Evaluation of a community‐based mental health drug and alcohol nurse in the care of people living with HIV/AIDS
- 6 February 2009
- journal article
- Published by Wiley in Journal of Psychiatric and Mental Health Nursing
- Vol. 16 (2), 129-136
- https://doi.org/10.1111/j.1365-2850.2008.01340.x
Abstract
There is a growing need for advanced practice mental health and drug and alcohol nursing roles in the care of people living with HIV/AIDS; however, limited publications address these domains. This study evaluated a community‐based mental health drug and alcohol nurse role caring for people living with HIV/AIDS (Mental Health D&A Nurse) in a large not‐for‐profit district nursing organization providing care to people living with HIV/AIDS in an Australian city. Outcomes from a client assessment and 6–8‐week follow‐up by the Mental Health D&A Nurse are presented as captured by the Depression Anxiety Stress Scales (DASS 21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Health of the Nation Outcome Scales (HONOS) and WHOQoL BREF. Mean scores and caseness were analysed, and significant differences were found on the ‘impairment’ and ‘social problems’ subscales of the HONOS. Results of semi‐structured interviews with clients describe effective and supportive mental health care and health‐promoting education following visits by the Mental Health D&A Nurse. These positive findings support continuing implementation of the role within this community setting and indicate that even greater benefits will ensue as the role develops further. Findings are of interest to clinicians and policy makers seeking to implement similar roles in community‐based HIV/AIDS care.Keywords
This publication has 14 references indexed in Scilit:
- Perceived facilitators and barriers to the implementation of an advanced practice: nursing intervention for HIV regimen adherence among the seriously mentally illJournal of Psychiatric and Mental Health Nursing, 2006
- The mental health nurse: A valuable addition to the consultation-liaison teamInternational Journal of Mental Health Nursing, 2006
- Opportunities for an improved role for nurses in psychoactive substance use: Review of the literatureInternational Journal of Nursing Practice, 2004
- Short screening scales to monitor population prevalences and trends in non-specific psychological distressPsychological Medicine, 2002
- The mental health nurse: contributing to improved outcomes for patients in the emergency departmentAccident and Emergency Nursing, 2001
- Health of the Nation Outcome Scales (HoNOS)The British Journal of Psychiatry, 1998
- The Effectiveness of the Mental Health Nursing Inverventions in a General HospitalScandinavian Journal of Caring Sciences, 1997
- Liaison mental health nursing: origins, definition and prospectsJournal of Advanced Nursing, 1997
- In search of how people change: Applications to addictive behaviors.American Psychologist, 1992
- “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinicianJournal of Psychiatric Research, 1975