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Dual Diagnosis Capability Framework Dr Liz Hughes Senior Lecturer, Mental Health and Addictions Research Group.

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Presentation on theme: "Dual Diagnosis Capability Framework Dr Liz Hughes Senior Lecturer, Mental Health and Addictions Research Group."— Presentation transcript:

1 Dual Diagnosis Capability Framework Dr Liz Hughes Senior Lecturer, Mental Health and Addictions Research Group

2 Aim of presentation Give an overview of developments in DD Discuss the development and implementation of the Capabilities Framework To discuss workforce development issues and Leeds-specific needs

3 The development 2006: commissioned as part of CSIP National Dual Diagnosis Programme On the back of the surge in competence and capabilities in both mental health and substance misuse (skills for health DANOS and MH NOS; KSF, Capable Practitioner Framework, The 10 Essential Shared Capabilities However,nothing existed that described the core capabilities required to work with dual diagnosis I was commissioned to do this at University of Lincoln

4 Team Anne Gorry and Tom Dodd- CSIP DD leads Ian Hamilton Mandy Barrett Dr Tara O’Neill Sharon Walker Tabitha Lewis David Manley Sean McDaid Service user and carers: consultation meeting asked what they thought was most important skills and attitudes for people working with dual diagnosis

5 Levels Core- everyone, everywhere Generic- post qualification staff/key workers in mental health and substance misuse services Specialist- those with lead responsibility for service and workforce development for DD

6 The 19 Domains Values Role legitimacy Therapeutic optimism Acceptance of uniqueness of each individual Non-judgemental Demonstrate empath y Knowledge and skills Engagement Interpersonal skills Education and health promo Recognise need (assessment) Risk assessment and management Ethical legal and confidentiality Evidence based interventions Help people access care from other services Multi-agency/multi professional learning Learning needs Seek out supervision Life long learning Practice development

7 How its been used Inform training strategies and content Appraisal- evidence of capability- testimonies etc Job descriptions, recruitment

8 Northampton Derbyshire Leicestershire South Staffs Leeds Bradford Manchester TEWV Central and NW London East London Camden and Islington Oxleas SLAM Sussex Cornwall Swindon Bristol Informs MSc DD course at Middlesex Closing the Gap-National spread

9 DD networks and information Twitter: Linkedin Progress dual diagnosis network (728 members) News page of PROGRESS website

10 Menezes, P, Johnson, S, Thornicroft, G et al (1996) Drug and alcohol problems amongst individuals with severe mental illness in South London British Journal of Psychiatry Weaver T; Madden P; Charles V; Stimson G; Renton A; Tyrer P; Barnes T; Bench C; Middleton H; Wright N; Paterson S; Shanahan W; Seivewright N; Ford C; (2003) Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. British Journal of Psychiatry Hughes, E (2006a) Closing the Gap: A Capability Framework for working effectively with people with combined mental health and substance use problems (Dual Diagnosis) CCAWI, University of Lincoln and Care Services Improvement Programme Hughes, E (2006b) A Pilot Study of Dual Diagnosis Training In Prisons. Journal of Mental Health Workforce Development. Volume1, Issue 4, December 2006 Hughes, E; Robertson, N; Kipping, C; and Lynch, C (2007) The Challenges of Developing Dual Diagnosis Capabilities for Acute Inpatient Staff. Journal of Mental Health Workforce Development Volume 2 (2), p S. Johnson, G. Thornicroft, S. Afuwape, M. Leese, I. R. White, E. Hughes, S. Wanigaratne, H. Miles and T. Craig (2007) Effects of training community staff in interventions for substance misuse British Journal of Psychiatry 191 (5) Hughes, E.; Wanigaratne, S, Gournay,K.; Johnson, J, Thornicroft,G; Finch, E.; Marshall, J., and Smith, N. (2008) Training in Dual Diagnosis Interventions (The COMO Study): A Randomised Controlled Trial Biomedical Central Psychiatry. February :12 Craig, T. K. J, Johnson, S., McCrone, P.; Afuwape, S.; Hughes, E.; Gournay,K.; White,I.; Wanigaratne, S.; Leese, M. and Thornicroft, G. (2008) Integrated Care for Co-occurring Disorders: Psychiatric Symptoms, Social Functioning, and Service Costs at 18 Months Psychiatric Services, 59: Hughes, E. and Kipping, C (2008) Policy context for dual diagnosis service delivery. Advances in Dual Diagnosis 1(1) p4-8 Barrowclough, C., Haddock, G., Wykes, T., Beardmore, R., Conrod, P., Craig, T., Davies, L., Dunn, G., Eisner, E., Lewis, S., Moring, J., Steel, C., and Tarrier, N (2010) Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial. British Medical Journal; 341:c6325 National Institute for Health and Clinical Excellence (2011) CG115 Alcohol Use Disorders. Diagnosis, assessment and management of harmful drinking and alcohol dependence. [accessed 1/4/11]http://guidance.nice.org.uk/CG115/NICEGuidance/pdf/English references

11 Focus Group In small groups: Read through the capability framework Think about –The levels 1, 2, 3 –Anything important missing? –Leeds specific information to be added? –How could it be used to help develop a better city wide response to people with complex/multiple needs?


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