Key Dual Diagnosis documents/publications and web links
Title: Dual Diagnosis National Programme Legacy Report. Ann Gorry and Tom Dodd. NMHDU 2010
Title: A pilot of team-based dual diagnosis training for assertive Outreach teams - Volume 1, Issue 2 - Advances in Dual Diagnosis Advances in Dual Diagnosis. Volume 1 Number 2 December 2008.Pier Professional. Assertive outreach teams are working with a significant proportion of people with complex needs, including dual diagnosis. Government policy has highlighted the role of assertive outreach in engaging and intervening with this group. This paper reports on the development and evaluation of a specific team-focused training package and its trial in the Eastern and West Midlands regions.
Title: Dual diagnosis - developing capable practitioners to improve services - Volume 1, Number 1 August 2008 Developing capable practitioners who offer high quality care can bring significant improvement to dual diagnosis services. But developing such practitioners presents many challenges. This paper offers some practical solutions to this problem and proposes that the wider dissemination of existing skills and resources could effect substantial change.
Title:Dual Diagnosis Good Practice Guidance (DH 2002) Introduction: This policy document highlights the roles and responsibilities of various agencies in providing care for people with dual diagnosis. The main thrust of the policy is that care for those with serious mental illness and substance use should be provided by the mental health services (mainstreaming). The policy also highlights the training and service developments required to implement this in practice.
Title: The NSF 5 years on (DH 2004)
Changing Habits 1 (CSIP, NTA 2006)
Introduction:: This report consolidates the innovative thinking and approaches of professionals working across multi-agency services in the north west region in relation to supporting people with a dual diagnosis. It offers a direction of travel to enable local stakeholders to test out how to overcome some key issues inclding:
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Ensuring individuals engaged with Community Drug Teams receive access to mental health treatment including psychological therapies
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Improving joint working and co-ordinating service provision/investment such as Primary Care Mental Health Services and ‘shared care' services
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Promoting treatment choice such as abstinence from cannabis through wider smoking cessation initiatives
Carers Resource (CSIP 2006) (to be added)
Introduction: The needs of carers and families are highlighted in this dvd and resource pack which includes interviews with carers and family members, information about carers rights and needs when seeking help, and provides a valuable insight for service providers on how best to help and assist carers of individuals with a dual diagnosis.
The Dual Diagnosis Capability Framework (CSIP, CCAWI 2006)
Introduction: The purpose of the dual diagnosis framework is to assist in the implementation of the Department of Health Dual Diagnosis Practice Implementation Guide (2002) This report highlights the importance Of developing capabilities for working with combined mental health and substance use problems, and has developed a clearly defined framework for implementation.
DD in In patient settings (DH 2006)
Introduction: This report provides guidance on the assessment and management of patients in mental health inpatient and day hospital settings who have a dual diagnosis. It also covers organisational and management issues to help mental health services manage these patients efectively. The report's key message is that the assessment and management of drug and alcohol use are core competences required by clinical staff in mental health services. The guidance aims to:
· encourage integration of drug and alcohol expertise and related training into mental health service provision
· provide ideas and guidance to front-line staff to help them provide the most effective therapeutic environments
· help mental health services plan action on dual diagnosis.
Dual Diagnosis Good Practice Handbook (Turning Point, 2007)
Introduction: This handbook contains practical information designed to help practitioners and those involved in service design to learn from, and apply, good practice in developing services for users with a dual diagnosis, their carers and families. The handbook highlights areas of good practice around the country and provides a valuable insight and some practical advise.
Capable Practitioner (CSIP, DH 2008)
Introduction: The purpose of this document is to explore opportunities for building flexible partnerships with a variety of health, social care and higher education institutions to meet the training and support needs of the workforce in delivering high quality care to service users with co-existing mental health and substancemisuse problems. This document usesexamples of existing good practice throughout the UK to demonstrate where the challenges of flexible working have been met by creative responses. Each example summarises key points that might be applied in other practice settings to benefit service and developmental improvements
The Dual Diagnosis Themed Review Report (DH 2008)
and Executive Summary
Introduction: The aim of the review was to identify local strategic plans (and locally agreed definitions of dual diagnosis), service delivery, health promotion and workforce training needs. There was a high response with over 80% of Local Implementation Teams returning information. The main findings were that 40% of LITs did not have a local strategy, a shortfall that needs to be urgently addressed. Two thirds of LITs reported that people with dual diagnosis were having a severe resource impact on mental health services. Only 2/5ths of LITs collected data on service user satisfaction with services. There was a mixed picture regarding training across England. The themed review recommends that modern, effective provision for people experiencing dual diagnosis benefits from the following features:
1) There is clear designated local responsibility for the strategic development of dual diagnosis services. Ideally this should be a named individual who supports a forum for decision making.
2) The Joint Strategic Needs Assessment can be a useful process to help raise dual diagnosis issues. Data can contribute to the development of a clear local definition of the target population for services. If the local definition covers only those with severe mental illness plus substance abuse, then the needs of those with less severe mental illness also need to be considered. Clinical and Needs Assessments across the whole age range (including the needs of older people) will provide a more comprehensive service response.
3) Sensitive and appropriate collection of the views of users as part of needs assessment, strategy development and quality monitoring, to understand satisfaction with services and unmet needs.
4) Workforce capabilities are strengthened through employing resources such as The Dual Diagnosis Capability Framework and the 10 ESC Dual Diagnosis module.
5) Joint stakeholder ownership of local strategies, in which the development and training needs (including local health promotion activities) of staff working with dual diagnosis service users are addressed.
6) Assessment and care coordination includes substance misuse problems and physical health care needs.
7) The effective recording of user defined outcomes leading to a local outcomes framework for dual diagnosis
10 Regional Reports - the Dual Diagnosis National Programme commissioned a breakdown of the national report data into 10 SHA regional reports. These regional reports provide an opportunity for regions to compare and reflect local findings with the national picture. They also include some additional relevant information from the HCC In patient review report (2008)
East Midlands
Eastern
London
North East
North West
South Central
South East
South West
West Midlands
Yorkshire and Humber
Links to other websites
www.dualdiagnosis.co.uk