Assignment Task
Introduction
Dual diagnosis, often termed co-occurring problem, dual disorder, or comorbidities denotes an individual identifying both a drug use problem and a psychological health issue. Because one condition may disguise or heighten indications of another, it is sometimes difficult to tell which arose first, making it more challenging to diagnose (Pribe, Wiklund & Frediksson, 2018). It is believed that greater than 50 per cent of persons identified with a significant mental health illness are also dependent on alcohol or drugs.A substance use disorder (SUD) is a psychiatric condition that damages an individual’s brain functioning, leading them to give up control of their usage of illicit or legal drugs, alcohol, or prescription medications (Jones & McCance, 2019). Addiction is the most severe sign of SUDs, with moderate to severe manifestations. According to research (Bhalla, Stefanovics & Rosenheck, 2017), approximately half of persons who suffer from a SUD will also have a co-occurring mental illness at some time in their life, and vice versa. Co-occurring disorders include depression, anxiety symptoms, borderline personality disorder, bipolar disorder, and schizophrenia (Lipari et al., 2017). Marijuana and methamphetamine addiction may result in long-term psychotic reactions, while alcohol abuse can increase anxiety and depression.
Furthermore, mental health and substance addiction disorders might coexist (Bahji et al., 2019). This is because persons addicted to illegal substances may have one or more signs of mental illness. Because some people with mental illnesses self-medicate with these medications, mental illness can occasionally lead to alcohol or drug abuse (Kozhimannil et al., 2019). The underlying elements of psychiatric and substance use disorders include changes in the brain’s makeup, inherited predisposition, and traumatisation or stress (Lehmann & Fingerhood, 2018).Kessler Psychological Distress Scale (K10) is a 10-items questionnaire designed to give a global assessment of distress depending on questions regarding depressive symptoms and anxiety that a person has encountered in their most current four-week period (Nguyen et al., 2017). Implementing a client self-report measurement is a desired way of evaluation. It represents an honest endeavour on the physician’s side to gather information about the patient’s present situation and develop a fruitful discourse. While completing, K10 the client should be given confidentiality. As a basic guideline, patients who score most usually “All of the time” or “Some of the time” or categories are in demand of a complete examination. Referral information must be supplied to these people (O’Donohue et al., 2021). Patients who rank most usually “None of the time” or “A little of the time” might also benefit from timely intervention and marketing materials to aid increasing awareness of the disorders of anxiety and depression and also ways to avoid future psychological problems.The Alcohol Use Disorders Identification Test (AUDIT) is a ten-item screening instrument used to detect heavy drinking and quick evaluation. It may aid in determining if heavy drinking is the source of the existing sickness. It establishes a paradigm for intervention to assist hazardous drinkers in reducing or discontinuing alcohol use and avoiding the adverse effects of their alcoholism (Sanchez-Roige et al., 2019). Additionally, the AUDIT assists in identifying alcoholism and some of the particular repercussions of hazardous drinking.
The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) was established for utilisation in primary healthcare settings wherein clients’ hazardous and dangerous substance use might go undiagnosed orworsen. The ASSIST is an eight-item questionnaire delivered via health practitioner utilising paper and pencil to a patient. This takes around five to ten minutes to complete. The ASSIST collects data from clients on their lifetime drug usage and their current substance use and related difficulties (Poblete et al., 2017). It may detect various drug use disorders, including acute intoxication, chronic usage, dependence or ‘high risk’ usage, and injectable behaviour.The Brief Screener for Alcohol, Tobacco, and Other Drugs (BSTAD) tool incorporates multiple questions to assess teenage patients ages 12-17 for hazardous drug use. The BSTAD is a viable screening tool for detecting problematic cigarette, alcohol, and marijuana usage in emergency settings. Even with infrequent drug use among teenagers, there may be a need for assistance. This screening tool utilises recurrence of use questionnaires to classify teenage patients’ drug use into risk groups (Wamsley et al., 2018).Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a thorough, complete public healthcare strategy to provide initial interventions and therapy services to individuals with substance use disorders and those who are at danger of acquiring these illnesses. Primary care clinics, clinical emergency departments, trauma centres, and other community-based settings all deliver chances for initial interventions with at-risk drug users prior to the occurrence of more severe outcomes. Screening rapidly determines the degree of drug abuse and the required level of therapy. The brief intervention aims to improve insight and knowledge of drug use and motivation for behavioural change (Wamsley et al., 2018).Nurses should be capable of leadership and management. As mental healthcare nurses, we may provide legitimacy to clinical elements of drug and alcohol therapy. These nurses may assist commissioners in service design by bringing nursing experience to the table. They may collaborate with others to enhance services via collaborations and partnership models of care (Monteiro et al., 2017).Nurses working in mental health treatment should have adequate interpersonal and communication skills. Nurses working in drug and alcohol services may begin and build therapeutic connections with a varied spectrum of program users, their families, and caregivers due to these abilities. They may utilise their physical and psychological health skills to impact the multiagency/multidisciplinary team’s choices (Stewart & Mueller, 2018). They may act as a conduit for referrals between healthcare and social care providers.
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