Sunday, March 31, 2019
Substance Abuse And Mental Disorders Social Work Essay
Substance abomination And kind Disorders Social Work EssayDual diagnosing among do drugs roast and intellectual unwellnessiness is very putting surface. The two problems shanghai and interact with each some other. The number of large number analysed with a psychological illness and magnetic core went from 210,000 to 800,000 between the years of 1998-2003. (Druss MD, Bornemann, Fry-Johnson MD, McCombs PhD, Politzer, Rust MD, 2006) Substance laugh at is the almost common and clinically important two-fold disorder among adults with severe psychical illness. Studies depict that fifty per centum of stack with psychogenic illness as well necessitate a amount of money cry out problem. (Saisan, Smith, Segal, 2010) And more than half the souls with a shopping centre deprave diagnosing also have a identifiable affable illness. (Saisan, Smith, Segal, 2010)Clinicians believe that genial illness and nucleus tread ar biologically and physiologically based. A lthough substance revilement and psychical wellness disorders get by depression and anxiety ar closely linked, one does non right away cause the other. (Saisan, Smith, Segal, 2010) Both conditions faecal matter mirror each.PROBLEM STATEMENTto a greater extent and more mint be suffering from a combination of substance nuisance and psychic health problems. Alcohol and/or drugs ar oftentimes used to relieve the symptoms of a moral illness, side personal effects from their medications or just to cure symptoms they ar having at the time. Alcohol and drug abuse loafer ontogenesis original risk for mental disorders and can experience symptoms of a mental health problem worse. Substance abuse and mental illness unremarkably co-occur due to genetic factors, environmental factors, a brain disorder and/or a development disorders. Co-occurring disorders, two disorders or illnesses occur simultaneously in the same person, they atomic number 18 called dual diagnosis or co mo rbidity. (Topics in Brief, 2007) Treatment for this dual diagnosis has not been well designed. Clients have to go a treatment facility for mental health treatment and a different facility for substance abuse treatment. This kind of treat is not successful because this leaves the client trying to look at/ public treasury a disorder on their own. It is almost impossible for them to manger the other disorder because if they could quit on their own they would not guide treatment.It can be hard to diagnose a person with a dual diagnosis of mental illness and substance abuse. One of the things that makes diagnose hard is denial by the patient. Substance abuse and mental disorders normally co-occur because of overlapping genetic vulnerabilities, overlapping environmental triggers like stress, link of similar brain regions, and drug abuse and mental illness argon developmental disorders. (Topics in Brief, 2007) Having a dual diagnosis put a person at greater risk for relapse. Violence a nd suicide attempts are also more prevalent among the dually diagnosed population.BACKGROUNDThe problem of dual diagnosis became clinically clear in the early 1980s. (Drake R. P., 2001) Substance abuse and mental illness hinders your mightiness to function, handle life and have a water-loving social life.Mental illnesses are mental conditions that disrupt a persons thinking, feeling, mood, ability to relate to others and daily functioning. The World Health Organization has reported that quadruplet of the 10 head for the hillsing causes of disability in the US are mental disorders. (National Alliance on Mental Illness, 2010) Some of the major and the most common mental illness that occur with substance abuse are wild depression, schizophrenia, bipolar disorder, attention deficit hyperactivity disorder, obsessive compulsive disorder, panic disorder, send out traumatic stress disorder, generalize anxiety disorder and antisocial reputation disorder. It is reported that about 57.7 million Americans experience a mental health disorder in a given year. (National Alliance on Mental Illness, 2010)Substance abuse, also known as drug abuse, refers to a maladaptive pattern of use of a substance that is not need to underpin life or to make it better. One in four US deaths can be attributed to alcohol, tobacco, or illicit drug use. (Innovatory Combating Substance demoralize, 2010) The commonly abused drugs by people with a mental illness are alcohol, cocaine and/or marijuana. Substance abuse complicates some aspect of conduct for a person with a mental disorder. It provides challenges for the counselor to engage the single in treatment.About 50% of individuals with severe mental disorders are bear upon by substance abuse. (Saisan, Smith, Segal, 2010) Thirty-seven percent of alcohol abusers and 53% of drug abusers also have at least on serious mental illness. (Saisan, Smith, Segal, 2010) See the chart below. The risk of developing a drug abuse problem while hav ing a disorder goes as high as 15.5% for antisocial personality disorder and as low as 02.1% for phobias. The mental health problems that most commonly co-occur with substance abuse are depression, anxiety disorders, and bipolar disorder. (Saisan, Smith, Segal, 2010) When a person has a dual diagnosis of substance abuse and mental illness the clinician has to de enclosureine what are the symptoms/signs of the substance abuse and what are the symptoms/signs are from the mental illness.Disorders with Increased Risk of dose AbuseDisorderRiskAntisocial personality disorder15.5% frantic fortune14.5%Schizophrenia10.1%Panic disorder04. 3%Major depressive episode04.1%Obsessive-compulsive disorder03.4%Phobias02.1%Source National prove of Mental Health.