Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study). Cluster randomised trial

Johnson, Sonia and Thornicroft, Graham and Afuwape, Sarah and Leese, Morven and White, Ian R. and Hughes, Elizabeth and Wanigaratne, Shamil and Miles, Helen and Craig, Tom (2007) Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study). Cluster randomised trial. British Journal of Psychiatry, 191 . pp. 451-452. ISSN 0007-1250

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Official URL: http://dx.doi.org/10.1192/bjp.bp.106.032367

Abstract

A cluster randomised controlled trial was used to investigate the effectiveness of training staff in 13 London community mental health teams (CMHTs) to deliver substance misuse interventions to patients with psychosis and comorbid substance misuse (‘dual diagnosis’). The primary hypotheses, which were that experimental group patients would spend fewer days in hospital over 18 months of follow-up and show reduced alcohol and drug consumption, were not confirmed, although confidence intervals were wide for some outcomes. Current UK policy guidance advocates training CMHT professionals to deliver dual diagnosis interventions, but the effectiveness of this strategy has not so far been demonstrated.

Item Type:Article
Additional Information:A cluster randomised controlled trial was used to investigate the effectiveness of training staff in 13 London community mental health teams (CMHTs) to deliver substance misuse interventions to patients with psychosis and comorbid substance misuse (‘dual diagnosis’). The primary hypotheses, which were that experimental group patients would spend fewer days in hospital over 18 months of follow-up and show reduced alcohol and drug consumption, were not confirmed, although confidence intervals were wide for some outcomes. Current UK policy guidance advocates training CMHT professionals to deliver dual diagnosis interventions, but the effectiveness of this strategy has not so far been demonstrated.
Keywords:Dual diagnosis, Substance use disorders
Subjects:L Social studies > L510 Health & Welfare
Divisions:College of Social Science > School of Health & Social Care
ID Code:1043
Deposited By: Bev Jones
Deposited On:23 Aug 2007
Last Modified:18 Jul 2011 16:15

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