The Experiences of Older Adults with Dual Diagnosis in an Inner Melbourne Community Mental Health Service

Searby, A, Maude, P and McGrath, I 2018, 'The Experiences of Older Adults with Dual Diagnosis in an Inner Melbourne Community Mental Health Service', Issues in Mental Health Nursing, vol. 39, no. 5, pp. 420-426.


Document type: Journal Article
Collection: Journal Articles

Title The Experiences of Older Adults with Dual Diagnosis in an Inner Melbourne Community Mental Health Service
Author(s) Searby, A
Maude, P
McGrath, I
Year 2018
Journal name Issues in Mental Health Nursing
Volume number 39
Issue number 5
Start page 420
End page 426
Total pages 7
Publisher Taylor and Francis
Abstract Less is known about the experiences of older adults (65+ years of age) with co-occurring mental health and alcohol and other drug use disorders (dual diagnosis) than is known about the experiences of their younger counterparts. This exploratory qualitative study sought to interview individuals receiving case management from an inner Melbourne community mental health service to determine their experiences of living with dual diagnosis and explore their interactions with mental health and addiction treatment, and general medical services alike. Six older adults with a dual mental health and substance disorder agreed to participate in a semi-structured interview process and provided their perspectives about living with complex mental illness and alcohol and other drug use. Several key themes emerged throughout the interview process, mirroring the notion of dual diagnosis being a complex phenomenon involving a number of interrelated factors: these include medical complexity, poor service engagement and long-term use of alcohol and other drugs. Interviews also demonstrate the challenges inherent in providing care to this cohort, with the participants frequently describing their experiences with services as being fraught with difficulty. The increased understanding of the perspectives of older adults with dual diagnosis provides the foundation for further research into this population in addition to influencing future nursing care provided to this cohort. © 2018 Taylor & Francis Group, LLC.
Subject Nursing not elsewhere classified
Public Health and Health Services not elsewhere classified
Keyword(s) Substance-Abuse
Drug-Use
Alcohol
Prevalence
Careers
Disorders
Cohort
DOI - identifier 10.1080/01612840.2017.1413458
Copyright notice © 2018 Taylor & Francis Group, LLC.
ISSN 0161-2840
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