scholarly journals Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Oladele V. Adeniyi ◽  
Ntandazo Puzi
Keyword(s):  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
Aggressive Behaviour ◽  
Physical Violence ◽  
Hospital Setting ◽  
Management Approach ◽  
Violent Behaviour ◽  
Physical Force ◽  
Psychological Harm

Aggressive and violent behaviour is very common in the hospital setting. Simple agitation may unpredictably progress to overt aggression and violence by any patient in the emergency centres (ECs). Aggressive behaviour often manifests in forms of verbally abusive language, verbal threats and intimidating physical behaviour. Violent behaviour comprises the intentional use of physical force or power, threatened or actual, against self (suicidal), or another (homicidal) or properties, group or community, that could potentially result in injuries, death, psychological harm or deprivation. Therefore, individuals with unusual agitation and aggression should be treated as an emergency in both the community and healthcare settings in order to mitigate the progression to physical violence. Whilst the incidence and prevalence of aggressive and violent behaviour are higher in individuals with an underlying mental disorder, substance use disorder or comorbid mental disorder and substance use disorder, other individuals can also present with these behaviours in the ECs. Therefore, the front-line clinicians must be knowledgeable and competent in managing patients with aggressive behaviour with a view to de-escalate the situation and preventing or curtailing violence. This paper presents an evidence-based approach for managing patients with aggressive and violent behaviour, including a review of the steps for admitting patients for assisted or involuntary care.

Subjects affected by a substance use disorder with or without a comorbid mental disorder: Looking for differential factors

2019 ◽  
Vol 29 ◽  
pp. S174-S175
Author(s):  
G. Mateu-Codina ◽  
F. Fonseca-Casals ◽  
M. Gratacos-Mayora ◽  
R. Martin-Santos ◽  
R. Sauras-Quetcuti ◽  
...  
Keyword(s):  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder

scholarly journals Cross‐national patterns of substance use disorder treatment and associations with mental disorder comorbidity in the WHO World Mental Health Surveys

Addiction ◽  
2019 ◽  
Vol 114 (8) ◽  
pp. 1446-1459 ◽  
Author(s):  
Meredith G. Harris ◽  
Chrianna Bharat ◽  
Meyer D. Glantz ◽  
Nancy A. Sampson ◽  
Ali Al‐Hamzawi ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
Health Surveys ◽  
Substance Use Disorder Treatment ◽  
World Mental Health ◽  
Disorder Treatment ◽  
Cross National

scholarly journals Buprenorphine: Not a silver bullet, and still controversial

2021 ◽  
Vol 17 (7) ◽  
pp. 9-10
Author(s):  
Sudheer Potru, DO, FASAM ◽  
Michael Sprintz, DO, DFASAM ◽  
Antje M. Barreveld, MD ◽  
Lynn Kohan, MD
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Working Group ◽  
Ad Hoc ◽  
Hospital Setting ◽  
Outpatient Setting ◽  
Pain Medicine ◽  
Appropriate Use ◽  
Addiction Medicine ◽  
Silver Bullet

We are practitioners of pain medicine and addiction medicine and also four of the seven members of the Multi-Society Ad Hoc Substance Use Disorder (SUD) Working Group comprised of representatives from anesthesia, pain, pharmacy, and addiction medicine societies. We are finalizing “tip sheets” and a consensus-based manuscript to provide guidance on the appropriate use and initiation of buprenorphine in the hospital setting by anesthesiologists, and in the outpatient setting by pain clinicians.

Co-occurring mental disorder and substance use disorder in young people: aetiology, assessment and treatment

2020 ◽  
pp. 1-10
Author(s):  
John Otasowie
Keyword(s):  
Substance Use ◽  
Young People ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
Dual Diagnosis ◽  
Treatment Approach ◽  
Healthcare Education ◽  
Life Domains ◽  
Assessment And Treatment ◽  
Physical Health Problems

SUMMARY Dual diagnosis is one of several terms used to identify individuals diagnosed with a co-occurring mental disorder and substance use disorder. The existence of a dual diagnosis in adolescents is often associated with functional impairment in various life domains, causing physical health problems, relational conflicts, educational/vocational underachievement and legal problems. Dual diagnosis is difficult to treat and can result in tremendous economic burden on healthcare, education and justice systems. It is essential for clinicians caring for young people to be knowledgeable about dual diagnosis to ensure that it is identified early and treated. This article aims to provide an overview of dual diagnosis, increase its awareness and promote a realistic treatment approach.

