A Qualitative Study of Barriers to Care for People With Co-Occurring Disorders

被引:11
作者
Sorsa, Minna [1 ,2 ]
Greacen, Tim [3 ]
Lehto, Juhani [2 ]
Astedt-Kurki, Paivi [2 ,4 ]
机构
[1] Pirkanmaa Hosp Dist, Child Psychiat, Tampere, Finland
[2] Univ Tampere, Fac Social Sci, Laakarinkatu 1, Tampere 33014, Finland
[3] Etab Publ Sante Maison Blanche, Lab Rech, Paris, France
[4] Pirkanmaa Hosp Dist, Gen Adm, Tampere, Finland
关键词
Co-occurring disorder; Health personnel attitudes; Mental health personnel; Service management; Treatment barriers; DUAL DIAGNOSIS; MENTAL-HEALTH; SUBSTANCE MISUSE; SERVICES; INDIVIDUALS; CLIENTS; VIEWS;
D O I
10.1016/j.apnu.2017.04.013
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The present qualitative study used face-to-face and telephone interviews with service providers in the Tampere area in Finland to describe the provider viewpoint on barriers to care for people with co-occurring disorders. The core barrier concerns the definition and understanding of the problems: client and professional perspectives often differ, and both can be out of step with what the care system actually proposes. Professionals need to take into account contexts with potentially multiple barriers to care. Providers in each local area should examine possible barriers and find solutions together, integrating the client perspective at each step in the process. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:399 / 406
页数:8
相关论文
共 31 条
[1]   Comorbidity of mental health and substance misuse problems: a review of workers' reported attitudes and perceptions [J].
Adams, M. W. .
JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING, 2008, 15 (02) :101-108
[2]  
[Anonymous], 2012, QUAL INQ
[3]  
Baeck-Moller K, 2011, MENTAL HLTH SUBSTANC, V4, P195
[4]   Nature, level and type of networking for individuals with dual diagnosis: A European perspective [J].
Baldacchino, A. ;
Greacen, T. ;
Hodges, C-L. ;
Charzynska, K. ;
Sorsa, M. ;
Saias, T. ;
Clancy, C. ;
Lack, C. ;
Hyldager, E. ;
Merinder, L. -B. ;
Meder, J. ;
Henderson, Z. ;
Laijarvi, H. ;
Baeck-Moller, K. .
DRUGS-EDUCATION PREVENTION AND POLICY, 2011, 18 (05) :393-401
[5]   Myth of mental health nursing and the challenge of recovery [J].
Barker, Phil ;
Buchanan-Barker, Poppy .
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2011, 20 (05) :337-344
[6]   Policy and practice implications of epidemiological surveys on co-occurring mental and substance use disorders [J].
Clark, H. Westley ;
Power, A. Kathryn ;
Le Fauve, Charlene E. ;
Lopez, Elizabeth I. .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2008, 34 (01) :3-13
[7]  
Clement S., 2012, BMC Psychiatry, V12, P1, DOI [10.1186/1471-244X-11-157, DOI 10.1186/1471-244X-11-157]
[8]   The lived experience of community mental health nurses working with people who have dual diagnosis: a phenomenological study [J].
Coombes, L. ;
Wratten, A. .
JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING, 2007, 14 (04) :382-392
[9]   Dual diagnosis: 15 years of progress [J].
Drake, RE ;
Wallach, MA .
PSYCHIATRIC SERVICES, 2000, 51 (09) :1126-1129
[10]   Implementing dual diagnosis services for clients with severe mental illness [J].
Drake, RE ;
Essock, SM ;
Shaner, A ;
Carey, RB ;
Minkoff, K ;
Kola, L ;
Lynde, D ;
Osher, FC ;
Clark, RE ;
Rickards, L .
PSYCHIATRIC SERVICES, 2001, 52 (04) :469-476