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Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings

OBJECTIVE: This proof of principle study evaluated the effectiveness and feasibility of a brief motivational intervention, delivered in mental health in‐patient settings, to improve engagement in treatment for drug and alcohol misuse. METHOD: A randomised controlled trial using concealed randomisati...

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Autores principales: Graham, H. L., Copello, A., Griffith, E., Freemantle, N., McCrone, P., Clarke, L., Walsh, K., Stefanidou, C. A., Rana, A., Birchwood, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091625/
https://www.ncbi.nlm.nih.gov/pubmed/26590876
http://dx.doi.org/10.1111/acps.12530
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author Graham, H. L.
Copello, A.
Griffith, E.
Freemantle, N.
McCrone, P.
Clarke, L.
Walsh, K.
Stefanidou, C. A.
Rana, A.
Birchwood, M.
author_facet Graham, H. L.
Copello, A.
Griffith, E.
Freemantle, N.
McCrone, P.
Clarke, L.
Walsh, K.
Stefanidou, C. A.
Rana, A.
Birchwood, M.
author_sort Graham, H. L.
collection PubMed
description OBJECTIVE: This proof of principle study evaluated the effectiveness and feasibility of a brief motivational intervention, delivered in mental health in‐patient settings, to improve engagement in treatment for drug and alcohol misuse. METHOD: A randomised controlled trial using concealed randomisation, blind, independent assessment of outcome at 3 months. Participants were 59 new adult admissions, to six acute mental health hospital units in one UK mental health service, with schizophrenia related or bipolar disorder diagnoses, users of community mental health services and also misusing alcohol and/or drugs. Participants were randomised to Brief Integrated Motivational Intervention (BIMI) with Treatment As Usual (TAU), or TAU alone. The BIMI took place over a 2‐week period and encouraged participants to explore substance use and its impact on mental health. RESULTS: Fifty‐nine in‐patients (BIMI n = 30; TAU n = 29) were randomised, the BIMI was associated with a 63% relative odds increase in the primary outcome engagement in treatment [OR 1.63 (95% CI 1.01–2.65; P = 0.047)], at 3 months. Qualitative interviews with staff and participants indicated that the BIMI was both feasible and acceptable. CONCLUSION: Mental health hospital admissions present an opportunity for brief motivational interventions focussed on substance misuse and can lead to improvements in engagement.
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spelling pubmed-50916252016-11-09 Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings Graham, H. L. Copello, A. Griffith, E. Freemantle, N. McCrone, P. Clarke, L. Walsh, K. Stefanidou, C. A. Rana, A. Birchwood, M. Acta Psychiatr Scand Original Articles OBJECTIVE: This proof of principle study evaluated the effectiveness and feasibility of a brief motivational intervention, delivered in mental health in‐patient settings, to improve engagement in treatment for drug and alcohol misuse. METHOD: A randomised controlled trial using concealed randomisation, blind, independent assessment of outcome at 3 months. Participants were 59 new adult admissions, to six acute mental health hospital units in one UK mental health service, with schizophrenia related or bipolar disorder diagnoses, users of community mental health services and also misusing alcohol and/or drugs. Participants were randomised to Brief Integrated Motivational Intervention (BIMI) with Treatment As Usual (TAU), or TAU alone. The BIMI took place over a 2‐week period and encouraged participants to explore substance use and its impact on mental health. RESULTS: Fifty‐nine in‐patients (BIMI n = 30; TAU n = 29) were randomised, the BIMI was associated with a 63% relative odds increase in the primary outcome engagement in treatment [OR 1.63 (95% CI 1.01–2.65; P = 0.047)], at 3 months. Qualitative interviews with staff and participants indicated that the BIMI was both feasible and acceptable. CONCLUSION: Mental health hospital admissions present an opportunity for brief motivational interventions focussed on substance misuse and can lead to improvements in engagement. John Wiley and Sons Inc. 2015-11-21 2016-04 /pmc/articles/PMC5091625/ /pubmed/26590876 http://dx.doi.org/10.1111/acps.12530 Text en © 2015 The Authors. Acta Psychiatrica Scandinavica Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Graham, H. L.
Copello, A.
Griffith, E.
Freemantle, N.
McCrone, P.
Clarke, L.
Walsh, K.
Stefanidou, C. A.
Rana, A.
Birchwood, M.
Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title_full Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title_fullStr Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title_full_unstemmed Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title_short Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
title_sort pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in‐patient settings
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091625/
https://www.ncbi.nlm.nih.gov/pubmed/26590876
http://dx.doi.org/10.1111/acps.12530
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