Mental Health Hospital Admissions: a Teachable Moment and Window of Opportunity To Promote Change in Drug and Alcohol Misuse
Hermine L. Graham,Alex Copello,Alex Copello,Emma Griffith,Latoya Clarke,Kathryn Walsh,Amanda L. Baker,Max Birchwood +7 more
TLDR
Assessment of the acceptability of delivering a brief integrated motivational intervention to inpatients and the feasibility of delivery by inpatient staff found the intervention useful and staff considered the targeted style of the BIMI useful.Abstract:
Hospital admissions provide a “teachable moment”. Many patients admitted to mental health hospitals have co-existing substance misuse. As acute symptoms decline, a window of increased insight into factors that contributed to becoming unwell and admission may present. This study used this “teachable” opportunity to assess the acceptability of delivering a brief integrated motivational intervention (BIMI) to inpatients and the feasibility of delivery by inpatient staff. Qualitative interviews were completed with 21 inpatients experiencing co-occurring schizophrenia-related or bipolar disorder diagnoses and substance misuse who received the BIMI. Twelve staff members completed either individual interviews or a focus group. Four themes were identified from the qualitative interviews with participants; these were openness/readiness to talk about substance use, feeling valued, understanding substance use and helpful skills and processes; each with a number of subthemes. Participants appeared to find the intervention useful; although, felt they did not always have the “headspace”. One theme emerged from the staff data, the acceptability of the approach for inpatient ward staff, which had four subthemes; training in the intervention; delivering the intervention; joint working; and feasibility. Staff considered the targeted style of the BIMI useful. Delivery considerations included “timing” and competing ward duties. Hospital admission presents a natural window of opportunity for staff to start conversations with inpatients about substance misuse.read more
Citations
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Journal ArticleDOI
Substance misuse brief interventions during psychiatric hospital admissions
TL;DR: The BIMI has been shown to lead to higher levels of engagement in clients exploration of substance use and the impact on mental health, and suggest both staff and inpatients found the intervention feasible and acceptable.
Journal ArticleDOI
The Minnesota Model: A Clinical Assessment of Its Effectiveness in Treating Anxiety and Depression Compared to Addiction
Hollie Montague,Ian Fairholm +1 more
TL;DR: Reliable change index calculations indicated that both the addiction group and the anxiety/depression group exhibited clinically significant reductions in anxiety and depression following treatment, and the theoretical and therapeutic implications are discussed.
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