- Title
- Mental health hospital admissions: a teachable moment and window of opportunity to promote change in drug and alcohol misuse
- Creator
- Graham, Hermine L.; Copello, Alex; Griffith, Emma; Clarke, Latoya; Walsh, Kathryn; Baker, Amanda L.; Birchwood, Max
- Relation
- International Journal of Mental Health and Addiction Vol. 17, Issue 1, p. 22-40
- Publisher Link
- http://dx.doi.org/10.1007/s11469-017-9861-9
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2019
- Description
- 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.
- Subject
- dual diagnosis; inpatients; qualitative research; schizophrenia; substance misuse; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1471241
- Identifier
- uon:48621
- Identifier
- ISSN:1557-1874
- Language
- eng
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