The challenges of developing dual diagnosis capabilities for acute inpatient staff

Elizabeth Hughes (Centre for Clinical and Academic Workforce Innovation, University of Lincoln)
Neil Robertson (Lewisham Dual Diagnosis Service, South London and Maudsley Foundation NHS Trust)
Cheryl Kipping (Dual Diagnosis, South London and Maudsley Foundation NHS Trust)
Claire Lynch (Camden and Islington Foundation NHS Trust, Middlesex University)

The Journal of Mental Health Training, Education and Practice

ISSN: 1755-6228

Publication date: 1 September 2007

Abstract

Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement.In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care.This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.

Keywords

Citation

Hughes, E., Robertson, N., Kipping, C. and Lynch, C. (2007), "The challenges of developing dual diagnosis capabilities for acute inpatient staff", The Journal of Mental Health Training, Education and Practice, Vol. 2 No. 2, pp. 36-42. https://doi.org/10.1108/17556228200700012

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Publisher

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Emerald Group Publishing Limited

Copyright © 2007, Emerald Group Publishing Limited

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