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.
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.
Subject terms:
interagency cooperation, joint commissioning, mental health problems, multidisciplinary services, substance misuse, case studies, commissioning, dual diagnosis;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
1996
Pagination:
2p.
Place of publication:
London
Letter accompanying a report on the SSI project on mentally disordered offenders.
Letter accompanying a report on the SSI project on mentally disordered offenders.
Subject terms:
interagency cooperation, joint commissioning, mental health problems, mental health services, mentally disordered offenders, multidisciplinary services, offenders, planning, social care provision;
A practical guide to the way in which child and adolescent mental health services (CAMHS) work. The book explains in operational terms how services can be delivered in ways in which children, families and other agencies can understand, that are as local to the child and family as possible, that are helpful to educational, social, voluntary and other partner agencies and that allow clear commissioning processes. The operation of each of the four tiers of service provision is clearly described with specific examples at each tier. Emphasis is placed on the inter-agency working within each tier of services. The book is based on legislation in England, though much of this is also relevant to Scotland, Northern Ireland and Wales. It includes substantial updates since the first edition.
A practical guide to the way in which child and adolescent mental health services (CAMHS) work. The book explains in operational terms how services can be delivered in ways in which children, families and other agencies can understand, that are as local to the child and family as possible, that are helpful to educational, social, voluntary and other partner agencies and that allow clear commissioning processes. The operation of each of the four tiers of service provision is clearly described with specific examples at each tier. Emphasis is placed on the inter-agency working within each tier of services. The book is based on legislation in England, though much of this is also relevant to Scotland, Northern Ireland and Wales. It includes substantial updates since the first edition.
Subject terms:
interagency cooperation, joint working, joint commissioning, joint planning, mental health problems, multidisciplinary services, social care provision, young people, child and adolescent mental health services, children, commissioning;
This is a crucial time for child and adolescent mental health services (CAMHS). They have to integrate with all the other current children’s initiatives and develop in line with the Children’s National Service Framework to ensure the mental health needs of all children are met. The book explains in operational terms how services can be delivered in ways in which children, families and other agencies can understand, that are as local to the child and family as possible, that are helpful to educational, social, voluntary and other partner agencies and that allow clear commissioning processes. The operation of each of the four tiers of service provision is clearly described with specific examples at each tier.
This is a crucial time for child and adolescent mental health services (CAMHS). They have to integrate with all the other current children’s initiatives and develop in line with the Children’s National Service Framework to ensure the mental health needs of all children are met. The book explains in operational terms how services can be delivered in ways in which children, families and other agencies can understand, that are as local to the child and family as possible, that are helpful to educational, social, voluntary and other partner agencies and that allow clear commissioning processes. The operation of each of the four tiers of service provision is clearly described with specific examples at each tier.
Subject terms:
interagency cooperation, joint working, joint commissioning, joint planning, mental health problems, mental health services, multidisciplinary services, social care provision, young people, child and adolescent mental health services, children, commissioning;
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
1996
Pagination:
50p.,bibliog.
Place of publication:
London
Report summarising the findings of a project undertaken by a team of SSI Inspectors and NHSE colleagues in 7 local authorities in England. The project aimed to monitor progress on the development of a multi agency approach to services for mentally disordered offenders. Includes sections on: developing a plan; working together; joint commissioning; arranging care management; designing and providing services; and training.
Report summarising the findings of a project undertaken by a team of SSI Inspectors and NHSE colleagues in 7 local authorities in England. The project aimed to monitor progress on the development of a multi agency approach to services for mentally disordered offenders. Includes sections on: developing a plan; working together; joint commissioning; arranging care management; designing and providing services; and training.
Subject terms:
interagency cooperation, joint working, joint commissioning, local authorities, mental health problems, mental health services, mentally disordered offenders, multidisciplinary services, offenders, planning, social care provision;
The aim of this thematic review is to offer information and guidance on the commissioning and provision of mental health services to people who are homeless. While the review is mainly addressed to NHS managers, much of the material relates to the social services and housing departments of local authorities. The main thrust of this report is on joint working. The authors of the review are aware that homelessness on its own, or in association with mental health problems, is not always recognised as a major issue by health and social services managers, and that the particular needs of a highly vulnerable group of people may, therefore, remain unmet. This report examines the characteristics of the homeless population and identifies the specific challenges that it presents both to managers, in their development of strategy for commissioning, and to front-line providers in services. This report identifies examples of good practice across England and Wales.
The aim of this thematic review is to offer information and guidance on the commissioning and provision of mental health services to people who are homeless. While the review is mainly addressed to NHS managers, much of the material relates to the social services and housing departments of local authorities. The main thrust of this report is on joint working. The authors of the review are aware that homelessness on its own, or in association with mental health problems, is not always recognised as a major issue by health and social services managers, and that the particular needs of a highly vulnerable group of people may, therefore, remain unmet. This report examines the characteristics of the homeless population and identifies the specific challenges that it presents both to managers, in their development of strategy for commissioning, and to front-line providers in services. This report identifies examples of good practice across England and Wales.
Subject terms:
homeless people, homelessness, information management, interagency cooperation, joint commissioning, local authorities, mental health problems, mental health services, multidisciplinary services, purchaser-provider split, quality assurance, social policy, social care provision, standards, commissioning, contracts, health care;