A literature review of family interventions for dual diagnosis: Implications for forensic mental health services

Margaret Richards, Mike Doyle, Peter Cook

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

Dual-diagnosis strategies are developing in medium secure services in response to both government policies and clinical need and there has been a move towards integrated services for this patient group. Substance use that has been a feature of the index offence must be taken into account as much as psychosis or the offending behaviour. Treatment of dual diagnosis relies heavily on cognitive-behavioural therapies. Relapse in either psychosis or substance use increases risk and re-admission rates to medium security. This paper reviews the literature on family interventions in dual diagnosis and its applicability to forensic mental health inpatient services. As there appeared to be limited direct evidence, various domains were examined and extrapolated to a forensic setting as appropriate. The review indicates the potential for positive outcomes for families following family interventions in dual diagnosis, which may be beneficial in a forensic setting in lowering risk.

Original languageEnglish
Pages (from-to)39-49
Number of pages11
JournalBritish Journal of Forensic Practice
Volume11
Issue number4
DOIs
Publication statusPublished - 3 Nov 2009
Externally publishedYes

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