AutomedicationFrancoV1, Main, Exploration, bibRecord, 000663

Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland.

Identifieur interne : 000663 ( Main/Exploration ); précédent : 000662; suivant : 000664

Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland.

Auteurs : Justyna Klingemann [Pologne] ; Marta Welbel [Pologne] ; Pablo Nicaise [Belgique] ; Stefan Priebe [Royaume-Uni] ; Aleksandra Matanov [Royaume-Uni] ; Victoria Bird [Royaume-Uni] ; Jacek Moskalewicz [Pologne]

Source :

Alcohol and alcoholism (Oxford, Oxfordshire) [ 1464-3502 ] ; 2019.

RBID : pubmed:30989164

Descripteurs français

KwdFr :
- Acceptation des soins par les patients (psychologie), Adulte (MeSH), Adulte d'âge moyen (MeSH), Alcoolisme (psychologie), Alcoolisme (épidémiologie), Attitude du personnel soignant (MeSH), Comorbidité (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Pologne (épidémiologie), Royaume-Uni (épidémiologie), Troubles mentaux (épidémiologie).
MESH :
- psychologie : Acceptation des soins par les patients, Alcoolisme.
- épidémiologie : Alcoolisme, Pologne, Royaume-Uni, Troubles mentaux.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Comorbidité, Femelle, Humains, Mâle.
Wicri :
- geographic : Pologne, Royaume-Uni.

English descriptors

KwdEn :
- Adult (MeSH), Alcoholism (epidemiology), Alcoholism (psychology), Attitude of Health Personnel (MeSH), Comorbidity (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Mental Disorders (epidemiology), Middle Aged (MeSH), Patient Acceptance of Health Care (psychology), Poland (epidemiology), United Kingdom (epidemiology).
MESH :
- geographic , epidemiology : Poland, United Kingdom.
- epidemiology : Alcoholism, Mental Disorders.
- psychology : Alcoholism, Patient Acceptance of Health Care.
- Adult, Attitude of Health Personnel, Comorbidity, Female, Humans, Male, Middle Aged.

Abstract

AIMS

Treatment of patients with comorbidity of mental health problems and alcohol use disorder (AUD) constitutes a challenge in many countries. The article aimed at exploration of personal experiences of clinicians and patients with the comorbidity regarding its assessment, treatment and organization of care in Poland and the UK.

METHODS

Data were collected via in-depth, semi-structured interviews with clinicians (N = 28) and patients (N = 81) in both countries, according to a unified study protocol. Maximum variation sampling was applied to both study groups. All interviews' transcripts were coded (CAQDA) and the consistency of coding across centres was assessed. Data analysis was performed according to the principles of thematic analysis.

RESULTS

Our data show that most patients with AUD admitted at the psychiatric wards-apart from assessment which is a standard procedure during admission-receive only minimal support during their hospital stay. This is the consequence of two factors: lack of trained staff prepared to help those patients and a priority given to self-referrals by AUD units. At the same time, it is recognized by clinicians and patients that more support is needed to encourage the utilization of AUD services and to prevent the drop-out.

CONCLUSIONS

In order to improve the system response, the use of screening instruments in the process of the assessment of AUD and establishment of special procedures supporting motivation and adherence to treatment and preventing drop-out merits consideration. Moreover, the psychiatric wards and the AUD services could possibly profit from formalization of the collaboration between services.

DOI: 10.1093/alcalc/agz023
PubMed: 30989164

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000525
to stream Main, to step Curation: 000525

