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Treatment approaches for dual diagnosis clients in England

Schulte, S., Meier, P.S., Stirling, J. and Berry, M. (2008) Treatment approaches for dual diagnosis clients in England. Drug and Alcohol Review, 27 (6). pp. 650-658. ISSN 1465-3362


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Introduction - Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health services (MHS). Design - A questionnaire was sent to managers of 706 DAS and 2374 MHS. Overall, 249 (39%) DAS and 493 (23%) MHS participated in the survey. Results - In both DAS and MHS, around 32% of clients were estimated to have dual diagnosis problems. However, fewer than 50% of services reported assessing clients for both problem areas. Regarding specific treatment approaches, most services (DAS: 88%, MHS: 87%) indicated working jointly with other agencies. Significantly fewer services used joint protocols (DAS: 55%, MHS: 48%) or shared care arrangements, including access to external drug/alcohol or mental health teams (DAS: 47%, MHS: 54%). Only 25% of DAS and 17% of MHS employed dual diagnosis specialists. Conclusions - Dual diagnosis clients constitute a substantial proportion of clients in both DAS and MHS in England. Despite recent policy initiatives, joint working approaches tend to remain unstructured.

Item Type: Article
Copyright, Publisher and Additional Information: © Australasian Professional Society on Alcohol and other Drugs. This is an author produced version of a paper published in Drug and Alcohol Review. Uploaded in accordance with the publisher's self-archiving policy.
Keywords: dual diagnosis, co-morbidity, prevalence, treatment approaches, joint working
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Section of Public Health (Sheffield)
Depositing User: Repository Officer
Date Deposited: 18 Jun 2009 17:00
Last Modified: 08 Feb 2013 16:58
Published Version: http://dx.doi.org/10.1080/09595230802392816
Status: Published
Publisher: Informa Healthcare
Refereed: Yes
Identification Number: 10.1080/09595230802392816
URI: http://eprints.whiterose.ac.uk/id/eprint/8721

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