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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 , doi: 10.1080/01612840.2017.1413458.

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Abstract

Less is known about the experiences of older adults (65+ years of age) with co-occurring mental health andalcohol and other drug use disorders (dual diagnosis) than is known about the experiences of their youngercounterparts. This exploratory qualitative study sought to interview individuals receiving case managementfrom an inner Melbourne community mental health service to determine their experiences of living withdual 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 participatein a semi-structured interview process and provided their perspectives about living with complex mentalillness and alcohol and other drug use.Several key themes emerged throughout the interview process, mirroring the notion of dual diagnosisbeing 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 demonstratethe challenges inherent in providing care to this cohort, with the participants frequently describing theirexperiences with services as being fraught with difficulty. The increased understanding of the perspectivesof 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.

Item Type: Article
Authors/Creators:Searby, A and Maude, P and McGrath, I
Keywords: community mental health services, psychiatric diagnosis, mental disorders
Journal or Publication Title: Issues in Mental Health Nursing
Publisher: Taylor & Francis Inc.
ISSN: 0161-2840
DOI / ID Number: 10.1080/01612840.2017.1413458
Copyright Information:

Copyright 2018 Taylor & Francis, LLC

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