Implications of comorbidity for clinical practice

Kavanagh, David J. (2013) Implications of comorbidity for clinical practice. In Miller, Peter M. (Ed.) Interventions for Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 3. Elsevier Inc. , San Diego, pp. 325-334.

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In the past, people with comorbidity have often received inadequate care. The ethical principle of equal access to quality services has important implications for agencies, when combined with knowledge about comorbidity and its management, and about diffusion of innovations across organizations. Comorbidity is common, and often has profound impacts on individuals and families. Tobacco smoking in particular is endemic and affects morbidity, mortality, and functioning. This implies that screening for co-occurring problems should be routine, and that a boutique comorbidity service is impractical. Large numbers mean that universal screening and intervention must be capable of large-scale implementation. Since multiple, closely linked problems are often present, treatments should address these multiple issues, and closely interrelated problems will require well-integrated treatment. Involvement of a single health agency is typically needed. Numbers and severity of problems can blind practitioners and patients to strengths and unaffected areas; these should be assessed and fostered. Better policies and practices for co-occurring disorders will require organizational change. Co-occurring disorders must become core business for organizations and practitioners, so that effective comorbidity practice is rewarded, required skills are present or taught, cues to use the practices are provided, and a culture supporting their application is established.

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ID Code: 67384
Item Type: Book Chapter
Keywords: Comorbidity, Clinical Practice
DOI: 10.1016/B978-0-12-398338-1.00034-8
ISBN: 9780123983381
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 16 Feb 2014 23:32
Last Modified: 25 Oct 2015 16:06

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