Implementation and evaluation of brief depression and anxiety screening in clients contacting a drug and alcohol service

Thomas, Anna Christina, Staiger, Petra Karin and McCabe, Marita 2012, Implementation and evaluation of brief depression and anxiety screening in clients contacting a drug and alcohol service, Drug and alcohol review, vol. 31, pp. 303-310, doi: 10.1111/j.1465-3362.2011.00323.x.

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Title Implementation and evaluation of brief depression and anxiety screening in clients contacting a drug and alcohol service
Author(s) Thomas, Anna Christina
Staiger, Petra KarinORCID iD for Staiger, Petra Karin
McCabe, Marita
Journal name Drug and alcohol review
Volume number 31
Start page 303
End page 310
Total pages 8
Publisher Wiley-Blackwell Publishing Ltd
Place of publication Oxford , England
Publication date 2012-05
ISSN 0959-5236
Keyword(s) comorbidity
substance use disorder
Summary Introduction and Aims. High prevalence mental health (HPMH) comorbidity is common in clients seeking alcohol and other drug (AOD) treatment yet can remain undetected. Although research has reported on the introduction of screening into AOD services, little research has reported on the processes surrounding the introduction or evaluated its effectiveness.This study reports on the implementation and evaluation of brief anxiety and depression screening within a specialised, publicly funded AOD service in South-East Victoria.
Design and Methods. Study one examined the implementation of standardised HPMH screening with 114 adult clients (Mean age = 35.49, SD = 9.53; 64% male) telephoning an AOD service over a 5 week period. Measures included severity of HPMH problems,AOD use, care plans and referrals. Study two used semistructured interviews with nine staff/managers to evaluate the effectiveness of screening and its impact on service delivery.
Results. Ninety-four per cent of clients were identified at risk of anxiety or depression. Most care plans incorporated counselling, and concurrent referrals commonly involved a general practitioner. Staff and management found systematic screening increased identification and understanding of comorbid issues and enhanced client interaction but impacted on resource requirements.
Discussion and Conclusions. Most AOD treatment seekers were identified HPMH comorbid and care plans generally included counselling.Adjunctive referrals were more common for severely depressed clients. Screening was effective and enhanced client rapport.Evaluations revealed low confidence in treating HPMH issues in-house.Training may increase worker confidence in managing mental health interventions with subclinical cases, enhancing services’ ability to move towards dual diagnosis capability.
Language eng
DOI 10.1111/j.1465-3362.2011.00323.x
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Australasian Professional Society on Alcohol and other Drugs
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Document type: Journal Article
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School of Psychology
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