1. Biography Currently, Consultant in Substance Misuse In Cumbria for Greater Manchester West NHS FT Trained in General Adult Psychiatry and Substance misuse in Manchester. As a Trainee worked in Psychiatry in various areas in Manchester and Salford. Worked in Substance Misuse in Inpatient Regional Centres in Manchester Worked in Substance Misuse in the Community in Blackburn, Wigan prior to Cumbria

2. Managing Alcohol to support recovery in Mental Health Case Studies – what is working well

3. Managing Alcohol to support recovery in Mental Health - Case Studies Background to service Recovery initiatives Supporting Recovery in alcohol Implications for mental health consequent to supporting recovery in alcohol

4. Formation of Unity Greater Manchester West NHS FT successful in tender process for Cumbria Community and prison based adult drug and alcohol recovery services 3 year contract from 01/07/12

5. Unity in Cumbria http://www.visitcumbria.com/map-of-cumbria/ Large area Diverse regions Multiple organisation Different alcohol problems

6. Allerdale Better than England Average Worse than England Average http://www.lape.org.uk/

7. Carlisle Better than England Average Worse than England Average http://www.lape.org.uk/

8. Barrow in Furness Better than England Average Worse than England Average http://www.lape.org.uk/

9. Asset Based Community Development Assets Needs “creating not just recovery oriented treatment but a world in which recovery can flourish” William White 2011

10. Recovery Focus At outset – Community development lead – Asset building fund. As time progressed – Recovery Occupational Therapist – Clinic / Employer Liaison/Growing well/ Learn to Care Ashley Gibson

11. Alcohol recovery 12 step AA meeting -Carlisle Search for the hero inside yourself - West Nurse led Clinics – Barrow Discovery group/ Core group - Kendal Developments in one site used in other sites

12. Comorbidity psychiatric illness in people with drug or alcohol problems Number ( percent) total = 62 (alcohol) Non substance induced psychotic disorder12(19) Personality disorder33 (53) Severe depression21 (34) Mild depression29 (47) Severe anxiety20 (32) Psychiatric disorder present53 (85) Weaver et al. 2003 Common disorders are common in people with alcohol problems Hence treatment of alcohol problems in general will have impact on mental health

13. Dual Diagnosis specific strategies Patient with dual diagnosis high risk – National Confidential Enquiry Formation of Unity Alcohol services no longer within local mental health trust Close collaboration using alcohol detoxification beds Collaboration and development of policy Ongoing meetings

14. Review of talk Background to Service Recovery initiatives Supporting Recovery in alcohol Implications for mental health consequent to supporting recovery in alcohol Questions