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P0153 - The caregivers perspective: The dual diagnosis

Published online by Cambridge University Press:  16 April 2020

R. Balzano
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy
D. Sepio
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy
M. Guidi
Affiliation:
Universita Degli Studi Del Salento, Lecce, Italy
L. Martini
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy
F. Motta
Affiliation:
Caritas Diocesana, Rome, Italy
V. Puro
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy
E. Girardi
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy
N. Orchi
Affiliation:
INMI L. Spallanzani Dipartimento Di Epidemiologia E Ricerca Pre-Clinica, Rome, Italy

Abstract

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Background and Aims:

A growing body of scientific literature suggests that HIV seroprevalence among people with serious mental illness has increased substantially in recent years. In the Italian context, specialized services (mental health or infectious disease) more and more are requested for combined management of dual diagnosis. Consequently health care workers (HCW) have to face difficulties due to new situations of care. To fill these gaps, the core purpose of this study is to analyze HCW experiences from their own perspectives in order to understand their difficulties and create good practices in health care.

Methods:

A qualitative study was conducted in public services Mental Health and HIV/AIDS workers, in Lazio region, Italy.

HCW were asked in anonymous way about their experiences. The interviews, consisting of one open_question, were audio taped and integrally transcribed and the texts were analysed through software T-Lab (cluster and correspondence analysis).

Results:

91 HCW were interviewed. We identified, trough cluster analysis, six cultural models about dual diagnosis: Disease as personal experience, Fear of contagion, Training as support to work, Service as integration function, Families as object of the intervention, Disease as scientific knowledge

Conclusions:

In conclusion, this study examines for the first time the constructions of dual diagnosis in the Italian context through text and language of HCW. It reveal that we need further elaboration because of sociocultural meanings of dual diagnosis are not fixed but are ongoingly co-constructed by the various participants of health context.

Type
Poster Session III: Mental Health Serious Caregiver
Copyright
Copyright © European Psychiatric Association 2008
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