1. New Guidelines and Dual Dx. Prevalence rates for dual dx range from 38% to 60% Historically a large percentage of these individuals are served by APSW’s New Policy Guidelines for the APSW Program do not reflect the unique needs of this population mandate access to formal (government-funded) and informal (mainstream community) community resources Advocacy Community Development

2. New Guidelines and Dual Dx. DS Transformation initiatives (IRMI) lend themselves to those who have familial support. Despite the availability of limited time frame support by APSW some individuals may disadvantaged The impact of the proposed development of Access/Funding Entities is unknown at this time Eligibility criteria not yet finalized

3. New Guidelines and Dual Dx. Joint Policy Guideline for the Provision of Community Mental Health and Developmental Services for Adults with a Dual Diagnosis identify range of service funded by MOH and MCSS Access to these services is challenging in practice: Restrictive criteria Lengthy waitlists Lack of skill and knowledge Bias toward those with dual dx

4. What Can Be Done? Opportunities for joint work: