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dc.contributor.authorNutt, Rachel
dc.contributor.authorGilchrist, Gail
dc.contributor.authorMarsa-Sambola, Ferran
dc.contributor.authorBaldacchino, Alexander
dc.identifier.citationNutt , R , Gilchrist , G , Marsa-Sambola , F & Baldacchino , A 2017 , ' Staff regard towards working with patients with co-morbid depression and substance misuse : an exploratory study ' , Heroin Addiction and Related Clinical Problems , vol. 19 , no. 2 , pp. 5-16 . < >en
dc.identifier.otherORCID: /0000-0002-5388-7376/work/93894838
dc.descriptionFunding: Funding was received from the European Commission (contract number 2005322).en
dc.description.abstractBackground. Patients having co-morbid mental health and substance misuse experience poorer treatment outcomes than those treated for either condition alone. Studies suggest health professionals regard towards these patients is a factor. Aims. To compare regard towards patients with co-morbid depression and substance misuse across different health professions and services, relative to independent conditions (depression, diabetes, alcohol and/or drug misuse). Methods. A cross-sectional comparative exploratory study of regard towards five patient groups conducted on multi-disciplinary staff (general practitioners, psychiatrists, psychologists, nurses and social workers. Total n=113) in three Scottish NHS board regions-NHS Fife, Tayside and Forth Valley. Services from three main treatment entry points were recruited in each region - 10 primary care services (43.5%), 7 mental health (70%) and 4 specialist addiction (100%). Descriptive statistics were calculated for regard towards each patient group. Multifactorial between subjects ANOVA examined influences on Medical Condition Regard Scale (MCRS) scores. Results. Regard towards patients with co-morbid depression and substance misuse was frequently lower than towards patients with independent conditions. Male professionals held lower regard towards these patients than female (p=0.03). Addiction services held the highest regard and general practice lowest (p >0.001). Over-45‘s held the lowest regard towards these patients (p=0.02). Health professional’s satisfaction with working with these patients was also low (mean 1.98, sd 1.22) compared to other conditions. Conclusions. Regard towards patients with co-morbid depression and substance misuse is lower than either condition independently, particularly among older, male professionals and those in general practice.
dc.relation.ispartofHeroin Addiction and Related Clinical Problemsen
dc.subjectDual diagnosisen
dc.subjectMental healthen
dc.subjectSubstance misuseen
dc.subjectBF Psychologyen
dc.subjectRC0321 Neuroscience. Biological psychiatry. Neuropsychiatryen
dc.subjectMedicine (miscellaneous)en
dc.subjectPsychiatry and Mental healthen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleStaff regard towards working with patients with co-morbid depression and substance misuse : an exploratory studyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Centre for Minorities Research (CMR)en
dc.description.statusPeer revieweden

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