Dual diagnosis, as described by those who experience the disorder: Using the Internet as a source of data

• Published in: International journal of mental health nursing 2012-12, Vol.21 (6), p.550-559
• Main Authors: Edward, Karen-Leigh, Robins, Alan
• Format: Article
• Language: English
• Subjects: Addictions; Alcohol; Comorbidity; Data sources; Diagnosis, Dual (Psychiatry) - psychology; Drinking behavior; Drug abuse; Drugs; dual diagnosis; Humans; Insight; Internet; Meaning; Medical diagnosis; Mental disorders; Mental Disorders - psychology; Mental Disorders - therapy; Mental health services; Mental illness; Narratives; Nursing; Peer Group; personal experience; Personal information; Personal Narratives as Topic; Privacy; Problem drinking; Social Support; Substance abuse; Substance-Related Disorders - psychology; Substance-Related Disorders - therapy
• ISSN: 1445-8330; 1447-0349
• DOI: 10.1111/j.1447-0349.2012.00833.x

ABSTRACT The complexity of providing treatment for people with dual diagnosis is well recognized. For the purpose of this paper, the World Health Organization definition of dual diagnosis was used; that is, a person diagnosed with an alcohol or drug use problem in addition to mental illness. This research explored the personal narratives of those who experience dual diagnosis using the Internet as a data source. An important consideration in using the Internet as a data source was that Web forums can offer a sense of anonymity, allowing people to share very detailed and personal information, and providing a rich source of qualitative data. The results produced five emergent themes: spiralling out of control – again!, getting help and giving support, treating both the addiction and mental illness, having meaning and being active, and being honest with self and others. The results indicate that individuals who experience dual diagnosis are often left to navigate their personal treatment requirements across two diverse systems, and were generally not satisfied with the conflictual advice received across these two systems (i.e. alcohol and other drug and mental health services). This study has produced valuable insights related to consumer‐perceived service barriers and enablers.