The main object of “Dual Diagnosis Program” is managing people with co-occurring disorders associated with mental illness and substance abuse. Individuals with the mental illness experience high rate of co-occurring disorders associated with substance abuse with severely affect their course, current adjustment and overall outcome. Parallel and separate substance abuse and mental health treatment frameworks do not provide accessible tailored and integrated interventions for the presence of co-occurrence. This program has the specific goal of ameliorating disorders associated with substance abuse and the general goal of enhancing the quality of life for this population. The program additionally provides guidelines related to philosophy and mission, comprehensive reorganization, leadership, and quality improvement.
The target population for this program is adults with severe mental illness. This population has an extraordinary rate of co-occurring disorders associated with substance abuse. “Severe mental illness” is a widely used expression that includes disability, duration, and diagnosis. Disorders associated with substance include dependence psychoactive drugs and using medication in a greater amount than prescribed by the medics that usually comprise narcotic disorders. Difference terms include co-occurring disorders, dual disorders, and dual diagnosis are mainly used to describe patients who experience co-occurring substance abuse and “severe mental illness” disorders (Pedersen and Skardhamar, 2010).
Interventions for substance abuse and mental illness disorders incorporate rehabilitation and treatment. Treatments are psychosocial and medication techniques aimed at eliminating or controlling causes or systems of disorders or illness. Rehabilitation interventions are planned to enhance attitudes and backings to empower people to defeat the incapacities related to disease or turmoil. Treatment and restoration cover impressively (Hakansson et al., 2011).
Recovery has turned into a prevailing idea in the medicinal services framework, however, has not been reliably characterized. It alludes to a procedure of defeating sickness, as opposed to just controlling manifestations, and moving past ailment to seek after a wonderful and important life. The term recovery is differently utilized for motivation, support, benefit improvement, approach, and different purposes. It frequently infers practical results, for example, by and by important exercises and connections, additionally alludes to an individual’s procedure of building expectation and self-sufficiency.
Important success factors for the implementation of “dual diagnosis program” are identified in the Pickard and Fazel (2013). This comprises guidelines regarding philosophy and mission, comprehensive organization, active leadership, quality improvement, supervision and longitudinal training. Pickard and Fazel (2013) describe specific approaches to managing severe mental disorders associated with mental abuse. The program aims to manage severe mental illness through “dual diagnosis”.
In this program, it is observed that the natural development of “severe mental illness” for many patients trend towards symptoms remission, recovery, and improvement of quality and functioning of life over a given period provided the patients do not suffer mortality associated with mental illness at early stages. This situation is similar to those patients suffering from disorders associated with alcohol abuse. There is insufficient longitudinal evidence for the patients experiencing co-occurring disorders. However, a follow-up of over 3 years indicated some significant improvements. In this program, “dual diagnosis” patients recorded recovery cutoffs and outcomes, working in jobs that are competitive, living independently, and expressing positive improvement in life quality, making regular contacts with relative and friends who are not substance users, suppressing psychiatric symptoms and managing disorders associated with substance abuse actively (Prilleltenksy, 2005). The major outcome for this program include;
- The patients recorded steady improvements for all the above outcomes for over 10 years.
- The domains described above were generally independent of each other.
- The program additionally found that there is common mortality among the patients that does not attain substance disorders remission.
Implication of the Program
The main implication of “dual diagnosis program” is that it is effective in managing “severe mental illness” associated with substance abuse. Individuals with co-occurring “are the norm rather than the exception”. This reality should be embraced by every mental health and mental clinician and adopt relevant modification. Further, numerous automatic components won’t be customized for the necessities of dually confused customers(Pedersen and Skardhamar, 2010)..
Longitudinal research demonstrates that recuperation is conceivable as well as seems, by all accounts, to be the modular procedure for individuals with double findings. By and by, numerous customers, families, and clinicians encounter serious here and now issues and, for justifiable reasons, show demoralization, sadness, and despondency. They frequently have almost no data with respect to the accessibility of successful medicines and the conceivable outcomes for long haul recuperation. These discoveries infer a moral basis to give instruction and expectation. The expectation is a basic part of the procedure of recuperation Likewise, cheerfulness and a reasonable desire of double recuperation illuminate the logic of double determination treatment. Patients can be viewed as having the capacity to recuperate, and all clinicians can be useful by passing on a practical message of good faith in regards to long haul recuperation (Hakansson et al., 2011).
The program of “dual diagnosis” drop a negative propensity for a positive guarantee sounds beneficial for an effective change in conduct. One of the methods for drawing these casualties to take part the constructive shared condition is by utilizing good examples that as of now exist in the group. Good examples impact the mental condition of a person.
One of the comprehensively clear values in this program is the exclusively situated ameliorative change. Be that as it may, it additionally cares for the effectively changed individuals from the general public. Accordingly, it acts like a system of change that starts with an individual. On a similar point, their general public likewise gets the security from the dangerous and vicious conduct. This is firmly identified with the philosophy of study of cerebral paralysis administration.
Notwithstanding the built up connection between substance manhandle, viciousness and wrongdoing, late research proposes that substance mishandle inside rationally disarranged legal patients ought to be viewed as an imperative hazard consider for brutality and re-irritating. Enhanced treatment for substance mishandle in scientific psychiatric patients together with the offer of observed forbearance as a state of leave or release could in this way be conveniently considered as a methods for lessening and overseeing hazard. This may enhance tolerant care by tending to emotional wellness needs and improving the open door and probability of fruitful re-mix into the group and better life prospects. It is also essential to ensure people in general by decreasing danger of re-culpable and offering ongoing observing and potential mediation when hazard is increased; and help measurable specialists strike a harmony between patient care and open assurance, possibly reducing a portion of the trouble and uneasiness that choices to allow leave or release can make.
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