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Mind your language – complexities in defining “dual diagnosis”
- Author:
- SMITH Martin
- Journal article citation:
- Addiction Today, 21(126), September 2010, pp.34-35.
- Publisher:
- Addiction Recovery Foundation
Professionals often feel isolated when dealing with patients with dual diagnosis, or complex needs. This can be made worse by different interpretations, leading to varying policies across agencies. The author assesses clinical and social issues to develop recommendations. The author suggests there are differences between evidence-based practice, law and social policies, leading to social exclusion of this population. Comprehensive education on the issues should facilitate change. This should be aimed at hospitals, GPs, mental health services, social services, employment services and other relevant services. A service would address substance misuse, risk, housing, social and economic issues, and must have the flexibility to adapt services to client needs. It is this inherent complexity that leaves professionals feeling isolated –adding clear lines of responsibility mitigating the problem.
Developing a capable dual diagnosis strategy: a good practice guide
- Authors:
- HUGHES Liz, GORRY Ann, DODD Tom
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- London
This document, for commissioners and lead providers of services involved in the care and treatment of people with a dual diagnosis, describes how a Dual Diagnosis Strategy will set out the vision and values for local service provision and be the focal point for collaboration between all key stakeholders at a local level. People with a dual diagnosis of mental health and substance use often have multiple and complex long term needs, which require a comprehensive, coordinated, seamless, multi-agency response. However, due to a variety of factors (such as resources, lack of clarity around local service responses, and a lack of workforce skills), this group often fail to receive good quality and consistent care. A robust local Dual Diagnosis Strategy will set out the vision and values for local service provision, and be the focal point for collaboration between all key stakeholders at a local level. A successful strategy will be able to account for the varying needs of all groups and will be comprehensive and flexible in its approach. This document is designed to support the development of a capable dual diagnosis strategy built on recommendations from national policy guidance and best practice.
Substance of young minds
- Author:
- SMITH Martin
- Journal article citation:
- Addiction Today, 19(113), July 2008, pp.18-19.
- Publisher:
- Addiction Recovery Foundation
Young people with poor mental health accompanied by substance misuse often do not get the support they need, which can lead to further problems in the future. The author explains the issues and advocates multi-agency support.
Better care for people with co-occurring mental health and alcohol/drug use conditions. A guide for commissioners and service providers
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 66
- Place of publication:
- London
This guidance supports the commissioning and provision of effective care for people with co-occurring mental health and alcohol/drug use conditions. It is aimed at commissioners and providers of mental health and alcohol and drug treatment services. It also has relevance for support services that have contact with people with co-occurring conditions, including people experiencing mental health crisis. The guidance supports the principles of ‘everyone’s job’ and ‘no wrong door’, which emphasise the joint responsibility of alcohol and drug, mental health and other services to work collaboratively to meet the needs of people with co-occurring conditions. It encourages commissioners and service providers to work together to improve access to services which can reduce harm, improve health and enhance recovery, enabling services to respond effectively and flexibly to presenting needs and prevent exclusion. Links to additional resources are included. The guidance supports implementation of the Five Year Forward View for Mental Health and represents an action from the Mental Health Crisis Care Concordat national action plan. (Edited publisher abstract)
Substance misuse and mental health
- Author:
- PETERS Zelda
- Journal article citation:
- Mental Health Today, March 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Thirty percent of mental health service users and 50% of substance misuse service users experience a combination of mental health and substance misuse problems to a greater or lesser degree. Yet the commissioning of these services remains largely focused on a single diagnosis. This article, including a brief case study, looks at some of the challenges surrounding dual diagnosis, and how the relevant services should respond. The author comments that flexible multidisciplinary and multi-agency training needs to be in place to ensure shared practice and ethos around dual diagnosis, and that commissioning of services needs to recognise and focus more on joint services. Research suggests that people accessing services tend to be experts in their own care, and should be listened to, and that they need access to local services where they do not have to repeat the same conversation simply because professionals fail to share information adequately. The author concludes by stating that by following these simple steps, services and commissioners can greatly improve the outcomes for those with a dual diagnosis.
Treatment services and services and service delivery models for dually diagnosed clients: variations across mental health and substance abuse providers
- Authors:
- GIL-RIVAS Virginia, GRELLA Christine E.
- Journal article citation:
- Community Mental Health Journal, 41(3), June 2005, pp.251-266.
- Publisher:
- Springer
This paper reports on a survey of 26 administrators and 248 staff in 10 mental health and 16 substance abuse programmes in Los Angeles County providing services to individuals with co-occurring disorders. Although half or more of the administrators and staff reported that their programmes had some degree of on-site service integration, there was a lack of agreement within most programmes as to the extent of integration. Characteristics of services provided and interactions with other service providers are also examined. The authros conclude that future research is needed regarding the divergent perceptions of administrators and staff and their relationship to treatment outcomes.