Substance use Disorder in the Offspring of Antenatally Depressed Mothers in the Northern Finland 1966 Birth Cohort: Relationship to Parental History of Severe Mental Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. s246-s246
Author(s):  
P. Mäki ◽  
T. Taka-Eilola ◽  
J. Veijola
Keyword(s):  
Substance Use ◽  
Mental Disorder ◽  
Maternal Depression ◽  
Birth Cohort ◽  
Substance Use Disorder ◽  
Antenatal Depression ◽  
Severe Mental Disorder ◽  
Parental History ◽  
Increased Risk ◽  
Depressed Mothers

IntroductionMaternal depression during pregnancy is common. However, reports of the adult offspring with maternal antenatal depression are scarce.ObjectivesOur aim was to study whether offspring of antenatally depressed mothers have increased risk for substance use disorder when taking account parental mental disorder.MethodsIn the Northern Finland 1966 Birth Cohort, the mothers of 12,058 children were asked at the antenatal clinic if they felt depressed. The offspring were followed for over 40 years. Substance use disorders were detected using the Finnish Care Register for Health Care, which was also used for identifying severe mental disorders in the parents till 1984.ResultsOf the mothers, 14% had rated themselves as depressed during pregnancy. Of the parents, 10% had had a hospital-treated mental disorder. The risk for substance use disorder was slightly increased in the offspring of antenatally depressed mothers (crude OR 1.6; 95% CI 1.2–2.1), when compared with the cohort members without maternal antenatal depression. The risk for substance use disorder was higher in the offspring with both maternal antenatal depression and parental mental disorder (2.8; 1.7–4.7) than in those with maternal depression but without parental mental disorder (1.4; 1.1–2.0) or those without maternal depression and with parental mental disorder (1.5; 1.1–2.2). The reference group was cohort members without maternal antenatal depression and without parental mental disorder. The association remained significant after adjustment [1].ConclusionsOffspring with both maternal depression during pregnancy and parental severe mental disorder have elevated risk for substance use disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Special Issue: Diagnosis and Management of Addiction and Other Mental Disorders (Dual Disorders)

2021 ◽  
Vol 10 (6) ◽  
pp. 1307
Author(s):  
Ana Adan ◽  
Marta Torrens
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
World Health ◽  
Special Issue ◽  
Dual Disorders ◽  
The World ◽  
Dual Disorder ◽  
Health Organization

The term “dual disorder” (DD) refers to the coexistence or concurrence of at least one substance use disorder (SUD) and another mental disorder in the same person, as the World Health Organization established in its lexicon of alcohol and drug terms [...]

scholarly journals Mental Health and Substance Use–Related Hospitalizations Among Women of Reproductive Age in Illinois and Wisconsin

2018 ◽  
Vol 134 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Amanda C. Bennett ◽  
Crystal Gibson ◽  
Angela M. Rohan ◽  
Julia F. Howland ◽  
Kristin M. Rankin
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Substance Use ◽  
Mental Disorder ◽  
Substance Use Disorder ◽  
International Classification Of Diseases ◽  
Reproductive Age ◽  
Related Event ◽  
Women Of Reproductive Age ◽  
Discharge Data

Introduction: Mental health and substance use are growing public health concerns, but established surveillance methods do not measure the burden of these conditions among women of reproductive age. We developed a standardized indicator from administrative data to identify inpatient hospitalizations related to mental health or substance use (MHSU) among women of reproductive age, as well as co-occurrence of mental health and substance use conditions among those hospitalizations. Materials and Methods: We used inpatient hospital discharge data from 2012-2014 for women aged 15-44 residing in Illinois and Wisconsin. We identified MHSU-related hospitalizations through the principal International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis and first-listed ICD-9-CM external cause of injury code (E code). We classified hospitalizations as related to 1 of 3 mutually exclusive categories: a mental disorder, a substance use disorder, or an acute MHSU-related event. We defined co-occurrence as the presence of both mental health and substance use codes in any available diagnosis or E-code field. Results: Of 1 173 758 hospitalizations of women of reproductive age, 150 318 (12.8%) were related to a mental disorder, a substance use disorder, or an acute MHSU-related event, for a rate of 135.6 hospitalizations per 10 000 women. Of MHSU-related hospitalizations, 115 163 (76.6%) were for a principal mental disorder, 22 466 (14.9%) were for a principal substance use disorder, and 12 709 (8.5%) were for an acute MHSU-related event; 42.4% had co-occurring mental health codes and substance use codes on the discharge record. Practice Implications: MHSU-related disorders and events are common causes of hospitalization for women of reproductive age, and nearly half of these hospitalizations involved co-occurring mental health and substance use diagnoses or events. This new indicator may improve public health surveillance by establishing a systematic and comprehensive method to measure the burden of MHSU-related hospitalizations among women of reproductive age.

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