bolton dual diagnosis newsletter

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					                                         [Pick the date] [Edition 1, Volume 1]

                                         APRIL/MAY 2011 EDITION
                                                                                                 NEWS UPDATE
……to the first edition of the bi-monthly           been involved in taking forward the
Bolton Dual Diagnosis Newsletter. This             recommendations from this report and
                                                                                                 Dual Diagnosis is
                                                                                                 Everybody’s Business.
publication will provide information on            working towards identifying priorities
                                                                                                 Everyone needs to know
a variety of local issues relating to DD,          and a implementing a local operational        and understand a little
including updates, events and any                  plan.                                         about this complex
relevant news items.                               No progress can be made unless key            condition. Some need to
My name is Ann Gorry and I have                    stakeholders are involved and give their      have an increased
worked for many years in the Dual                  support. In Bolton we are lucky to now        knowledge and
Diagnosis field, both as a clinician,              have a robust governance structure in
                                                                                                 awareness base in order
                                                                                                 to improve confidence
manager of services and a policy                   place with a newly formed DD Strategy
                                                                                                 and competence when
advisor. I am passionate about working             and Commissioning Group now in place          working with people with
towards improving services for people              with representation from drug and             a dual diagnosis their
who experience these difficulties, their           alcohol commissioning, mental health          families and carers. To
carers and families. Before coming to              commissioning, public health and the          help bridge this gap and
Bolton in August last                                                   local council. This      to provide this support
year, I was leading the                                                 group enables            there is now a Dual
                                        “DUAL DIAGNOSIS                                          Diagnosis E Learning
National Dual Diagnosis                                                 issues associated
                                                                                                 Program – ‘Making
Service Improvement                                                     with DD
                                         IS ONE OF THE                                           Progress’ which is freely
Program at the                                                          developments and         available to complete.
Department of Health for                    BIGGEST                     improvements to
5 years. During that time
                                         CHALLENGES                     be heard and             This is a level 1 basic
I met and worked                                                        agree appropriate        awareness program and
alongside service                  FACING FRONTLINE                     actions to be            is split into 4 short
providers, commissioners,                                               taken. The DD            modules consisting of:
                                        MENTAL HEALTH
service users and their                                                 operational
families to look at ways                AND SUBSTANCE                   steering group
                                                                                                 1. Dual Diagnosis
                                                                                                       Introduction and
of overcoming some of                                                   which feeds into
                                    MISUSE SERVICES”                                                   overview
the challenges that exist                                               this group has a
                                                                                                  2. Mental Health
to providing good quality                   LOUIS APPLEBY               growing and wide               Awareness
collaborative services for              DIRECTOR OF MENTAL              representation            3. Drug and Alcohol
this client group.                                                      from a number of               awareness
What’s happening                                                        local agencies all        4. Skills and
locally??                                                               with a vested                  Interventions
                                                   interest in achieving DD service           The program should take
In 2009 a local needs report was
                                                   improvement for Bolton residents. The
                                                                                              between 1 to 2 hours (or
completed in Bolton which gave an                                                             longer if required) to
overview of dual diagnosis locally. It             future plan is that a Practitioners
                                                                                              complete and there is a
included information of prevalence,                Forum will be established in late          certificate available to print
examined and highlighted some of the               summer 2011. This will ensure that the     off on completion. You can
key problems which local users, carers             people providing services and caring for   try this program by logging
and service providers were                         individuals with a DD and supporting       on to:
experiencing, and made a number of                 their families, have the confidence and
                                                   capability to provide the best possible
recommendations in line with national
                                                   services for people with DD.
                                                                                              diagnosis and click on
and local good practice and guidance.
                                                                                              the e learning resource
Since starting work in Bolton I have
    APRIL 2011 EDITION 1
                                                                Carers news                    LOCAL NEWS
                                                                Work is well                   Bolton Alcohol Strategy Launch
                DD TRAINING NEWS                                                               A new three year alcohol strategy for
                                                                underway to
    There will be a number of training and awareness raising                                   Bolton has been developed and will be
                                                                produce a Bolton
    events taking place throughout the year relevant to DD.                                    launched on the morning of 3 May 2011
                                                                DD resource for
    A pilot has just been completed involving a group of
                                                                                               ‘Alcohol Arrest Referral Scheme’
    mental health practitioners using a ‘mapping’ approach      carers and families of
