Dual diagnosis strategy checklist

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					Dual diagnosis strategy checklist This checklist is designed for use by Local Implementation Teams (LITs) and DATs, highlighting steps to ensure that alcohol misuse is included in the provision of treatment for people with dual diagnosis. Importantly, the checklist demonstrates the importance of involving a number of agencies, health and social care professionals in the process of planning and joint working. The checklist was produced by Alcohol Concern, but based on the implementation section of the Department of Health’s Dual Diagnosis Good Practice Guide (2002). If your local dual diagnosis strategy is well underway, this document may serve as a useful means of review.

Alcohol misuse & dual diagnosis strategies: A checklist for LITs & DATs
Issue Developing local service plans 1. Local dual diagnosis project team includes representation from the local alcohol service(s) 2. Where a number of alcohol services operate locally, these services are included in broader dialogue and the roll out of interagency collaboration Definition of dual diagnosis 3. Local services have developed a focused definition of dual diagnosis that includes alcohol misuse 4. Alcohol services contributed to the development of this definition Local needs assessment 5. Local needs determined, including information on the prevalence of alcohol misuse (among dual diagnosis clients) 6. Alcohol services invited to contribute data on local dual diagnosis needs Addressing acute inpatient care 7. Collaborative relationships developed between inpatient units and other agencies, including local alcohol services Delivering integrated care 8. All mental health provider agencies have designated a lead clinician for dual diagnosis issues, encompassing the treatment of co-existent alcohol misuse (in addition to illicit substance misuse) Protocols & care pathways 9. Common assessment tool and procedures developed that include routine assessment of alcohol (mis)use 10. Care pathways, service provision and discharge from hospital or prison include provision of care for alcohol misuse 11. The integrated care teams primarily responsible for the treatment of dual diagnosis (with severe mental illness and substance misuse) incorporate treatment of alcohol misuse 12. Closer links developed between substance misuse and psychiatric services – for example, nominating a liaison substance misuse specialist for each team and formulating agreed care pathways between services Fulfilled? (Yes/No)

Training & support 13. Alcohol service input sought when devising a training strategy 14. All staff in assertive outreach teams trained and equipped to work with dual diagnosis clients. Training has included assessment and treatment of co-existent alcohol misuse 15. A number of staff in different services and teams trained in the treatment of dual diagnosis, incorporating the treatment of co-existent alcohol misuse. Services and teams trained have included, for example:  Crisis resolution teams  Alcohol & drug services  Mental health services  Early intervention teams  Community mental health teams  Primary care clinicians  Assertive outreach teams  Primary care mental health clinicians  Psychological services 16. Alcohol service specialists engaged to train and support mental health services 17. Mental health service specialists engaged to train and support alcohol service workers 18. Training incorporates three strands:  Interagency training  Theoretical and skills based training  Practice development and supervision 19. Protocols in place to ensure that clients with severe mental health problems and alcohol misuse are subject to the Care Programme Approach and have a full risk assessment Commissioning 20. Project teams appoint a lead commissioner 21. Lead commissioner uses the dual diagnosis local service plan as the basis for joint commissioning across the Strategic Health Authority/Primary Care Trusts and DAT