1. UPDATE FROM THE DUAL DIAGNOSIS NETWORK RICHARD BELL DUAL DIAGNOSIS PROJECT MANAGER

2. WHAT HAVE WE BEEN DOING OVER THE PAST YEAR? Continuing to develop and expand the network  Working in collaboration with Volition  8 New services with Lead Practitioners – Aspire, Personality Disorder Clinical Network, 3 Community Links services, Genesis, Leeds Mind Wellbeing service, Touchstone Housing Support Team  Established a wider network  Currently identifying services who work with the BME and LGBT communities  Job Shadowing Scheme

3. Working with LPFT to implement Dual Diagnosis Strategy  Developing dual diagnosis care pathways for inpatient and community services which will be introduced soon.  Supporting to create a training package for all inpatient staff focused on screening, harm reduction and brief interventions. Common Screening Tools  Drug and Alcohol services – MH Screening tool, GAD7, PHQ9 to compliment own assessment  Mental Health Services – AUDIT and ASSIST to compliment own assessment  Soon to be available on the website

4. Care Pathways and Protocols  Common Mental Health Problems Protocol agreed between Community Drug Treatment Services and Primary Care Mental Health - IAPT  Ongoing review of established protocols, partnerships and link working – forensic, care co-ordination, Assertive Outreach – Harm Reduction, various link working  Service mapping currently being undertaken  2008 – approximately 20 services  2012 – 37 services  Services will be mapped against DoH dual diagnosis quadrant and each service will provide service specific information  Information to match care co-ordination pathway

5. Department of Health Dual Diagnosis Quadrant

6. Crisis Common MH Problems Severe & Enduring MENTAL HEALTH SUBSTANCE USE HIGH Severity Of Problematic Use LOW III IV I II

7. Service Spec Info + Care Pathway Guide

8. Service User Involvement  Indentified gap in current structure  Working with Joe Alderdice from Leeds Involving People  Dual Diagnosis Expert Reference Group recently established Carers  Develop contacts with carer services  Provide information, raise awareness and identify how the network can support  Promote involvement in network

9. MOVING FORWARD - THE NEXT 6 MONTHS Care Pathway Research  Undertaking an auditing of care pathways  Identify pathways being taken, barriers to accessing services, interventions offered, how people are referred etc  Support Dual Diagnosis pilot study in Primary Care Mental Health Case Study Framework  Retrospective case study  Identify positive practice and barrier/problems being experienced  Work collaboratively to improve services and inform future strategy

10. PR + Promotion  Update the website to reflect the developments over the past year  Service mapping information linked to care pathways, common screening tools, resources e.g. information leaflets, useful websites, training  Create a Dual Diagnosis pack for practitioners, service users and carers  Visit services to promote and explain the website and Dual Diagnosis pack (approx May-June)  Advertise in mental health and drug/alcohol services

11. Case Study Framework  Retrospective case study  Identify positive practice and barrier/problems being experienced  Work collaboratively to improve services and inform future strategy Service User Involvement  Build on the recent establishment of Expert Reference Group  Inform PR + promotion, case studies framework, strategy

12. Training Needs  Harm reduction training for voluntary sector mental health services - 2 hours, 3 dates (June, September + November) £50  Support network members to identify training needs and resolve  Develop skills of all practitioners to support Dual Diagnosis in own service Continue to look at improving interagency working with all network partners

13. Thank you for listening Questions ?