                                                                                               On the 1st April 2011 staff from ARCH
    (which is widely used across drug and alcohol services      those affected by
                                                                                               Initiatives Service started to deliver
    locally) with a traditional DD training program. We await   Dual Diagnosis. We
                                                                                               Alcohol assessments and brief
    the outcome of this pilot and will keep you updated on
                                                                hope this booklet              interventions in the Police Custody
                                                                and cd rom will be             Suite and Magistrates Court. This new
    E learning
    I have demonstrated the program across a number of          ready to launch at             Scheme utilises the skills of the
    local groups and agencies, and it has been well received.   our event on July              substance misuse workers who are
    This program will give people a good understanding of       1st….…many     thanks          already based in the Police Custody
    the key issues around DD and help improve attitudes and                                    Suite but the remit has now been
                                                                to Anne, Pat,
    understanding of this condition. If you want to know                                       expanded to cover alcohol The
                                                                Suzanne and Tracy
    more contact Ann on                                                scheme will initially operate on a 6
                                                                for their help with this
                                                                                               month Pilot then reviewed and
                                                                which I am sure will           evaluated and if positive continued…
       Recovery Focus                                           benefit local carers           as well as drugs. It is hoped the
Lt Bolton Drug and Alcohol Strategy and Commissioning           and give them                  scheme will help to reduce the
   Team are organizing a number of Stakeholder Days             additional                 Bridging the gap between mental
   during the year to get the message across to                                                likelihood of reoffending and will
   partners that treatment works, and that people can           information and                address and drug and social
                                                                                           health (MH)the health and alcohol
   make changes in their lives, but each individual’s           support.                      care (D&AS)
                                                                                           services needs associated with
   drug treatment should be based on individual needs.
   No single treatment program or approach is                   User involvement           One of the key challenges both locally and
                                                                                               alcohol use by referring the
   appropriate for all individuals. Effective treatment                                    nationally in developing integrated services
   attends to the multiple needs of the client(s), and
                                                                We are looking to              individuals who require it onto
                                                                                           for people with DD, is ensuring that both MH
   does not just tackle their drug use. As such, the            support Service User
   treatment systems must have a number of                                                 andother alcohol treatment services
                                                                                               D&AS are working effectively together.
   components: including pharmacological (medical),             Representation to
                                                                                               (ADS and/or the Community
                                                                                           In Bolton over the past few months there have
   psychosocial     (talking/group    therapies)    and         inform the work of
   social/peer support (user groups, NA, AA etc). Used                                     been a number of meetings and workshops
                                                                                              Alcohol Team- CAT). The
   together, these can all help people change their lives       the Bolton Dual            between these services to try to improve the
                                                                                               scheme will initially operate on a
   and reintegrate into their communities and society.          Diagnosis                  ‘journey’ into and out of services for people
   We are developing a recovery oriented approach in                                           6 month Pilot basis, following
   Bolton. Read more in the next issue…                         Operational Steering       with DD.
                                                                Group. If you have         This which the scheme will be
                                                                                                is a particularly challenging area of

                                                                used or are using
                                                                                                reviewed and evaluated success of
                                                                                           clinical practice but it is key to theand
                                                                                               service hopefully continue.
                                                                                           anyshould improvement initiative. In Bolton
                                                                 mental health
                                                                                           we are in the final stages of agreeing a joint
                   Alcohol star ……. read more about             services alongside
                                                                                           working clinical pathways document
                   whats happening in Bolton in the next        drugs and/or alcohol
                                                                                           which will, once ratified be rolled out across
                                                                services and would
                   issue……….      family/relationships                                     mental health and drug and alcohol
                                                                like to represent the
                   social networks                                                         services.
                                                                service user voice
                   Alcohol       Drug use
                                                                then please contact
                   Physical health       emotional health
                                                                Dave Coleman at
                                                                BAND 01204 546070.
                   Use of time                offending
                   Social networks
       There will be a FREE Dual Diagnosis Awareness Event in Bolton on Friday, July 1st,
                       Drug use
       2011………………….more information in the next edition………………….if you want to
       know more contact                                               NEWS FROM LOCAL

         For more information about Dual Diagnosis or if you have any relevant news items you wish to be included in the
         next edition please contact:

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