(Drug Abuse and Mental Illness Fast Facts, 2006)At least 60% of people fighting substance abuse or mental illness are fighting some(prenominal) at the same time. (Bouchex, 2007) Patients with mood, anxiety or drug disorders are about twice as likely to be diagnosed with the other as well. Figure 1 (Topics in Brief, 2007) The prevalence of these dual diagnoses does not mean that one condition caused the other, even if one appeared first. The high evaluate show the need for better treatment and treatment centers able to deal with some(prenominal) at the same time. on the job(p) DIAGNOSISSubstance abuse can cause mental disorders due to the fact that,drug abuse can cause a mental illness,mental illness can lead to drug abuse,drug abuse and mental disorders are both caused by other common risk factorsall three can contribute to the establishment of peculiar(prenominal) dual diagnosis of mental disorders and addiction. (Topics in Brief, 2007)FRAMEWORK/METHOD OF ANALYSISI began my search using Google and searched using the terms Substance abuse and Mental Illness. This resulted in nine articles that were germane(predicate) to my topic all of which I used as references.I consequently went to the Pub Med Central databa se and searched using the term substance abuse and mental illness and found many articles. I used four of those articles as references. The other references were found on website such(prenominal) as National Institute on Drug Abuse and the National Drug Intelligence Center. extra INFORMATION (LITERATURE REVIEW)This review looks at progress made in sagaciousness the relation between drug abuse and mental illness. Volkow found that the kin between substance abuse and mental illness is likely to contrive common contributing factors and brain subst grade. (Volkow, 2001) One of the main factors substance abuse and mental illness have in common is stress. A interrogative sentence that still remains is the role that drug abuse has on create psychosis in individuals with no previous psychiatric histories. Stimulant drugs induce psychosis because they increase extracellular dopamine concentration in the brain. However it does not rationalize why psychosis can continue after the stimula nt drug is no longer present in the brain.Regier, et al, broke his study down into specific mental disorders. This review found that of people with schizophrenia forty-seven percent has some form of substance abuse problem. People diagnosed with schizophrenia have a 4 times as likely then people who do not have schizophrenia to have a substance abuse problem. (Regier, et al., 1990) The odds for people diagnosed with anxiety disorders to have a substance abuse proplem were more than fourteen percent.It is believe that substance abuse whitethorn trigger mental illness in unprotected individuals. Evidence show a complex explanation in which well-known risk factors- such as poor cognitive function, anxiety, deficient interpersonal skills, social isolation, poverty, and privation of structured activities combined to render people with mental illnesses particularly vulnerable to alcohol and drug abuse. (Drake, 2009) People that already have a mental disorder probably appear to be extrem ely sensitive to the effects of alcohol and other drugs, due to having a form of brain disorder.Drake, et al, explains the term dual diagnosis as misleading because people with a dual diagnosis are diverse and tend to have multiple illnesses rather than just two illnesses. Drake discusses how inquiryers have established some identical finding. First, colligation is common. Second, dual diagnosis is associated with a variety of negative outcomes, including higher rates of relapse, hospitalization, violence, incarceration, homeless and serious infections such as HIV and hepatitis. (Drake R. P., 2001) Third, the mental health and substance abuse treatment system delivers fragmented and ineffective care.RESTATEMENT OF WORKING DIAGNOSIS (Hypothesis) there is evidence that substance abuse can lead to a mental disorder but also a mental disorder can also lead to a substance abuse, it is not known which comes first. Like the saying which comes first the chicken or the egg. It is say th at having one of the diagnosis makes you vulnerable to the other.MANAGERIAL/POLICY RECOMMENDATIONSWhy people who are having a mental disorder are so disposed to drug abuse raises a lot of questions due to the limited research done on the topic. The research so far is inconsistent and has failed to cite a number of issues. There is a need for more research as well as more treatment center that are equipped to deal with dual diagnosis. The patient has two brain diseases that bring one another, and which both need treatment, at the same time. This is when dual diagnosis treatment is need. It is an climax used by clinicians to treat individuals affected by two co-occurring or coexisting conditions simultaneously. Dual diagnosis affects a person physically, mentally, spiritually, emotionally and socially. There is a need for an all-inclusive approach that identifies both disorders, evaluates both disorders, and at the same time treats both disorders. Many treatment centers now only t reat one or the other. Substance abuse treatment are not recommended or designed to handle a mental illness and vice versa. Awareness about the problem postulate to be made public, so that people know the signs to look for and how to approach the person about their disorder correctly. Patients also need to be awake(predicate) of the help that is available to them and support groups like Dual recovery Anonymous. There also needs to be better training for the counselors and physicians so that they depart be able to better and accurately diagnosis patients. For recovery to be successful you must treats a clients addiction and mental health problem.
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