The Quantitative Study by Turid Moller and Olav Linaker Essay

This paper examines co-occurring mental illness, with more emphasis on schizophrenia, and substance use disorder. The purpose is to discuss what co-occurring mental illnesses are, the implications for individuals dual diagnoses, substances associated with schizophrenia, and treatment that have efficacy for improving the quality of life with a dual diagnosis.

Two of the ten studies investigate medications and the effectiveness on the outcome of the individuals studied. Green, Noordsy, Brunette, and O'Keefe (2008) studied theories related to schizophrenia and substance abuse. The authors discuss a number of theories that attempt to explain how the two are related. Although their study was not clear, the authors continue to recommend comprehensive treatment that includes psychosocial and medication treatment in an integrated fashion (Green et al.,

Next, the provisional diagnosis was formulated by giving Miguel assessment measures such as the WHODAS 2.0 for adults, the Level 1 Cross-Cutting Symptom Measure, and the Clinician-Rated Dimensions of Psychosis Symptom Severity. In addition, WHODAS 2.0 for adults will allow the counselor to assess the severity of the client’s disability (APA, 2013, p. 746). The Clinical-Rated Dimension of Psychosis Symptom Severity will help the counselor to analyze the severity of symptoms and may assist in the treatment process (APA, 2013, p. 742). Outside of work, no other problems have been mentioned because of the use of alcohol (APA, 2013). The counselor should also learn more about Miguel’s social life

Substance abuse is one of the most common comorbid conditions among individuals diagnosed with schizophrenia (Schwartz et al., 2007). Previous studies have shown that nicotine, alcohol, and cannabis were the most frequently used substances in individuals diagnosed with schizophrenia, followed by cocaine and amphetamine. Individuals with substance use disorders have negative long-term outcomes and poorer overall quality of life. Researchers suggest that substance abuse complicates individuals with mental issues and also makes treatments less effective (Schwartz et al., 2007). Researchers also suggest that other predictors such as gender, age and other psychosocial predictors may affect substance abuse in patients with schizophrenia. This

The article explains how individuals with substance abuse disorders have occurred with a serious mental health illness in their lives. Since these individuals are not receiving the proper treatment needed to help with their co-occurring disorders. They are continuing to have mental illness and substance abuse disorder. The authors suggests for people with these co-occurring disorders to give treatments in order to view their pattern with their substance abuse.

I am Mr. Ratchawong. I am a Chartered Clinical Psychologist. My specialist field is psychotic disorders, an area within which I have worked over the past few years. Full details of my qualifications entitling me to give expert opinion and evidence are set out at the end of this report.

nurse that had graduated within that time frame. The Pearson’s chi-square test was used to determine relationship with regression analysis.

My assessment for John is Schizoaffective Disorder (Depressive Type) because I personally believe that he is illustrating both depression and schizophrenia related symptoms. When we carefully look into John’s case, the summary itself reports that he has been in good health for the last five years except for a few episodes of depression, which was treated with tricyclic antidepressants and supportive psychotherapy. Therefore, we already now that he has a history of depression. Although the summary doesn’t indicate how long this treatment lasted, we can make few assumptions

The term Schizophrenia is used to describe a clinical psychiatric disorder that affects an individual’s thoughts, perception, affect and behaviour. Features of Schizophrenia can be divided into positive symptoms and negative symptoms. Positive symptoms include hallucinations, delusions and grossly disorganized behaviour while negative symptoms are poverty of speech, emotional apathy, lack of drive, self-neglect and social withdrawn behaviour. Schizophrenia has a strong propensity for relapses because of several reasons including social isolation, stigma, comorbid substance misuse, and non-adherence to treatment, cognitive impairment and lack of insight. According to Mason et al, 1996, approximately half of patients with schizophrenia t will

The data collected would provide the base for the further plan of care for the patient and direct the care in a cost effective manner. This also helps ensure quality care through the feedback from the patient. Even though anyone and everyone in the health team who comes in contact with the patient collect the data from the patient, it is the nurse’s responsibility to collect information from the patient from the time of admission to the health care setting. Another reason is that the nurse spend more time with the patient than other health team members, so they can collect relevant data that can be the determinant of the care. This data serves as a baseline in planning care by the health team. Through the health education of the patient and the community and health assessment by screening for diseases, the nurse can improve the health awareness

However, it is noteworthy that while the stigma associated with the label of schizophrenia remains a major impediment, diagnosis of schizophrenia remains advantageous by orienting those afflicted and their associates towards the appropriate care and help. Accordingly, the previously existing uncertainty and false beliefs can be replaced by a better understanding of the nature of the problem.

In the case study, some of the crucial known data consist of the occurrence of schizophrenia symptoms, for instance, not attending school, a messy room, disregarding his hygiene, voices informing his of his parent’ attempts to poison him, exhibiting violent behavior, and isolating himself from other people. By Alex not attending to the treatment sessions at the mental health center shows relapse. Relapse implies to the recurrence of schizophrenia symptoms, such as social withdrawal, improper functioning, and existence of psychotic symptoms. Improper management, disinclination and weakened memory are early symptoms of relapse (Nordick & Van Heugten, 2014). A nurse should assess the patient for the relapse symptoms. When Alex failed to turn up at the community health facility and his recent lateness shows that he lacks motivation to be a participant in his health care. A study by Nordick et al. (2014) illustrated that relapse is heralded by behavioural and cognitive alterations. This shows why Alex disregarded his personal hygiene and left his room in a mess in addition to demonstrating unstable emotions when he was angered by the volunteer at the mental health facility. In this case study, Alex is

A person with psychosis loses contact with reality and behaves abnormal and present with changes in personality and thought process disorder. Bizarre behaviours, functional incapability and poor social function are normally evident in the psychotic individual. Drug and alcohol misuse are known to trigger psychosis. It is also well established (Crebbin, Mitford, Paxton & Turkington, 2009) that psychotic symptoms can occur following drug misuse leading to a diagnosis of drug induced psychosis being made. In Daniel’s case it is clear that his diagnosis was formulated after consideration of his substance misuse, cannabis and binge drinking which lead him to being psychotic. Daniel displays, aggressive behaviours, poor insight into his illness with hallucinations and delusions present.

A nursing assessment is defined as a systematic and dynamic process to collect and examine data about a patient. Nurses play a crucial role in the health care field, and one of the most important aspects of their daily obligations is to assess patients, and to continuously reassess patients. The reason assessments are so significant is- in case of any changes in their patients condition whether it effects their health positively or negatively. Some of the most vital information can be gathered in a nursing assessment, you cannot always go off of what the patient says. As a nurse you must use all of your senses to complete this responsibility. A sufficient level of intelligence and adequate skills are required by the registered nurse to be

Persons who suffer from untreated and/or undiagnosed mental illness are prone to turn to substance abuse in their attempts to self-medicate. Due to the mood-altering effects of substances, those who may experience anxiety, depression, and psychotic symptoms, tend to find temporary relief from such symptoms in their drug usage, however the adverse effects