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