Staff attitude towards cocaine/crack-cocaine use amongst individuals with severe mental health problems in an inner city area of the UK

Abstract

Background: Cocaine/crack-cocaine use is associated with a number of negative outcomes in people with mental health problems.

Aims: To explore the extent of use in individuals with severe mental health problems and impact of client use on mental health service staff.

Method: Following Graham et al. (2001), care coordinators within community mental health teams in Birmingham, UK completed a prevalence survey of cocaine/crack-cocaine use in clients on their current caseload to determine the extent of use. Findings were compared to those of Graham et al. Interviews with staff explored the impact of cocaine/crack-cocaine on client outcome and effects on staff within the teams under study.

Results: An increase in cocaine/crack-cocaine use is reported (from 5.6% to 11.5% over 8 years). Interview data indicate that despite this increase, staff declare themselves more competent and confident in dealing with cocaine/crack-cocaine use.

Conclusions: We propose that the integration of substance use treatment within mainstream mental health services is, in part, responsible for this finding.

Keywords:

• cocaine
• severe mental health problem
• prevalence
• staff opinion

Notes

1.The COMPASS Programme is a specialised service working jointly with mental health and substance use workers within BSMHT to provide treatment for clients with severe mental health and drug/alcohol problems.