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Mental health hospital admissions : a teachable moment and window of opportunity to promote change in drug and alcohol misuse
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Graham, Hermine L., Copello, Alex, Griffith, Emma, Clarke, Latoya, Walsh, Kathryn, Baker, Amanda L. and Birchwood, M. J. (2019) Mental health hospital admissions : a teachable moment and window of opportunity to promote change in drug and alcohol misuse. International Journal of Mental Health and Addiction, 17 . pp. 22-40. doi:10.1007/s11469-017-9861-9 ISSN 1557-1874.
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Official URL: http://dx.doi.org/10.1007/s11469-017-9861-9
Abstract
Hospital admissions provide a “teachable moment”. Many patients admitted to mental health hospitals have co-existing substance misuse. As acute symptoms decline, a window of increased insight into factors that contributed to becoming unwell and admission may present. This study used this “teachable” opportunity to assess the acceptability of delivering a brief integrated motivational intervention (BIMI) to inpatients and the feasibility of delivery by inpatient staff. Qualitative interviews were completed with 21 inpatients experiencing co-occurring schizophrenia-related or bipolar disorder diagnoses and substance misuse who received the BIMI. Twelve staff members completed either individual interviews or a focus group. Four themes were identified from the qualitative interviews with participants; these were openness/readiness to talk about substance use, feeling valued, understanding substance use and helpful skills and processes; each with a number of subthemes. Participants appeared to find the intervention useful; although, felt they did not always have the “headspace”. One theme emerged from the staff data, the acceptability of the approach for inpatient ward staff, which had four subthemes; training in the intervention; delivering the intervention; joint working; and feasibility. Staff considered the targeted style of the BIMI useful. Delivery considerations included “timing” and competing ward duties. Hospital admission presents a natural window of opportunity for staff to start conversations with inpatients about substance misuse.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RC Internal medicine | |||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Dual diagnosis -- Solihull (England), Dual diagnosis -- Birmingham (England), Mental Health -- Patients -- Solihull (England), Mental Health -- Patients -- Birmingham (England), Substance abuse -- Treatment -- Solihull (England), Substance abuse -- Treatment -- Birmingham (England) | |||||||||
| Journal or Publication Title: | International Journal of Mental Health and Addiction | |||||||||
| Publisher: | Springer New York LLC | |||||||||
| ISSN: | 1557-1874 | |||||||||
| Official Date: | 15 February 2019 | |||||||||
| Dates: |
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| Volume: | 17 | |||||||||
| Page Range: | pp. 22-40 | |||||||||
| DOI: | 10.1007/s11469-017-9861-9 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 29 March 2018 | |||||||||
| Date of first compliant Open Access: | 29 March 2018 | |||||||||
| RIOXX Funder/Project Grant: |
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