General practitioners' detection and management of patients with a dual diagnosis: Implications for education and training

Drug and Alcohol Review

Volumn 23, Issue 4, 2004, Pages 455-462

  Marshall, Kellie L ^a   Deane, Frank P ^b  

^a Illawarra Division of General Practice   (Australia)

^b UNIVERSITY OF WOLLONGONG   (Australia)

Author keywords

Anxiety; Depression; Dual diagnosis; General practice; Substance abuse

Indexed keywords

ADDICTION; ADULT; ATTITUDE TO HEALTH; AUSTRALIA; COMORBIDITY; CONFERENCE PAPER; CURRICULUM; EDUCATION; FEMALE; GENERAL PRACTICE; HEALTH SERVICE; HUMAN; INFORMATION PROCESSING; MALE; MEDICAL AUDIT; MEDICAL EDUCATION; MENTAL DISEASE; MIDDLE AGED; PATIENT CARE; PATIENT REFERRAL; PSYCHIATRIC DIAGNOSIS; PSYCHIATRY; STATISTICS; TREATMENT OUTCOME;

ADULT; AUSTRALIA; COMORBIDITY; CURRICULUM; DATA COLLECTION; DIAGNOSIS, DUAL (PSYCHIATRY); EDUCATION, MEDICAL, GRADUATE; FAMILY PRACTICE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; MALE; MEDICAL AUDIT; MENTAL DISORDERS; MIDDLE AGED; PATIENT CARE TEAM; PSYCHIATRY; REFERRAL AND CONSULTATION; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME;

EID: 10944238759     PISSN: 09595236     EISSN: None     Source Type: Journal    
DOI: 10.1080/09595230412331324572     Document Type: Conference Paper

References (38)

