Attitudes of mental health professionals to co-morbidity between mental health problems and substance misuse

Attitudes of mental health professionals to co-morbidity between mental health problems and substance misuse
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心理健康专业人员对心理健康问题和药物滥用之间共病的态度

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发表时间:
1999
期刊:
影响因子:
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通讯作者:
K. Williams
K. Williams
中科院分区:
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文献类型:
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作者:
K. Williams

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在对精神病患者的服务进行审查时,精神卫生专业人员必须解决精神病患者中日益严重的酗酒和滥用药物问题(共病)。一份问卷调查共发病率和专业角色的态度,发送给189名精神卫生专业人员在布里斯托。应答率为67%。有显着差异(方差分析)的态度,专业团体之间的所有,但一个核心领域的评价。事后分析显示,医生和社会工作者的态度与其他专业人员有显著差异,而且截然相反。职业治疗师和物理治疗师认为自己在共病管理中的作用比其他学科要小。精神卫生护士与其他职业(医生除外)的不同之处仅在于他们对药物筛选的态度。心理学家表示更大的治疗乐观。91%的人表示需要专家培训。
Mental health professionals are required to address the increasing problem of alcohol and substance misuse amongst the mentally ill (co-morbidity) at a time when services for this population are under review. A questionnaire addressing attitudes to co-morbidity and professional roles was sent to 189 mental health professionals in Bristol. Response rate was 67%. There were significant differences (by ANOVA) in attitudes between professional groups in all but one of the core areas appraised. Post-hoc analysis showed the attitudes of doctors and social workers to be significantly different from other professionals, and diametrically opposed. Occupational therapists and physiotherapists rated themselves as having less of a role in the management of co-morbidity than other disciplines. Mental health nurses differed from other professions (except doctors) only in their attitudes to drug screening. Psychologists indicated greater therapeutic optimism. Ninety-one per cent expressed a need for specialist training....