Reason For Use Package - PowerPoint Presentation

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Reason For Use Package - PPT Presentation

Nexus Neami National Evaluation Kevan Myers Team Leader Nexus Dual Diagnosis Service Session outline Dual Diagnosis Context Reasons for U se Package Development Nexus Neami National Reasons ID: 530431

package national reasons neami national package neami reasons dual diagnosis illness mental rfup research 2015 rfu health comparison amp

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Slide1

Reason For Use Package Nexus Neami National Evaluation

Kevan Myers

Team Leader Nexus Dual Diagnosis ServiceSlide2

Session outline

Dual Diagnosis Context

Reasons for

Use Package Development

Nexus Neami National Reasons for Use Package Evaluation

Progress and Future StepsSlide3

Dual diagnosis is when a person experiences mental

illness and substance use issues.

here is no “typical” client – common themes and / or varying complexitySometimes called comorbidity or concurrent disorders

What is Dual Diagnosis?Slide4

Australia

Alcohol and other drug use is common amongst people with mental illness:

90 per cent of men with schizophrenia have a drug problem 75 per cent of people with drug problems have a mental illness 64 per cent of psychiatric in-patients have or have had a drug problem

www.sane.orgSlide5

Health Burden

Hartz et al. (2014) found that:• The odds of smoking and alcohol and other substance use to be dramatically higher in severe mental illness than recent estimates of substance use in mild mental illness.

• 30 % of people with severe psychiatric illness engaged in binge drinking, compared to 8% in the general population • 75 % of people with severe psychiatric illness were regular smokers (c.f. 33% in the control group)• 50 % of people with psychotic disorders used marijuana regularly, versus 18 % in the general population.• Half of those with mental illness also used other illicit drugs, versus 12% in the general population.

The early mortality in people with severe mental illness (25 years earlier than individuals in the general population) is largely attributable to medical illnesses that are associated with substance use disorders.” Slide6

“Despite isolated examples of good practice, estimates show that only seven per cent of people with a co – existing mental illness and substance use disorder will receive treatment for both problems”

Thriving, not just Surviving –

Australia's National Mental Health Report Card 2013

Ch 3Slide7

Victorian Dual

Diagnosis Initiative

Four Metro teams established 2001

Nexus Dual Diagnosis ServiceEastern Dual Diagnosis ServiceSouthern Dual Diagnosis ServiceSUMITT (Substance Use & Mental Illness Treatment teamRural and remote DD clinicians across VictoriaSlide8

An approach to the development of sustainable skills,

organisational structures, resources and commitment to health improvement in health and other sectors, to prolong and multiply health gains many times over.

Hawe

et al: 1999 Capacity BuildingSlide9

Why does dual diagnosis matter?

Can’t treat one without the other!Slide10

DD Approach

Harm Minimisation

A philosophy underpinning Australia’s drug

treatment strategy since 1985.

An approach that aims to reduce the adverse health, social and economic consequences of misuse of alcohol and other drugs, by minimising

or limiting the harms and hazards of drug use for

both the community and the individual, without

necessarily eliminating use.

* Integrated

treatment

‘Welcoming, responsive and Hopeful’ –

MinkoffSlide11

A resource that facilitates therapeutic conversations with consumers to explore issues relating to the interaction between their mental health and alcohol and other drug use.

Kroes &

Kevan Myers

Reasons for Use Package

Go to Main Menu

Go to Domains Slide12

What is it?

In Power Point format and WORD

The RFU Scale & Scoring systemFollow up strategies and relevant resources

Mentoring Process Slide13

Who Made It?

Simon Kroes and Kevan Myers from Nexus Dual Diagnosis Service at St Vincent’s Hospital Melbourne by building on the Reasons for Use Scale Professor David Castle et al developed and researched.Slide14

Why did you make it?

Unrealistic Expectation: Knowledge = ability.

The sector relies on conversations to create change. We believe that there is a need for a practical DD resource to facilitate this process

Getting the approach to exploring DD issues is crucialThe Reasons for Use Package (RFUP) was designed in response to workers in the field asking for resources to assist them after they have done initial screening to detect dual diagnosis issues.

“I’ve done the screen, what do I do now” Slide15

How do I use it?

1. Apply Reasons for Use scale

2. Consult Domain based strategies

3. Provide Feedback to client and collaborate with consumer on treatmentSlide16

About the RFU Scale

The Reasons for Use scale (Spencer et al 2002) is a 26-item self-report instrument. It includes items from the Drinking Motive Questionnaire (Cooper et al 1995) and additional motives specific to symptoms of mental illness.

It is administered to better understand participant's reasons for use and thus tailor the intervention(s) to meet the individual’s needs.Slide17

Development of the RFU Package

The RFU scale (Spencer et al 2002) has been used extensively by clinicians in various fields.

Nexus has drawn on this practice wisdom to create the RFU Package.

The RFU Package is a compilation of existing tools, interventions and information that may be used following the administration of the RFU scale.Slide18

Is it user friendly?

The RFUP has been built to align with common health and welfare skills that workers already have. It provides a framework for applying these skills in a practical and user friendly manner. People from a range of disciplines, including psychology, occupational therapy and social work, who have used the RFUP found the package easy to use.Slide19

Steps to HereGap Identified

Initial concept and designNeeds analysis 2012 confirmation3 Pilots – including MH, MHCSS, AOD and housingNN staff asked for further roll out

Research partnership established – Nexus NN MonashNational trialDisseminationSlide20

Research steps

Literature Review

Research Partnership

Research DesignEthicsInterventionAnalysisWriting and dissemination of resultsSlide21

Research Partnership Established

Simon Kroes &

evan Myers: Nexus Dual Diagnosis ServiceDr Melissa Petrakis:

Monash University School of Social Work Kerry Stringer & Sarah O’Connor: Neami National Service Development Unit Slide22

Research Design

Two groups of 40+

Neami

National staff from comparable sites.Control group NSW site.Intervention site Victoria.Both groups surveyed at 3 time points

12 Questions knowledge and confidence in DD interventions. Nb these are based on the domains of the RFU Scale. Victorian group receive Training and Mentoring in RFUP.

Consumers who participate in RFUP offered Feedback Questionnaire.Slide23

Governance

St Vincent's HREC-A have approved the research

Monash

University Ethics Committee have approved research.Neami National Research Committee has approved the researchSlide24

Data Analysis

Statistical Analysis of de-identified quantitative data from 3 x time point survey questions and Consumer questionnaire

Thematic

Analysis of de-identified qualitative data from Mentor and Mentee Focus groupsSlide25