Promoting cross-sector collaboration and input into care planning via an integrated problem gambling and mental health service
Keywords:gambling, mental health, comorbidity, integrated care, user feedback
While problem gambling and mental illnesses are highly comorbid, there are few examples of integrated problem gambling and mental illness services. This has meant that it is unclear whether such services are needed, why they may be utilised, and how they operate to support clients impacted by the comorbidity and clinicians providing them care. This study reported on data collected via telephone questionnaire-assisted interviews of 20 clients and 19 referrers who had accessed one such Australian integrated problem gambling and mental illness program between July 2014 and June 2016. Data revealed that clients often were referred in the context of psychiatric or psychosocial crisis, or when clinicians encountered clients who were not making progress and wanted a second opinion about diagnosis and treatment. Improved management of illness symptoms or gambling behaviour were commonly reported benefits and a number of clients reported gaining a feeling of reassurance and hope following assessment due to gaining a deeper understanding of their issues and available treatment options. Access to dual specialist problem gambling and mental illness expertise may therefore enhance treatment planning, management during crises and cross-sector collaboration to enhance access to and the impact of care for people experiencing comorbidity.
Bien que le jeu problématique et les maladies mentales aient un taux élevé de comorbidité, il existe peu d’exemples de services intégrés pour le jeu et la maladie mentale. En d’autres termes, il n’est pas clair si de tels services sont nécessaires, à quelles fins ils peuvent être utilisés et la manière dont ils fonctionnent pour aider les clients touchés par cette comorbidité et les cliniciens qui leur fournissent des soins. La présente étude a rendu compte des données recueillies lors d’entretiens assistés par un questionnaire téléphonique menés auprès de 20 clients et de 19 répondants qui avaient eu accès à l’un des programmes australiens intégrés de lutte contre le jeu problématique et la maladie mentale entre juillet 2014 et juin 2016. Les données révèlent que les clients étaient souvent recommandés à d’autres services dans le contexte d’une crise psychiatrique ou psychosociale ou lorsque les cliniciens rencontraient des clients qui n’avaient pas fait de progrès et qui souhaitaient obtenir un deuxième avis sur le diagnostic et le traitement. Une gestion améliorée des symptômes de la maladie ou du comportement de jeu constituait des avantages souvent rapportés, et un certain nombre de clients ont déclaré avoir ressenti du réconfort et de l’espoir après une évaluation, en raison d’une meilleure compréhension de leurs problèmes et des options de traitement disponibles. L’accès à une double expertise en matière de jeu problématique et de maladie mentale peut donc améliorer la planification du traitement, la gestion de crise et la collaboration intersectorielle afin d’améliorer l’accès aux soins et l’incidence des soins pour les personnes souffrant de cette comorbidité.
Journal Contributors Agreement
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The parties intending to be legally bound (the principal author [Author] and the Journal of Gambling Issues [Publisher]), agree as follows:
1. The Author grants exclusively to the Publisher all world-wide rights in this Contribution; including the full copyright therein, the right to publish it as part of the JGI in all forms, languages and media now or hereafter known or developed and including, but not limited to, the right to license subsidiary rights such as granting rights to reprint in anthologies issued by other publishers or to photocopy for classroom use.
2. The Author guarantees that he or she is the sole owner of the Contribution and has full authority to make this agreement; and that the Contribution does not contain any copyright; does not violate any other property rights; does not contain any scandalous, libelous or unlawful matter; does not make any improper invasion of the privacy of another person; and has not been published before, and is not now being considered for publication elsewhere.
If the Contribution has been published previously, the Author guarantees that permission has been obtained, and any fee required has been paid, for publication in the JGI and shall submit proof of such permission and any required credit line to the Publisher with the signed agreement. The Author agrees to indemnify and hold harmless the Publisher against any claim or proceeding undertaken on any of the aforementioned grounds.
3. The Author shall allow the Editor of the JGI and the Publisher to make the Contribution conform to the style of presentation, spelling, capitalization, punctuation and usage followed by the JGI. The Author agrees to review and correct the copyedited manuscript and proofs and to return them to the editor by the date set by the Editor. If the Editor has not received them by that time, the Author agrees that production of the JGI in which the Contribution is to be included may proceed without waiting for the Author's approval of the manuscript or the proofs.
4. If the Author wishes to publish this Contribution elsewhere, the Publisher shall grant to the Author, for no fee, a nonexclusive License to republish the Contribution in the same form in any language in a book or other media written or edited by the Author after the issue of the JGI containing the Contribution has been published, subject only to the conditions that a credit line, to be supplied by the Publisher, will be printed in the Author's book: to indicate the first publication of the Contribution in the JGI. The Author shall inform the Publisher 30 days before the Contribution is released in any other form.
5. This agreement shall be construed and interpreted through the laws of the province of Ontario, Canada. This agreement shall be binding upon and operate to the benefit of the parties thereto, their heirs, successors, assigns, and personal representatives. Where the Contribution is the product of more than one person, all of the obligations of the Author hereby created shall be deemed to be the joint and several obligations of all such persons as testified by their signatures.
6. The Author shall receive no payment from the Publisher for use of the Contribution.
7. The Author agrees to reference this article using its full and accurate name: Journal of Gambling Issues.