The Library
Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in-patient settings
Tools
Tools
Tools
Graham, Hermine L., Copello, Alex, Griffith, Emma, Freemantle, Nick, McCrone, Paul, Clarke, Latoya, Walsh, Kathryn, Stefanidou, Chrysi A., Rana, Arsal and Birchwood, M. J. (2015) Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in-patient settings. Acta Psychiatrica Scandinavica, 133 (4). pp. 298-309. doi:10.1111/acps.12530 ISSN 0001-690X.
|
PDF
WRAP_Graham_et_al-2016-Acta_Psychiatrica_Scandinavica.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (550Kb) | Preview |
Official URL: http://dx.doi.org/10.1111/acps.12530
Abstract
Objective
This proof of principle study evaluated the effectiveness and feasibility of a brief motivational intervention, delivered in mental health in-patient settings, to improve engagement in treatment for drug and alcohol misuse.
Method
A randomised controlled trial using concealed randomisation, blind, independent assessment of outcome at 3 months. Participants were 59 new adult admissions, to six acute mental health hospital units in one UK mental health service, with schizophrenia related or bipolar disorder diagnoses, users of community mental health services and also misusing alcohol and/or drugs. Participants were randomised to Brief Integrated Motivational Intervention (BIMI) with Treatment As Usual (TAU), or TAU alone. The BIMI took place over a 2-week period and encouraged participants to explore substance use and its impact on mental health.
Results
Fifty-nine in-patients (BIMI n = 30; TAU n = 29) were randomised, the BIMI was associated with a 63% relative odds increase in the primary outcome engagement in treatment [OR 1.63 (95% CI 1.01–2.65; P = 0.047)], at 3 months. Qualitative interviews with staff and participants indicated that the BIMI was both feasible and acceptable.
Conclusion
Mental health hospital admissions present an opportunity for brief motivational interventions focussed on substance misuse and can lead to improvements in engagement.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | 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 |
||||||||
| Library of Congress Subject Headings (LCSH): | Substance abuse -- Treatment, Psychiatric hospital patients | ||||||||
| Journal or Publication Title: | Acta Psychiatrica Scandinavica | ||||||||
| Publisher: | Wiley-Blackwell Publishing, Inc. | ||||||||
| ISSN: | 0001-690X | ||||||||
| Official Date: | April 2015 | ||||||||
| Dates: |
|
||||||||
| Volume: | 133 | ||||||||
| Number: | 4 | ||||||||
| Page Range: | pp. 298-309 | ||||||||
| DOI: | 10.1111/acps.12530 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 25 July 2016 | ||||||||
| Date of first compliant Open Access: | 26 July 2016 | ||||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR), Birmingham and Solihull Mental Health NHS Trust, University of Birmingham | ||||||||
| Grant number: | PB-PG- 1010-23138 (NIHR) |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
