Improving dual diagnosis care in acute psychiatric inpatient settings through education

Abstract

Background

Patients with co-existing substance use and mental disorder (dual diagnosis) have complex and challenging care needs. Acute psychiatric care settings play a vital role in providing services for patients with dual diagnosis as they often do not voluntarily seek treatment. This is significant in that recent data reveals that 57% of the psychiatric inpatients at an inner city hospital in Vancouver, Canada are characterized as dual diagnosis.

Purpose

To develop an educational module which will equip nurses/practitioners with the skills and knowledge required to deliver evidence-based dual diagnosis care in acute psychiatric settings.

Methods

A survey of 74 nurses working in acute psychiatric settings was completed to identify their learning needs and challenges. This was followed by a comprehensive review of evidence from literature to identify competencies, knowledge and skills needed to deliver dual diagnosis care. Content for the educational module was then validated by a panel of leading international experts on dual diagnosis. Two focus groups of acute psychiatric nurses were then conducted to discuss content. An 8 hour educational session was then developed and piloted using the content that was reviewed and validated.

Results

Thirteen content areas were identified and validated by experts. Evaluations from participants of the educational session suggest improved knowledge, skills and competencies in dual diagnosis care.

Conclusions

This project translates evidence into practice, contributes to the body of knowledge on dual diagnosis care and improves practitioners’ confidence and competency in delivering evidence-based care which also will improve patient care outcomes and experiences.

Disclosure of interest

The author has not supplied his declaration of competing interest.