The dual diagnosis physician-infrastructure assessment tool

Examining physician attributes and dual diagnosis capacity

R. Chambers, Michael C. Connor, Cathy J. Boggs, George F. Parker

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: Inadequate physician training and involvement in addictions treatment are barriers to integrating mental health and addiction services in public behavioral health care. The authors designed and implemented the Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify statewide dimensions of this workforce problem. Methods: The DDPAT examined institutional dual diagnosis capability and physician workforce, training backgrounds, and clinical roles across Indiana's 30 community mental health centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment centers. Results: All treatment centers and 75% of physicians responded. Sixty-nine percent of all treatment centers and 97% of CMHCs reported dual diagnosis capability. However, 29% of physicians treated both mental illness and addictions, and only 8% had certification in an addiction specialty. Overall workforce shortages, particularly of younger psychiatrists, contextualized these findings. Conclusions: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states.

Original languageEnglish
Pages (from-to)184-188
Number of pages5
JournalPsychiatric Services
Volume61
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Dual (Psychiatry) Diagnosis
Physicians
Community Mental Health Centers
Certification
Mental Health Services
Psychiatric Hospitals
Therapeutics
Psychiatry
Public Health
Delivery of Health Care

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

The dual diagnosis physician-infrastructure assessment tool : Examining physician attributes and dual diagnosis capacity. / Chambers, R.; Connor, Michael C.; Boggs, Cathy J.; Parker, George F.

In: Psychiatric Services, Vol. 61, No. 2, 02.2010, p. 184-188.

Research output: Contribution to journalArticle

Chambers, R. ; Connor, Michael C. ; Boggs, Cathy J. ; Parker, George F. / The dual diagnosis physician-infrastructure assessment tool : Examining physician attributes and dual diagnosis capacity. In: Psychiatric Services. 2010 ; Vol. 61, No. 2. pp. 184-188.
@article{ec64992cd45d41e3948a65efd26107df,
title = "The dual diagnosis physician-infrastructure assessment tool: Examining physician attributes and dual diagnosis capacity",
abstract = "Objective: Inadequate physician training and involvement in addictions treatment are barriers to integrating mental health and addiction services in public behavioral health care. The authors designed and implemented the Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify statewide dimensions of this workforce problem. Methods: The DDPAT examined institutional dual diagnosis capability and physician workforce, training backgrounds, and clinical roles across Indiana's 30 community mental health centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment centers. Results: All treatment centers and 75{\%} of physicians responded. Sixty-nine percent of all treatment centers and 97{\%} of CMHCs reported dual diagnosis capability. However, 29{\%} of physicians treated both mental illness and addictions, and only 8{\%} had certification in an addiction specialty. Overall workforce shortages, particularly of younger psychiatrists, contextualized these findings. Conclusions: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states.",
author = "R. Chambers and Connor, {Michael C.} and Boggs, {Cathy J.} and Parker, {George F.}",
year = "2010",
month = "2",
doi = "10.1176/appi.ps.61.2.184",
language = "English",
volume = "61",
pages = "184--188",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "2",

}

TY - JOUR

T1 - The dual diagnosis physician-infrastructure assessment tool

T2 - Examining physician attributes and dual diagnosis capacity

AU - Chambers, R.

AU - Connor, Michael C.

AU - Boggs, Cathy J.

AU - Parker, George F.

PY - 2010/2

Y1 - 2010/2

N2 - Objective: Inadequate physician training and involvement in addictions treatment are barriers to integrating mental health and addiction services in public behavioral health care. The authors designed and implemented the Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify statewide dimensions of this workforce problem. Methods: The DDPAT examined institutional dual diagnosis capability and physician workforce, training backgrounds, and clinical roles across Indiana's 30 community mental health centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment centers. Results: All treatment centers and 75% of physicians responded. Sixty-nine percent of all treatment centers and 97% of CMHCs reported dual diagnosis capability. However, 29% of physicians treated both mental illness and addictions, and only 8% had certification in an addiction specialty. Overall workforce shortages, particularly of younger psychiatrists, contextualized these findings. Conclusions: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states.

AB - Objective: Inadequate physician training and involvement in addictions treatment are barriers to integrating mental health and addiction services in public behavioral health care. The authors designed and implemented the Dual Diagnosis Physician-infrastructure Assessment Tool (DDPAT) to quantify statewide dimensions of this workforce problem. Methods: The DDPAT examined institutional dual diagnosis capability and physician workforce, training backgrounds, and clinical roles across Indiana's 30 community mental health centers (CMHCs), six psychiatric hospitals, and 13 addiction treatment centers. Results: All treatment centers and 75% of physicians responded. Sixty-nine percent of all treatment centers and 97% of CMHCs reported dual diagnosis capability. However, 29% of physicians treated both mental illness and addictions, and only 8% had certification in an addiction specialty. Overall workforce shortages, particularly of younger psychiatrists, contextualized these findings. Conclusions: The DDPAT identified multiple deficiencies in the physician workforce with respect to dual diagnosis and addictions care in Indiana. The DDPAT may be useful for characterizing similar trends in other states.

UR - http://www.scopus.com/inward/record.url?scp=76049111522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=76049111522&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.61.2.184

DO - 10.1176/appi.ps.61.2.184

M3 - Article

VL - 61

SP - 184

EP - 188

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 2

ER -