Care Model in Health Services with Individual Dual Diagnosis: Misuse of Drugs and Mental Disorders in Indonesia
Keywords:dual diagnosis, care model, health services
AbstractDual diagnosis is a condition of individuals with a history of drug abuse and psychiatric disorders that occur together. The prevalence of dual diagnosis from year to year has increased significantly and has physical, psychological and social impacts that need to be addressed. The purpose of writing this article is to describe the model of care in individual health services with dual diagnosis so far in Indonesia and as an additional literature on dual diagnosis. This article is one of the results of an analysis in a study conducted in April-July 2020, using a qualitative descriptive method with in-depth interviews via online interviews conducted on 8 participants. Data analysis using thematic analysis. The treatment model consists of; 1)integrated care model for dual diagnosis individuals in the realm of hospitalization. 2)phased care model for dual diagnosis individuals in the "Primary Health Care" outpatient realm. Health services for dual diagnosis individuals in Indonesia are available from the primary to tertiary care realm with an integrated care model or integrated treatment in hospitalization and a stepped care model for dual diagnosis individuals in the outpatient realm "Primary Health Care" Health services for dual diagnosis exists in primary care facilities in the community up to tertiary institutions such as rehabilitation and psychiatric hospitals based on quadrant level of care with criteria assessed based on severity, presentation of symptoms, and diagnosis.
BNN. (2020). Data Rekam Medis Badan Narkotika Nasional (BNN). Bogor: Rekam Medis BNN.
Bose, J., Hedden, S. L., Lipari, R. N., Park-Lee, E., & Tice, P. (2018). Key substance use and mental health indicators in the United States : Results from the 2017 National Survey on Drug Use and Health (HHS Publication No. SMA 18–5068, NSDUH Series H-53). Rockville.
Bower, P., & Gilbody, S. (2005). Stepped care in psychological therapies: Access, effectiveness and efficiency. Narrative literature review. British Journal of Psychiatry, 186(JAN.), 11–17. https://doi.org/10.1192/bjp.186.1.11
CSAT. (2005). Substance abuse treatment for persons with co-occurring disorders: Treatment Improvement Protocol (TIP) Series 42. DHHS (No. (SMA)). Rockville, MD: Substance Abuse and Mental Health Administration.
Dauber, H., Braun, B., Pfeiffer-Gerschel, T., Kraus, L., & Pogarell, O. (2018). Co-occurring Mental Disorders in Substance Abuse Treatment: the Current Health Care Situation in Germany. International Journal of Mental Health and Addiction, 16(1), 66–80. https://doi.org/10.1007/s11469-017-9784-5
Donald, M., Dower, J., & Kavanagh, D. (2005). Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders: A qualitative systematic review of randomised controlled trials. Social Science and Medicine, 60(6), 1371–1383. https://doi.org/10.1016/j.socscimed.2004.06.052
Hamdan-Mansour, A. M., Al-Sagarat, A. Y., AL-Sarayreh, F., Nawafleh, H., & Arabiat, D. H. (2018). Prevalence and correlates of substance use among psychiatric inpatients. Perspectives in Psychiatric Care, 54(2), 149–155. https://doi.org/10.1111/ppc.12214
Hartzler, B. (2017). Integration of substance use services in mental health settings. Retrieved from http://adai.uw.edu/pubs/pdf/2017susmentalh ealth.pdf
Kemkes RI. (2009). Undang-undang no. 35 tentang Narkotika Pasal 54 . Jakarta.
King, V. L., Brooner, R. K., Peirce, J., Kolodner, K., & Kidorf, M. (2014). Challenges and outcomes of parallel care for patients with co-occurring psychiatric disorder in methadone maintenance treatment. Journal of Dual Diagnosis, 10(2), 60–67. https://doi.org/10.1080/15504263.2014.906132
Krupski, A., West, I. I., Graves, M. C., Atkins, D. C., Maynard, C., Bumgardner, K., … Roy-Byrne, P. (2015). Clinical needs of patients with problem drug use. Journal of the American Board of Family Medicine, 28(5), 605–616. https://doi.org/10.3122/jabfm.2015.05.150004
Marel C, Mills KL, Kingston R, Gournay K, Deady M, Kay- Lambkin F, Baker A, T. M. (2016). Guidelines on the management of co-occurring mental health conditions in alcohol and other drug treatment settings: How useful are they? In Mental Health and Substance Use: Dual Diagnosis (Vol. 5). https://doi.org/10.1080/17523281.2011.631502
Maslim, R. (2013). Diagnosis Gangguan Jiwa Rujukan Ringkas dari Pedoman Penggolongan Diagnosa Gangguan Jiwa (PPDGJ- III) dan Diagnostic and Statistical Manual of Mental Disorders (Cetakan 2). Jakarta: PT Nuh Jaya.
Mueser, K. T., Noordsy, D. L., Drake, R. E., & Fox, L. (2003). Integrated treatment for dual diagnosis: A guide to effective practice. New York: The Guildford Press. National.
Mueser, K.T., Drake, R.E., Wallach, M. A. (n.d.). Dual diagnosis: a review of etiological theories. Addiction. Behaviour. 1998, 23, 717–734.
National Alliance on Mental Illness atau NAMI. (2017). Dual Diagnosis. Retrived November 16,2019. Retrieved from https://www.nami.org/learn-more/mental-helath-conditions/related-conditions/dual diagnosis
National Alliance on Mental Illness atau NAMI. (2018). Dual diagnosis. Retrieved from https://www.nami.org/learn-more/mental-helath-conditions/related-conditions/dual diagnosis
Polit, D.F., & Beck, C. T. (2012). Nursing : generating and assesing evidence for nursing practice (Ninth). Philedelphia: Lippincott Williams & Wilkins.
PPNI. (1983). Lokakarya pertama Persatuan Perawat Nasional Indonesian. Jakarta.
Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D. (2016). Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review. Journal of Substance Abuse Treatment, 61, 47–59. https://doi.org/10.1016/j.jsat.2015.09.006.
Ries, R. (2011). The co-occurring matrix for mental and addictions disorders. In [PowerPoint webinar training]. Retrieved from https://web.archive.org/web/20111029034715/http://www.samhsa.gov/cooccurring/topics/data/RiesCoMatrix12-04.pdf
Substance Abuse and Mental Health Services Administration. (2013). Substance Abuse Treatment For Persons With Co-Occurring Disorders. Treatment Improvement Protiocol (TIP) Series, 42, 590. https://doi.org/NBK64197 [bookaccession]
Van Hoeven, L. R., Janssen, M. P., Roes, K. C. B., & Koffijberg, H. (2015). Aiming for a representative sample: Simulating random versus purposive strategies for hospital selection Study design. BMC Medical Research Methodology, 15(1). https://doi.org/10.1186/s12874-015-0089-8
How to Cite
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.