1. Teeson M, Dietrich U, Degenhardt L, Lynskey M, Beard J. Substance use disorders in an Australian community survey. Drug Alcohol Rev 2002;21:275-80.
2. Hickie IB, Davenport TA, Scott EM, Hadzi-Pavlovic D, Naismith SL, Koschera A. Unmet need for recognition of common mental disorders in Australian general practice. Med J Aust 2001;175:S18-24.
3. Andrews G, Hall W, Teeson M, Henderson S. The mental health of Australians: National Survey of Mental Health and Wellbeing Report 2. Canberra: Mental Health Branch of the Commonwealth Department of Health and Aged Care, 1999.
4. Hall W, Teeson M, Lynskey M, Degenhardt L. The 12-month prevalence of substance use and ICD-10 substance use disorders in Australian adults: findings from the National Survey of Health and Well-being. Addiction 1999;94:1541-50.
5. Jacka D, Clode D, Patterson S, Wyman K. Attitude and practices of general practitioners training to work with drug-using patients. Drug Alcohol Rev 1999;18:287-92.
6. Hickie IB, Koschera A, Davenport TA, Naismith SL, Scott EM. Co-morbidity of common mental disorders and alcohol or other substance misuse in Australian general practice Med J Aust 2001;175:S31-6.
7. NSW Health. The management of people with a co-existing mental health and substance use disorder: service delivery guidelines. Sydney: NSW Health Department, 2000.
8. Kessler D, Bennewith O, Lewis G, Sharp D. Detection of depression and anxiety in primary care: follow up study. Br Med J 2002;325:1016-17.
9. McCabe D, Holmwood C. Co-morbidity in general practice: the provision of care for people with coexisting mental health problems and substance use by general practitioners. Flinders University, Adelaide: Primary Mental Health Care Australian Resource Centre, Department of General Practice, 2002.
10. Mathers CD, Vos ET, Stevenson CE, Begg SJ. The Australian burden of disease study: measuring the loss of health from diseases, injuries and risk factors. Med J Aust 2000;172:592-6.
11. Ellen SR, Norman TR, Burrows GD. Assessing anxiety and depression in primary care. Sydney: Australasian Medical Publishing Company, Medical Journal of Australia, 1998.
12. Hall W, Farrell M. Co-morbidity of mental disorders with substance misuse. Br J Psychiatry 1997;171:4-11.
13. Duffy J, Ask A, MacDougall C. Concurrent opioid dependence and mental health problems: a review of the issues for general practice. Aust Health Rev 2001;24:188-96.
14. Farmer R, Greenwood N. General practitioners' management of problem drinkers - attitudes, knowledge and practice. Drugs Educ Prev Policy 2001;8:119-29.
15. Whelan G. The management of the heavy drinker in primary care. Aust Prescriber 2002;25:70.
16. Allwell L, Goldsmith S, Osborne L, Rolfe T. GPs and dual diagnosis: missing links in the service system? Dandenong Area Mental Health Service: Dual Diagnosis Resource Centre, 2002.
17. Fucito LM, Gomes BS, Murnion B, Haber PS. General practitioners' diagnostic skills and referral practices in managing patients with drug and alcohol-related health problems: implications for medical training and education programmes.Drug Alcohol Rev 2003;22:417-24.
18. Kaner EPS, Wutzke S, Saunders JB, Powell A, Morawski J, Bouix J. Impact of alcohol education and training on general practitioners' diagnostic and management skills: findings from a World Health Organization collaborative study. J Stud Alcohol 2001;62:621-8.
19. McAvoy BR. Alcohol education for general practitioners in the United Kingdom: a window of opportunity? Alcohol Alcohol 2001;35:225-9.
20. Pitterman L, Blashki G, Liaw T. Depression in general practice. Aust Fam Physician 1997;25:720-5.
21. Richards J, Ryan P, McCabe M, Groom G, Hickie I. The influence of mental health education on GPs' management of depression. Paper presented at the 28th Conference of the Australian Psychological Society, Perth, 2003.
22. Dowrick C, Buchan I, Twelve month outcome of depression in general practice: does detection or disclosure make a difference? Br Med J 1995;311:1274.
23. Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction 1993;88:315-35.
24. Fleming MF, Barry KL, Manwell LB, Johnson K, London R. Brief physician advice for problem alcohol drinkers: a randomised controlled trial in community based primary care practices. JAMA 1997; 277:1039-45.
25. Holmwood C. Alcohol-related problems in Australia: is there a role for general practice. Med J Aust 2002;177:102-3.
26. Wilson P, Watson R, Ralston GE. Methadone maintenance in general practice: patients, workload and outcomes. Br Med J 1994;309:641-5.
27. Biro V, Deane FP, Wilson CJ. Illawarra and Shoalhaven survey of mental health care in general practice. Report for Illawarra Area Mental Health Service, Illawarra and Shoalhaven Divisions of General Practice, NSW. Wollongong NSW: University of Wollongong, Illawarra Institute for Mental Health, 2002.
28. Hickie IB. Primary care psychiatry is not specialist psychiatry in general practice. Med J Aust 1999;170:172-3.
29. Clearihan L. Quality assurance and continuing professional development program. Melbourne: Royal Australian College of General Practitioners, 2001.
30. Royal Australian College of General Practice. Enhanced primary care: standards and guidelines for the enhanced primary care medicare benefits schedule items. Canberra: Commonwealth of Australia, 2000.
31. Australian Divisions of General Practice. Familiarisation training GP and practice manual: better outcomes in mental health care initiative, 2nd edn. Canberra: Commonwealth Department of Health and Ageing, 2003.
32. Booth B Lawrance R. The learning preferences of rural and remote general practitioners. A quantitative analysis and its implications for the RACGP QA&CE program. Aust Fam Physician 2000;29:994-9.
33. Hearnshaw H, Baker R, Cooper A. A survey of audit activity in general practice. Br J Gen Pract 1998;48:979-81.
34. Naismith SL, Hickie IB, Scott WM, Davenport TA. Effects of mental health training and clinical audit on general practitioners' management of common mental disorders. Med J Aust 2001;175:S42-7.
35. Stocks N, Gunnell D. What are the characteristics of general practitioners who routinely do not return postal questionnaires: a cross sectional study. J Epidemiol Commun Health 2000;54:940-1.
36. MaGPIe Research Group. The nature and prevalence of psychological problems in New Zealand primary healthcare: a report on Mental Health and General Practice Investigation (MaGPIe). NZ Med J 2003;116:379.
37. Deehan A, Templeton L, Taylor C, Durmmond C, Strang J. Are practice nurses and unexplored resource in the identification and management of alcohol misuse? Results from a study of practice nurses in England and Wales in 1995. J Adv Nurs 1998;28:592-7.
38. Illawarra Division of General Practice. Dual diagnosis: mental illness and substance abuse [CD-ROM]. Wollongong NSW: Digital Media Centre, University of Wollongong [Producer]. Canberra: Commonwealth Department of Health and Ageing [Distributor], 2003.