Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes
Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes
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DOI：
10.1136/bmj.327.7418.783
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发表时间：
2003-10-04
影响因子：
--
通讯作者：
Orrm, N
中科院分区：
文献类型：
--
作者：
Barnaby, B;Drummond, C;Orrm, N
在许多临床环境中，医生在记录酒精史方面很差。1 2鉴于一般人群和精神病患者中药物滥用的流行率日益增加，药物滥用的发现程度也很重要。对于药物滥用和精神问题并存的患者，英国卫生部指出，“有双重问题的个人应该得到高质量的、以患者为中心的综合护理。这应该在心理健康服务中提供。”3然而，如果没有发现药物滥用，就不可能提供这种护理。我们检查了数据，以调查精神科病房住院患者的酒精和药物滥用的患病率，以及精神科医生在入院时进行评估的程度和准确性。
Doctors are poor at taking alcohol histories in many clinical settings. 1 2 Given the increasing prevalence of drug misuse in the general population and in psychiatric patients, the extent of detection of drug misuse is also important. For patients with comorbid substance misuse and psychiatric problems, the UK Department of Health states,“Individuals with dual problems deserve high quality, patient focused, and integrated care. This should be delivered within mental health services.” 3 If substance misuse is not detected, however, such care is unlikely to be delivered. We examined data to investigate the prevalence of alcohol and drug misuse in inpatients admitted to psychiatric wards and the extent and accuracy of detection by the psychiatrists doing assessments on admission.