Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study): Cluster randomised trial

Sonia Johnson, Graham Thornicroft, Sarah Afuwape, Morven Leese, Ian R. White, Elizabeth Hughes, Shamil Wanigaratne, Helen Miles, Tom Craig

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

A cluster randomised controlled trial was used to investigate the effectiveness of training staff in 13 London community mental health teams (CMHTs) to deliver substance misuse interventions to patients with psychosis and comorbid substance misuse ('dual diagnosis'). The primary hypotheses, which were that experimental group patients would spend fewer days in hospital over 18 months of follow-up and show reduced alcohol and drug consumption, were not confirmed, although confidence intervals were wide for some outcomes. Current UK policy guidance advocates training CMHT professionals to deliver dual diagnosis interventions, but the effectiveness of this strategy has not so far been demonstrated.

LanguageEnglish
Pages451-452
Number of pages2
JournalBritish Journal of Psychiatry
Volume191
Issue number5
DOIs
Publication statusPublished - Nov 2007
Externally publishedYes

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Dual (Psychiatry) Diagnosis
Psychotic Disorders
Mental Health
Alcohol Drinking
Randomized Controlled Trials
Confidence Intervals
Pharmaceutical Preparations

Cite this

Johnson, Sonia ; Thornicroft, Graham ; Afuwape, Sarah ; Leese, Morven ; White, Ian R. ; Hughes, Elizabeth ; Wanigaratne, Shamil ; Miles, Helen ; Craig, Tom. / Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study) : Cluster randomised trial. In: British Journal of Psychiatry. 2007 ; Vol. 191, No. 5. pp. 451-452.
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Johnson, S, Thornicroft, G, Afuwape, S, Leese, M, White, IR, Hughes, E, Wanigaratne, S, Miles, H & Craig, T 2007, 'Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study): Cluster randomised trial', British Journal of Psychiatry, vol. 191, no. 5, pp. 451-452. https://doi.org/10.1192/bjp.bp.106.032367

Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study) : Cluster randomised trial. / Johnson, Sonia; Thornicroft, Graham; Afuwape, Sarah; Leese, Morven; White, Ian R.; Hughes, Elizabeth; Wanigaratne, Shamil; Miles, Helen; Craig, Tom.

In: British Journal of Psychiatry, Vol. 191, No. 5, 11.2007, p. 451-452.

Research output: Contribution to journalArticle

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