Abstract:
:General practitioners (GPs) are in a unique position to detect and manage patients with co-morbid mental health and substance use disorders (dual diagnosis). It has been estimated that over 30% of patients presenting to general practice have a diagnosable mental disorder and 12% have dual diagnosis. Unfortunately, between 30 and 50% of these problems go undetected in general practice. Limited GP education and training in mental health may account for this deficit, with a little over 8% of GPs receiving any formal postgraduate training in mental health. Prior to developing an educational resource for GPs, the present study aimed to establish baseline estimates of GP treatment practices with patients who have dual diagnosis. Two GP division-wide surveys of screening, assessment and treatment for dual diagnosis were conducted one year apart. In addition, five GPs conducted a clinical audit of 508 patient consultations. Results indicate that without ongoing targeted interventions, patient management activities such as GP counselling, use of screening devices, referral to specialist services, coordination and use of EPC items are not likely to improve and are at risk of declining.
journal_name
Drug Alcohol Revjournal_title
Drug and alcohol reviewauthors
Marshall KL,Deane FPdoi
10.1080/09595230412331324572subject
Has Abstractpub_date
2004-12-01 00:00:00pages
455-62issue
4eissn
0959-5236issn
1465-3362pii
XG603HH6YDUATALVjournal_volume
23pub_type
杂志文章abstract:INTRODUCTION AND AIMS:Stepped-care has been recommended in the alcohol and other drug field and adopted in a number of service settings, but few research projects have examined this approach. This article aims to describe a pilot trial of stepped-care methods in the treatment of methamphetamine use and depression comor...
journal_title:Drug and alcohol review
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1465-3362.2010.00203.x
更新日期:2010-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:Prescription drug misuse and related harms have been increasing considerably over the past decade. At the same time, there has also been rapid growth in the use of online and Internet technologies. Thus, it is important that we understand the role online and Internet technologies play in prescript...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/j.1465-3362.2008.00004.x
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:The opioid-related behaviours in treatment (ORBIT) scale are a measure of recent indicators of potential extra-medical opioid use. Indicators of potential extra-medical opioid use are divergent practices among people prescribed opioids that may place them at risk of harm. This study aimed to exami...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13021
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION AND AIMS:The extent to which alcohol consumption in Canada was affected by alcohol prohibition in the early 20th century remains unclear. Since there is a dearth of data on consumption during this time, we estimated the effect of alcohol prohibition on alcohol consumption, as measured by changes in liver c...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13089
更新日期:2020-09-01 00:00:00
abstract:ISSUES:Etizolam is a thienodiazepine derivative, with high affinity for the benzodiazepine site of GABAA receptors. It is often referred to as a new (or novel) psychoactive substance, a 'designer' benzodiazepine or a 'street benzodiazepine'. Increasing reports of non-medical use, identification of etizolam as an ingred...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13052
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION AND AIMS:To examine relationships between perceived neighbourhood cohesion and alcohol, tobacco and cannabis consumption in New Zealand. DESIGN AND METHODS:A two-level random intercept regression model was used to examine the extent to which perception of neighbourhood cohesion (at the individual and area...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00385.x
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Unhealthy lifestyle behaviours can cluster to produce more detrimental overall health consequences than expected with a simple additive effect. This study aims to expand current knowledge of the nature and strength of the relationship between two such health behaviours, alcohol and diet, through a...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00330.x
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Emerging research suggests that the sub-population of anabolic-androgenic steroid (AAS) users who experience physical appearance concerns may suffer greater psychological dysfunction than other sub-populations, including users with athletic or occupational concerns. Thus, among current AAS users, ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12688
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION AND AIMS:Methamphetamine use leads to increased likelihood of premature death. The authors investigated the causes of death and risk of mortality in a large cohort of patients with methamphetamine dependence. DESIGN AND METHODS:A cohort of 1254 subjects with methamphetamine dependence, admitted to a psych...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2010.00255.x
更新日期:2011-11-01 00:00:00
abstract::A minority of injecting drug users engage in high risk injecting behaviours when in prison. In the United Kingdom between a quarter and a third of injectors who enter prison inject when in prison, and of these about three-quarters share needles and syringes. In the present study, 44 drug injectors who had been release...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239600185991
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:A consumer satisfaction survey was conducted among clients receiving methadone or buprenorphine treatment for opioid dependence. The survey aimed to assess client perceptions across a number of treatment domains, including the clinic environment, service provision, clinical relationships, medicati...
