Collaborative Care in Mental Health Services

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary advantage of the collaborative approach?

Reduces communication issues

Develops expertise within a small group

Acknowledges the need for close cooperation

Uses existing infrastructure (correct)

What has been the trend over the last 20 years in responding to dual diagnosis?

Variable focus on responding to dual diagnosis

Less focus on responding to dual diagnosis

No change in responding to dual diagnosis

More focus on responding to dual diagnosis (correct)

What is a disadvantage of the collaborative approach?

Develops expertise within a small group

Uses existing infrastructure

Acknowledges the need for close cooperation

Communication issues (correct)

What is a characteristic of the integrated approach?

Develops expertise within a small group Signup and view all the answers

What has been the focus of national and state funding in response to dual diagnosis?

Providing guidelines and support for services Signup and view all the answers

What is the current priority in responding to dual diagnosis?

Response within mental health systems Signup and view all the answers

What is a key characteristic of the sequential model of treatment?

One disorder is treated before the other. Signup and view all the answers

What is an advantage of the parallel model of treatment?

It allows for simultaneous treatment of both disorders. Signup and view all the answers

What is a disadvantage of the parallel model of treatment?

Treatments may be mistimed or act in conflict. Signup and view all the answers

What is a characteristic of a specialized dual diagnosis service?

It is a coordinated service that treats both disorders. Signup and view all the answers

Why might research on causal relationships be unclear?

Research provides no clear answer on causal relationships. Signup and view all the answers

What is a challenge of the sequential model of treatment?

Difficulty in determining if the disorders are separate. Signup and view all the answers

What is a limitation of the parallel model of treatment?

Little information is shared between services. Signup and view all the answers

What is an advantage of a specialized dual diagnosis service?

It provides comprehensive care for both disorders. Signup and view all the answers

What is dual diagnosis?

The condition of suffering from a mental illness and a comorbid substance use disorder Signup and view all the answers

What does co-morbidity/co-occurrence refer to?

Two or more health problems, including medical, mental health, alcohol, and drug issues Signup and view all the answers

What is heterotypic?

Two different classes of mental disorders Signup and view all the answers

What is concurrent?

Two or more disorders present at the same time Signup and view all the answers

What is a subsyndromal or partial disorder?

Individuals who display a number of symptoms of a disorder but do not meet criteria for a diagnosis Signup and view all the answers

What is the relationship between a mental health disorder and a substance use disorder in dual diagnosis?

One is a complication of the other Signup and view all the answers

What does the term dual diagnosis refer to in a health setting?

A relationship between two health problems, where one is complicating the other Signup and view all the answers

What is the continuum of disorders?

A range of disorders from mild to severe Signup and view all the answers

What is the primary reason people use depressant drugs as a form of self-medication?

To alleviate anxiety symptoms Signup and view all the answers

What is the term used to describe the use of stimulant drugs as a form of self-medication for depression?

Pick me up Signup and view all the answers

What percentage of individuals with a history of trauma are likely to use opiates and sedatives to manage chronic emotional pain?

90% Signup and view all the answers

What is an example of an intermediary factor that influences AOD use?

Unemployment Signup and view all the answers

What is a shared risk factor that increases the risk of both AOD and mental health conditions?

Lower socioeconomic status Signup and view all the answers

Why is it important to understand the causal relationship between AOD use and mental health conditions?

To develop effective treatment strategies Signup and view all the answers

What is a consequence of dual diagnosis for individuals?

Greater severity of disorders Signup and view all the answers

What is a challenge faced by individuals with a dual diagnosis?

All of the above Signup and view all the answers

What is the proposed link between cannabis and psychosis?

Cannabis may precipitate psychotic episodes Signup and view all the answers

What is the effect of alcohol on negative symptoms in psychosis?

Alcohol worsens negative symptoms Signup and view all the answers

What is the potential effect of stimulants on psychosis?

Stimulants directly cause psychotic episodes Signup and view all the answers

What is a characteristic of amphetamine psychosis?

A brief psychotic reaction that may last for several weeks Signup and view all the answers

What is the dopamine hypothesis of psychosis?

A model that links schizophrenia to disrupted and hyperactive dopaminergic signal transduction Signup and view all the answers

What is a potential consequence of poly drug use?

A simulation of Bipolar Affective Disorder Signup and view all the answers

What is a common symptom of stimulant-induced psychosis?

Formication, or feeling of bugs under the skin Signup and view all the answers

What is a potential consequence of cannabis use on mental health?

An increase in the risk of hospitalization Signup and view all the answers

Study Notes

Dual Diagnosis

Dual diagnosis, also known as co-occurring disorders (COD), refers to the condition of suffering from a mental illness and a comorbid substance use disorder.
Dual diagnosis is common, with a high prevalence of dual diagnosis clients in all services.

Collaborative and Integrated Approaches

Collaborative approach: uses existing infrastructure, acknowledges the need for close cooperation, and utilizes each other's expertise.
Disadvantages of collaborative approach: communication issues and differing treatment service goals and priorities.
Integrated approach: develops expertise within a small group within the service, providing comprehensive care.

Definition and Characteristics

Co-morbidity/co-occurrence: refers to two or more health problems, including medical, mental health, alcohol and drug, intellectual impairment, etc.
Heterotypic: refers to two different classes of mental disorders (e.g., mental health and drug use).
Homotypic: refers to two disorders within the same class (e.g., phobia and OCD; alcohol and cannabis dependence).
Concurrent: two or more disorders present at the same time.
Successive: disorders occur at different times in the person's life.

Cannabis and Psychosis

Cannabis use is hypothesized to precipitate psychotic episodes, but the evidence is still debated in literature.
Synthetic cannabis is a largely unknown area, but anecdotal reports are concerning.

Other Substances and Mental Health

Alcohol: worsens negative symptoms, affects treatment, and increases relapse rates.
Stimulants: may directly cause psychotic episodes, leading to amphetamine psychosis.
Formication (bugs under skin) and stereotypy (repeated behaviors) are associated with stimulant use.

Poly Drug Use and Mental Health

Poly drug use can simulate bipolar affective disorder.
Uppers and downers cycle can lead to mental health problems.

How Mental Health Can Cause A&D Problems

Depressant drugs used as self-medication for anxiety symptoms.
Stimulant drugs used as self-medication for depression.
Pain-relieving drugs used to manage chronic emotional pain/trauma.

Intermediary Factor and Shared Risk Factors

Intermediary factor: indirect causal relationship between mental health and AOD use.
Shared risk factors: lower socioeconomic status, cognitive impairment, conduct disorder in childhood, and antisocial personality disorder.

Causality and Concerns

Causality is important in understanding the relationship between mental health and AOD use.
Dual diagnosis is of concern due to greater severity of disorders, loss of support networks, poorer self-care, and legal issues.

Research Perspective and Treatment Models

Research provides no clear answer on causal relationships.
Treatment models include sequential, parallel, and specialized dual diagnosis services, each with advantages and disadvantages.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz explores the advantages and disadvantages of collaborative care in mental health services, including the use of existing infrastructure, shared expertise, and cooperative goals.