOD) clinicians and workers (n=20). Findings – The participants expressed concerns involving stigma towards their clients. They highlighted lack of adequate MH and AOD comorbidity service accessibility and models, regularly available clinical comorbidity workforce development, and practice supervision and skills training. These factors influenced participants’ and their colleagues’ capacity and ability to access and provide appropriate help for people needing integrated treatment and care of their co-existing comorbid conditions. Practical implications – Findings highlight the need for coordinated and integrated, individualised holistic comorbidity services, including treatment and care best suited to Aboriginal people and refugees. Originality/value – This study emphasises the importance of government and non-government MH and AOD services ensuring that comorbidity is responded to collaboratively and systemically. It also demonstrates the importance of professional development.
KW - Alcohol
KW - Comorbidity
KW - Drugs
KW - Dual diagnosis
KW - Mental health
KW - Qualitative research
KW - Service delivery
KW - Substance misuse
KW - Workforce development
KW - Workforce training
UR - http://www.scopus.com/inward/record.url?scp=84939790520&partnerID=8YFLogxK
U2 - 10.1108/ADD-05-2015-0007
DO - 10.1108/ADD-05-2015-0007
M3 - Article
AN - SCOPUS:84939790520
VL - 8
SP - 120
EP - 128
JO - Advances in Dual Diagnosis
JF - Advances in Dual Diagnosis
SN - 1757-0972
IS - 3
ER -