journal_title:Drug and alcohol review
pub_type: 杂志文章,多中心研究
doi:10.1080/09595230801935706
更新日期:2008-11-01 00:00:00
abstract:INTRODUCTION AND AIMS:Impulsivity may be a risk factor that increases vulnerability to nicotine dependence. However, nicotine exposure itself may directly increase impulsivity. This is a secondary analysis of the first study in a controlled laboratory setting, which assessed the effects of nicotine administration (acut...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13206
更新日期:2020-11-02 00:00:00
abstract:INTRODUCTION AND AIMS:The non-medical use of prescription drugs, such as anxiolytics and hypnotics, has become a growing public health problem in Thailand. The objective of this study was to examine the patterns of non-medical use of these drugs, using data from a nationally representative sample of Thais interviewed i...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2009.00092.x
更新日期:2010-01-01 00:00:00
abstract::The objective of this study was to investigate relationships between adolescent cannabis use and indices of parent - child attachment, family functioning and parent attitudes to drugs and delinquency. A total of 2848 year 9 and 2363 year 11 students participated in the Victorian Adolescent Health and Well-Being Survey...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230100100570
更新日期:2003-06-01 00:00:00
abstract:ISSUES:This contribution aims to examine systematically the evidence on the impact of the quality of unrecorded alcohol products on health consequences. APPROACH:Systematic computer assisted review of the literature. KEY FINDINGS:There are a number of pathways related to alcohol quality that may lead to acute or chro...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/j.1465-3362.2009.00140.x
更新日期:2010-07-01 00:00:00
abstract:AIM:To report patterns of use of ready to drinks (RTDs) and to assess if RTD consumers have heavier drinking patterns. RTDs were introduced in 1995. METHOD:Data from a general population sample of 7201 respondents aged 14-65 years, in New Zealand in 2004, were modelled. RESULTS:Nineteen per cent of respondents consum...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230802093802
更新日期:2008-07-01 00:00:00
abstract::Recently publicized cases of child abuse and neglect ahve highlighted the complexity of interaction between professionals in the alcohol and drug field and those in the child welfare field. Despite exhortations to practitioners in both fields to see their clients from a "family-centred perspective", a range of psychol...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239400185581
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:There has been a global increase in the availability and use of novel psychoactive substances (NPS) over the last decade. Phenibut (β-phenyl-γ-aminobutyric acid) is a GABAB agonist that is used as an NPS. Here, we bring together published scientific and grey information sources to further understa...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12356
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:Synthetic cannabinoid dependence and withdrawal are not well described in the literature. We aimed to report on the characteristics and treatment course of clients attending a detoxification service for support with synthetic cannabinoid withdrawal in Auckland, New Zealand. DESIGN AND METHODS:A r...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12225
更新日期:2015-03-01 00:00:00
abstract::We report here on illicit drug production, trafficking and transit routes found in the Asia Pacific region. The report is based on the 'Situational analysis of illicit drug issues and responses in Asia and the Pacific', commissioned by the Australian National Council on Drugs Asia Pacific Drug Issues Committee. The si...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1080/09595230600972850
更新日期:2006-11-01 00:00:00
abstract:INTRODUCTION AND AIMS:Little is known about adolescents' perspectives of young drug users, especially in the Chinese context. This study aimed to develop a scale to measure Chinese youth attitudes toward young drug users. DESIGN AND METHODS:Initially, a total of 26 non-at-risk and at-risk adolescents (15 male and 11 f...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00372.x
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:A significant level of misreport or error occurs during questionnaire-based assessment of smoking behaviour. Failure to measure environmental tobacco smoke, and participant's inclination to under-report their smoking raise questions as to the accuracy of assessment. In order to establish an estima...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2009.00078.x
更新日期:2010-01-01 00:00:00
abstract::Regular and systematic monitoring of drug markets provides the basis for evidence-based policy. In Australia, trends in ecstasy and related drug (ERD) markets have been monitored in selected jurisdictions since 2000 and nationally since 2003, by the Party Drugs Initiative (PDI). The PDI maximises the validity of concl...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1080/09595230600876705
更新日期:2006-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:Problematic drinking and executive functioning deficits are two known risk factors for intimate partner aggression (IPA). However, executive functioning is a multifaceted construct, and it is not clear whether deficits in specific components of executive functioning are differentially associated w...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12454
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Problem drug use has been identified as a significant public health problem in Afghanistan. The study aim was to assess community knowledge and attitude toward drug use and harm reduction in Kabul, Afghanistan. DESIGN AND METHODS:A cross-sectional convenience sample of community representatives o...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00352.x
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Once involved in the criminal justice system, people who inject drugs (PWID) have a high probability of multiple system encounters. Imprisonment typically fails to rehabilitate PWID, who upon return to the community are at considerable risk of returning to injecting drug use (IDU) and poor health ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12881
更新日期:2019-03-01 00:00:00
abstract::A combined narrative/meta-analytic review of the results of a number of well-conducted randomized controlled clinical trials indicates that there is no evidence that usual treatment delivered in an in-patient or residential setting is superior to treatment delivered on an out-patient or non-residential basis for the t...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239400185201
更新日期:1994-01-01 00:00:00
abstract::With chronic use of a psychoactive drug the central nervous system undergoes a series of changes. These changes vary both in nature and in extent with each drug, but in general, they alter the responsiveness of the nervous system to the drug so as to reduce the perceived clinical effect, and also alter the innate resp...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239100185181
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Despite increasing HIV prevalence in cities along the Mexico--US border, HIV testing among high-risk populations remains low. We sought to identify barriers associated with HIV testing among injection drug users (IDUs) in Tijuana and Ciudad Juarez, the two largest Mexican border cities located acr...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230701710845
更新日期:2008-01-01 00:00:00
abstract::New amendments to child welfare policy in New South Wales turn a spotlight on parents who use drugs and raise concerns about adequate provision of services for families facing issues with alcohol and other drug use. Sections of the new legislation are explicitly focused on parents who use illicit drugs, expanding the ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12219
更新日期:2015-01-01 00:00:00