Mental health among clients of the Sydney Medically Supervised Injecting Centre (MSIC)
نویسندگان
چکیده
The Sydney Medically Supervised Injecting Centre (MSIC) is a supervised injecting facility (SIF) where people who inject drugs (PWID) can do so legally, under health professional supervision. The majority of clients have low levels of education and employment, high rates of incarceration and unstable housing and poor social networks, and 70 % do not access local health services. These factors increase the risk of poor mental health, and it has been documented that PWID have elevated rates of mood, anxiety, personality and psychotic disorders; post-traumatic stress disorder (PTSD); and higher rates of trauma exposure, suicidality and self-harm. The current study is the first to investigate the mental health among clients of a SIF. Validated instruments to examine clients' mental health, social networks and trauma histories were administered to 50 frequently attending clients by a mental health nurse. The majority of respondents were unemployed, homeless and had a history of incarceration, and 82 % report they had been diagnosed with a mental health problem, but only 24 % report they were receiving treatment. Respondents had poor social networks, had poorer mental health symptoms compared to US inpatients and had experienced multiple traumatic events, and a high number of respondents had scores indicative of PTSD. These results highlight the need for mental health clinicians to be employed in SIFs and other drug consumption rooms (DCRs) to assist clients to address their mental health and psychosocial needs, particularly in light of the fact that these services are often the only places these PWID engage with in an ongoing way.
منابع مشابه
Expecting the unexpected: intravenous insulin at Sydney's medically supervised injecting centre.
TO THE EDITOR: In April 2009, a registered nurse at the Sydney Medically Supervised Injecting Centre (MSIC) overheard two clients warning others about the effects of injecting from a particular glass vial, believing it had given them a “dirty shot” (bacterially contaminated injection). Seeing an unlabelled, discarded vial containing cloudy fluid, the nurse was concerned that it may have contain...
متن کاملDrug consumption facilities in Europe and the establishment of supervised injecting centres in Australia
Kate Dolan PhD, Senior Lecturer, Jo Kimber BSc(Psych)Hons, National Drug and Alcohol Research Centre, University of New South Wales; Craig Fry BSc(Hons), Turning Point Alcohol and Drug Centre, Melbourne; John Fitzgerald PhD, Department of Criminology, Melbourne University; David McDonald MA, National Centre for Epidemiology and Population Health, the Australian National University, Canberra, Au...
متن کاملLearning from Thailand's health reforms.
1 Select Committee on Home Affairs. Third report. May 2002. www. parliament.the-stationery-office.co.uk/pa/cm200102/cmselect/cmhaff/ 318/31802.htm (accessed 30 Dec 2003). 2 Van Beek I. The Sydney medically supervised injecting centre: a clinical model. J Drug Issues 2003;22:625-38. 3 Zador D. Injectable opiate maintenance in the UK: is it good clinical practice? Addiction 2001;96:547-53. 4 Van ...
متن کاملWillingness to Receive Treatment for Hepatitis C among Injecting Drug Users on Methadone Program: Implications for Education and Treatment
Background: Hepatitis C virus (HCV) is common among people who inject drugs (PWID) on methadone program in Iran (Persia). However, a few PWID on methadone program report willingness to receive HCV treatment. This study aimed to assess the factors which were associated with willingness to receive HCV treatment in a group of PWID on methadone program in Iran.Methods: We surveyed 187 PWID at seven...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 13 شماره
صفحات -
تاریخ انتشار 2016