Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Williams:2021:10.1080/15504263.2020.1825892,
author = {Williams, R and Farquharson, L and Rhodes, E and Dang, M and Butler, J and Quirk, A and Baldwin, D and Crawford, M},
doi = {10.1080/15504263.2020.1825892},
journal = {Journal of Dual Diagnosis},
pages = {80--93},
title = {Impact of substance use disorder on quality of inpatient mental health services for people with anxiety and depression},
url = {http://dx.doi.org/10.1080/15504263.2020.1825892},
volume = {17},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - INTRODUCTION: Substance use disorders (SUD) are commonly comorbid with anxiety and depressive disorders, and are associated with poor treatment outcomes.The mechanisms underlying this association remain unclear–one possibility is that patients with anxiety/depressive disorders and SUD receive poorer treatment.Concerns have been raised about the quality of inpatient care received by patients with SUD. OBJECTIVES: To examine the quality of care received by inpatients with an anxiety or depressive disorder, comparing sub-groups with or without a comorbid SUD. METHOD: Retrospective case-note review of 3,795 patients admitted to inpatient psychiatric wards in England. Data were gathered on all acute admissions with anxiety/depressive illness over a 6 month period, for a number of measures of quality of care derived from national standards. Association of co-existing SUD with a variety of quality of care outcomes (relating to assessment, care planning, medication management, psychological therapies, discharge, crisis planning and follow-up) was investigated using multivariable regression analyses.  RESULTS: 543(14.3%) patients in the study had a secondary diagnosis of a SUD. Patients with SUD were less likely to have had care plans that were developed jointly, (i.e.,with input from both patient and clinician; OR= 0.76, 95% CI [0.55,0.93], p =.034),and less likely to have had their medication reviewed either during the admission (OR = 0.83, 95% CI [0.69, 0.94], p=.030) or at follow-up after discharge (OR= 0.58, 95% CI [0.39,0.86], p=.007). Carers of patients with SUD were less likely to have been provided with information about available support services (OR= 0.79, 95% CI [0.57, 0.98], p=.047). Patients with SUD were less likely to have received adequate (at least 24 hours) notice in advance of their discharge (OR= 0.72, 95% CI [0.54,0.96], p=.033), as were their carers (OR= 0.63, 95% CI [0.41,0.85], p=.007). They were less likely to have a crisis plan in place at th
AU  - Williams,R
AU  - Farquharson,L
AU  - Rhodes,E
AU  - Dang,M
AU  - Butler,J
AU  - Quirk,A
AU  - Baldwin,D
AU  - Crawford,M
DO  - 10.1080/15504263.2020.1825892
EP  - 93
PY  - 2021///
SN  - 1550-4263
SP  - 80
TI  - Impact of substance use disorder on quality of inpatient mental health services for people with anxiety and depression
T2  - Journal of Dual Diagnosis
UR  - http://dx.doi.org/10.1080/15504263.2020.1825892
UR  - https://www.tandfonline.com/doi/full/10.1080/15504263.2020.1825892
UR  - http://hdl.handle.net/10044/1/82656
VL  - 17
ER  -
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