Managing substance use for clients with serious mental illnesses: Knowledge, attitude, and training challenges among outpatient behavioral health providers in California, Ohio, and New York
| Autor: | Helle Thorning, Leslie Giambone, Scott Fairhurst, Fred J. Pasquarella, Andrew W Hunt, Lisa Davis, Lezlie Murch, Sae Lee, John S. Brekke, Erin L. Kelly |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Mediation (statistics) Health Knowledge Attitudes Practice Substance-Related Disorders Population New York 030508 substance abuse Medicine (miscellaneous) Practice-based research network 03 medical and health sciences 0302 clinical medicine Outpatients medicine Humans 030212 general & internal medicine Psychiatry education Effects of cannabis Ohio education.field_of_study biology Mental Disorders biology.organism_classification Mental illness medicine.disease Mental health Psychiatry and Mental health Clinical Psychology Workforce Cannabis Pshychiatric Mental Health 0305 other medical science Psychology |
| Zdroj: | Journal of substance abuse treatment. 131 |
| ISSN: | 1873-6483 |
| Popis: | Purpose Individuals with serious mental illness have high rates of substance use. The most commonly used substances among this population are alcohol and cannabis, and whether clinical providers delivering mental health services feel adequately prepared to address substance use is unclear. While information about the effects of alcohol are well established, the effects of cannabis are less well known and staff may feel less confident in their abilities to assess its use and may rely on more informal sources to learn about it. Methods Mental health agencies in three states (California, Ohio, and New York) surveyed their staff (n =717) to explore their knowledge, training, and expertise in assessment of substance use generally as well as cannabis and alcohol specifically. Results Overall, providers felt more prepared to address their clients' alcohol use than cannabis use. In between-state comparisons, California providers felt significantly less well prepared to assess, discuss, and refer their clients to treatment compared to Ohio and New York providers. Using a series of multi-categorical mediation models, we confirmed that deficits in training for these specific substances largely accounted for between-state differences in assessment, capacity, and treatment. Conclusions Substance use training to address the service needs of individuals with co-occurring disorders is insufficient and a significant need exists for systemic changes to workforce training of community mental health providers. |
| Databáze: | OpenAIRE |
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