Transcript Slide 1
UPDATE FROM THE DUAL DIAGNOSIS
PROJECT
RICHARD BELL
DUAL DIAGNOSIS PROJECT MANAGER
Introductory Housing Keeping
Fire exits
Toilets
Please help keep the venue clean and tidy
Network event – please network!
Dual Diagnosis Network Event
23rd April 2014
St Chad’s Parish Centre
9.30 - 10am
Introduction and update from the DD Project
10 -10.30am
MH commissioning/Leeds new MH Framework
10.30 -10.45am
Social Justice Team
10.45 - 11.15am
Break
11.15 – 11.45am
DD competency framework
11.45 – 12.05am
ZIP
12.05 – 12.20pm
BSL Sign Health
12.20 – 12.30pm
Closing Comments etc
KEY ACTIONS - 2014
Action Plan for 2014 agreed with commissioners via DD Strategy Group
3 Key actions for 2014
1.For Leeds to have a clear DD Statement of Purpose
2.To ensure Leeds has an agreed DD Competency Framework + Training Programme
3.To ensure Leeds has a robust DD strategic plan for the future
DD Competency Framework + Training
2 x focus groups held with DD lead practitioners + service manager = 18
services/organisations involved in both
1 x focus group held with ZIP
New Competency Framework drafted by Dr Elizabeth Hughes
Next Steps
To be signed off by DD Strategy Group + ZIP
Link to rolling programme of training for the future
Steps to progress included in new DD Project action plan
Level 2 Training
Funding for 90 places of level 2 DD training agreed by Leeds North CCG
2 day training course
Begins January 2015
ZIP members will be contributing towards the delivery of the course
Some places still left – apply ASAP
Future Needs Assessment
4 X Focus groups facilitated with key stakeholders = Service users, peer mentors,
DD lead practitioners + service/operational managers –
What is working well + why?
What is not working well, why + possible solutions?
How can the disconnection between service users, practitioners, services +
commissioners be overcome?
Alternative DD Models
Future Needs Assessment – Initial Findings
What is working well + why?
The DD Project + DD Network
Agreed care pathways, joint/link working partnerships and protocols are in place
People, who are willing to engage/address substance use
Single point of access to services
Services delivered in the same location
Service user involvement and mutual aid are in place
Services have ability to be flexible to work with a persons support needs /criteria
Engage at levels relating to persons need, can offer outreach/floating support or
able to offer early intervention
Services that have staff trained in DD and services/professional have a good
knowledge of other services
Future Needs Assessment – Initial Findings
What is not working well, why + possible solutions?
Crisis + high risk situations
Pre-contemplative substance users
Inpatient services + risk management
People who are undiagnosed or have a specific diagnosis i.e. personality disorder
Accessibility of services
Inconsistency in DD provision
Recovery, peer + mutual support
Families, carers + concerned others
Future Needs Assessment – Next Steps
Report drafted + awaiting sign off by DD Strategy Group
ZIP have contributed own section to report = independent service users
perspective
Full report and summary will be available to DD Network
New DD Project action plan will include identifying how to address what is not
working well
Some work streams/projects are already addressing issues e.g. Crisis Assessment
Service + Harm Reduction pilot, Inpatients + Harm Reduction pilot
National Policy Updates !!!
2 Key New Drivers
Mental Health Crisis Care Concordat = A joint statement from DoH + Home
Office about how public services should work together to respond to people
who are in mental health crisis.
Mental Health National Intelligence Network= Aims to bring together
publically accessible data into one place to support the development of
better health and social care.
Both include specific outcomes in relation to DD
What does this mean????
Potential New/refresh of Dual Diagnosis Guidance – This will include guidance for
commissioners
Development of guidance/service spec for commissioners to enable crisis services
to meets needs of people experiencing DD + crisis
Better data available nationally and locally i.e. - Match NDTMS and MHMDS
• NICE guidelines in development –
Dual diagnosis: community-based services to meet people’s wider health and social
care needs when they have a severe mental illness and misuse substances
Thank you for listening