Nursing considerations for dual diagnosis in mental health

Journal article


Edward, Karen-Leigh and Munro, Ian. (2009). Nursing considerations for dual diagnosis in mental health. International Journal of Nursing Practice. 15(2), pp. 74 - 79. https://doi.org/10.1111/j.1440-172X.2009.01731.x
AuthorsEdward, Karen-Leigh and Munro, Ian
Abstract

It is the intention of this literature review to present suggestions for nursing practice with reference to the care of the dually diagnosed. Nursing care of the dually diagnosed client is complex. Clinicians from both drug and alcohol services and mental health services have long recognized that neither service area provides adequate clinical care to those clients who have a dual diagnosis of substance abuse and mental illness. It is now > 10 years since a ground-breaking Australian study recognized this. To ascertain whether there has been improvement in the service management of clients who have a dual diagnosis, and to determine the best practice interventions in the area of mental health nursing, we undertook a review of the literature. The databases CINAHL, MEDLINE, PsycARTICLES and PsychINFO were searched and 185 articles met the inclusion criteria. From this review, it seems that gaps still remain in the provision of services and that mental health nurses might be best placed to provide integrated care to those clients who have a dual diagnosis and present to mental health services. This requires mental health nurses to have skills in substance use detection and knowledge of potential care implications for the client in the context of their substance use.

Keywordsdual diagnosis; mental illness; nursing; substance use
Year2009
JournalInternational Journal of Nursing Practice
Journal citation15 (2), pp. 74 - 79
PublisherBlackwell Publishers Inc
ISSN1322-7114
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1440-172X.2009.01731.x
Page range74 - 79
Research GroupSchool of Nursing, Midwifery and Paramedicine
Place of publicationAustralia
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Edward, Karen-Leigh and Hercelinskyj, Gylo. (2007). Burnout in the caring nurse: Learning resilient behaviours. British Journal of Nursing. 16(4), pp. 240 - 242. https://doi.org/10.12968/bjon.2007.16.4.22987
Evidence-based mental health nursing in Australia: Our history and our future
Warelow, Philip and Edward, Karen-Leigh. (2007). Evidence-based mental health nursing in Australia: Our history and our future. International Journal of Mental Health Nursing. 16(1), pp. 57 - 61. https://doi.org/10.1111/j.1447-0349.2006.00445.x
A theoretical discussion about the clinical value of phenomenology for nurses
Edward, Karen-Leigh. (2006). A theoretical discussion about the clinical value of phenomenology for nurses. Holistic Nursing Practice. 20(5), pp. 235 - 238.
Resilience: A protector from depression
Edward, Karen-Leigh. (2005). Resilience: A protector from depression. Journal of the American Psychiatric Nurses Association. 11(4), pp. 241 - 243. https://doi.org/10.1177/1078390305281177
Resilience: When coping is emotionally intelligent
Edward, Karen-Leigh and Warelow, Philip. (2005). Resilience: When coping is emotionally intelligent. Journal of the American Psychiatric Nurses Association. 11(2), pp. 101 - 102. https://doi.org/10.1177/1078390305277526
The phenomenon of resilience in crisis care mental health clinicians
Edward, Karen-Leigh. (2005). The phenomenon of resilience in crisis care mental health clinicians. International Journal of Mental Health Nursing. 14(2), pp. 142 - 148. https://doi.org/10.1111/j.1440-0979.2005.00371.x