Care planning and nonpharmacological interventions in a metropolitan inpatient dual diagnosis service : A retrospective exploratory study

Journal article


MacLeay, Euan, Fry, Margaret, Roche, Michael Anthony and Montilla, Tim. (2020). Care planning and nonpharmacological interventions in a metropolitan inpatient dual diagnosis service : A retrospective exploratory study. International Journal of Mental Health Nursing. 29(5), pp. 856-867. https://doi.org/10.1111/inm.12719
AuthorsMacLeay, Euan, Fry, Margaret, Roche, Michael Anthony and Montilla, Tim
Abstract

In Australia, the terms dual diagnosis and comorbidity are commonly used, often interchangeably, to describe the experience of consumers with both mental health difficulties and difficulties with alcohol and other drug use. Consumers with comorbidity often have complex needs that require comprehensive assessment, multidisciplinary team support, and trauma-focused management. More information about the demographics of consumers admitted with comorbidity, and the documented assessed needs, care, and interventions provided, would provide the foundations for working towards improved quality and continuity of care. Therefore, the aim of this study was to explore the documentation of inpatient assessment, care, and interventions provided to people with comorbidity. The research design was a retrospective exploratory study, and data collection involved a 12-month healthcare record audit. Forty-one records were screened, and 36 consumer healthcare records were identified as eligible for inclusion in the study. Most consumers (n = 34, 94%) were admitted on an involuntary basis, and 8 (22.2%) were female. Consumers had a median length of stay of almost six months. In most healthcare records, there was no documented evidence of care planning involvement by consumers or the multidisciplinary team. There was great variance in the delivery of nonpharmacological interventions. Most consumers did not receive trauma-focused assessment or intervention, and assessment tools were often incomplete with outcome measures poorly documented. This study has demonstrated significant gaps in consumer and multidisciplinary engagement with care planning and goal setting. There was poor documentation of comprehensive assessment and nonpharmacological interventions.

Keywordsadult; comorbidity; dual diagnosis; mental health; substance-related disorders
Year2020
JournalInternational Journal of Mental Health Nursing
Journal citation29 (5), pp. 856-867
PublisherBlackwell Publishing
ISSN1445-8330
Digital Object Identifier (DOI)https://doi.org/10.1111/inm.12719
Scopus EID2-s2.0-85082928463
Research or scholarlyResearch
Page range856-867
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online03 Apr 2020
Publication process dates
Accepted23 Feb 2020
Deposited29 Jun 2021
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