Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study.

Détails

Ressource 1Télécharger: Morandi et al 2017.pdf (428.96 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_578899572D47
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study.
Périodique
Substance abuse treatment, prevention, and policy
Auteur(s)
Morandi S., Silva B., Golay P., Bonsack C.
ISSN
1747-597X (Electronic)
ISSN-L
1747-597X
Statut éditorial
Publié
Date de publication
25/05/2017
Peer-reviewed
Oui
Volume
12
Numéro
1
Pages
26
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: epublish
Résumé
Co-occurring severe mental and substance use disorders are associated with physical, psychological and social complications such as homelessness and unemployment. People with severe mental and substance use disorders are difficult to engage with care. The lack of treatment worsens their health and social conditions and increases treatment costs, as emergency department visits arise. Case management has proved to be effective in promoting engagement with care of people with severe mental and substance use disorders. However, this impact seemed mainly related to the case management model. The Intensive Case Management for Addiction (ICMA) aimed to improve engagement with care of people with severe mental and substance use disorders, insufficiently engaged with standard treatment. This innovative multidisciplinary mobile team programme combined Assertive Community Treatment and Critical Time Intervention methodologies. The aim of the study was to observe the impact of ICMA upon service use, treatment adherence and quality of support networks. Participants' psychosocial and mental functioning, and substance use were also assessed throughout the intervention.
The study was observational. Eligible participants were all the people entering the programme during the first year of implementation (April 2014-April 2015). Data were collected through structured questionnaires and medical charts. Assessments were conducted at baseline and at 12 months follow-up or at the end of the programme if completed earlier. McNemar-Bowker's Test, General Linear Model repeated-measures analysis of variance and non-parametric Wilcoxon Signed Rank tests were used for the analysis.
A total of 30 participants took part in the study. Results showed a significant reduction in the number of participants visiting the general emergency department compared to baseline. A significantly decreased number of psychiatric emergency department visits was also registered. Moreover, at follow-up participants improved significantly their treatment adherence, clinical status, social functioning, and substance intake and frequency of use.
These promising results highlight the efficacy of the ICMA. The intervention improved engagement with care and the psychosocial situation of people with severe mental and substance use disorders, with consequent direct impact on their substance misuse.

Mots-clé
Adult, Case Management, Diagnosis, Dual (Psychiatry), Female, Health Services Accessibility/statistics & numerical data, Humans, Male, Mental Disorders/complications, Mental Disorders/therapy, Social Behavior, Substance-Related Disorders/complications, Substance-Related Disorders/therapy, Treatment Adherence and Compliance/statistics & numerical data, Young Adult, Addiction, Assertive community treatment, Critical time intervention, Engagement with care, Intensive Case Management, Severe mental disorder, Substance use disorder
Pubmed
Web of science
Open Access
Oui
Création de la notice
15/05/2017 14:16
Dernière modification de la notice
19/11/2019 13:05
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