Le document en format XML

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<series><title level="j">Alcohol and alcoholism (Oxford, Oxfordshire)</title>
<idno type="eISSN">1464-3502</idno>
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<term>Alcoholism (epidemiology)</term>
<term>Alcoholism (psychology)</term>
<term>Attitude of Health Personnel (MeSH)</term>
<term>Comorbidity (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Disorders (epidemiology)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Acceptance of Health Care (psychology)</term>
<term>Poland (epidemiology)</term>
<term>United Kingdom (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (psychologie)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Alcoolisme (psychologie)</term>
<term>Alcoolisme (épidémiologie)</term>
<term>Attitude du personnel soignant (MeSH)</term>
<term>Comorbidité (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pologne (épidémiologie)</term>
<term>Royaume-Uni (épidémiologie)</term>
<term>Troubles mentaux (épidémiologie)</term>
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<term>United Kingdom</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcoholism</term>
<term>Mental Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par les patients</term>
<term>Alcoolisme</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Alcoholism</term>
<term>Patient Acceptance of Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Alcoolisme</term>
<term>Pologne</term>
<term>Royaume-Uni</term>
<term>Troubles mentaux</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Attitude of Health Personnel</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Comorbidité</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIMS</b>
</p>
<p>Treatment of patients with comorbidity of mental health problems and alcohol use disorder (AUD) constitutes a challenge in many countries. The article aimed at exploration of personal experiences of clinicians and patients with the comorbidity regarding its assessment, treatment and organization of care in Poland and the UK.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Data were collected via in-depth, semi-structured interviews with clinicians (N = 28) and patients (N = 81) in both countries, according to a unified study protocol. Maximum variation sampling was applied to both study groups. All interviews' transcripts were coded (CAQDA) and the consistency of coding across centres was assessed. Data analysis was performed according to the principles of thematic analysis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Our data show that most patients with AUD admitted at the psychiatric wards-apart from assessment which is a standard procedure during admission-receive only minimal support during their hospital stay. This is the consequence of two factors: lack of trained staff prepared to help those patients and a priority given to self-referrals by AUD units. At the same time, it is recognized by clinicians and patients that more support is needed to encourage the utilization of AUD services and to prevent the drop-out.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>In order to improve the system response, the use of screening instruments in the process of the assessment of AUD and establishment of special procedures supporting motivation and adherence to treatment and preventing drop-out merits consideration. Moreover, the psychiatric wards and the AUD services could possibly profit from formalization of the collaboration between services.</p>
</div>
</front>
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<DateCompleted><Year>2019</Year>
<Month>11</Month>
<Day>25</Day>
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<DateRevised><Year>2019</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>54</Volume>
<Issue>3</Issue>
<PubDate><Year>2019</Year>
<Month>May</Month>
<Day>01</Day>
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<Title>Alcohol and alcoholism (Oxford, Oxfordshire)</Title>
<ISOAbbreviation>Alcohol Alcohol</ISOAbbreviation>
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<ArticleTitle>Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland.</ArticleTitle>
<Pagination><MedlinePgn>279-286</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/alcalc/agz023</ELocationID>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Treatment of patients with comorbidity of mental health problems and alcohol use disorder (AUD) constitutes a challenge in many countries. The article aimed at exploration of personal experiences of clinicians and patients with the comorbidity regarding its assessment, treatment and organization of care in Poland and the UK.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data were collected via in-depth, semi-structured interviews with clinicians (N = 28) and patients (N = 81) in both countries, according to a unified study protocol. Maximum variation sampling was applied to both study groups. All interviews' transcripts were coded (CAQDA) and the consistency of coding across centres was assessed. Data analysis was performed according to the principles of thematic analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Our data show that most patients with AUD admitted at the psychiatric wards-apart from assessment which is a standard procedure during admission-receive only minimal support during their hospital stay. This is the consequence of two factors: lack of trained staff prepared to help those patients and a priority given to self-referrals by AUD units. At the same time, it is recognized by clinicians and patients that more support is needed to encourage the utilization of AUD services and to prevent the drop-out.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In order to improve the system response, the use of screening instruments in the process of the assessment of AUD and establishment of special procedures supporting motivation and adherence to treatment and preventing drop-out merits consideration. Moreover, the psychiatric wards and the AUD services could possibly profit from formalization of the collaboration between services.</AbstractText>
<CopyrightInformation>© The Author(s) 2019. Medical Council on Alcohol and Oxford University Press. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Klingemann</LastName>
<ForeName>Justyna</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Welbel</LastName>
<ForeName>Marta</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nicaise</LastName>
<ForeName>Pablo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Institute of Health and Society (IRSS), Faculty of Public Health, Université catholique de Louvain, Institute of Health and Society (IRSS), Université Catholique de Louvain, Bruxelles, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Priebe</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Matanov</LastName>
<ForeName>Aleksandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bird</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Moskalewicz</LastName>
<ForeName>Jacek</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Alcohol Alcohol</MedlineTA>
<NlmUniqueID>8310684</NlmUniqueID>
<ISSNLinking>0735-0414</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000437" MajorTopicYN="N">Alcoholism</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
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<MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName>
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<MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011044" MajorTopicYN="N" Type="Geographic">Poland</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland.

Assessment and Treatment of Patients with Comorbidity of Mental Health Problems and Alcohol Use Disorders: Experiences of Clinicians and Patients in the UK and Poland.

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