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News and Updates from todays Dual Diagnosis: Improving the Management of severe mental illness and substance misuse

Chairman, Dr Tony Rao, Consultant Old Age Psychiatrist and Visiting Researcher, Institute of Psychiatry, Clinical Academic Group Lead for Dual Diagnosis, South London and Maudsley NHS Foundation Trust
Dr Rao has worked as a consultant old age psychiatrist for over 20 years in an inner-city area of London with a high rate of alcohol misuse in older people. 
Pre event abstract
Older people of the "Baby Boomer" generation have shown the fastest rise in substance misuse compared with all other age groups. With a wide range of substances involved that add to the existing burden of mental disorders such as depression and dementia, there is a pressing need to embed the assessment, treatment and aftercare into policy and practice. The presentation highlights the public health and clinical aspects of dual diagnosis in older people, with a focus on the trends in substance misuse, the need to address alcohol related brain damage and the development of care pathways and integrated care. 
Full power point presentation

Ensuring adherence to the NICE guideline for severe mental illness and substance misuse (Dual Diagnosis)1
Dr Raffaella Margherita Milani
, Course Leader, Substance Use and Misuse Studies, University of West London
Dr Raffaella Margherita Milani is a Chartered Psychologist and Course Leader for Substance Use and Misuse Studies (undergraduate and post graduate level) at the University of West London. She is member of the British Psychological Society and Fellow of the Higher Education Academy.
Raffaella speaking this morning "Drugs and Alcohol are involved every day in all parts of society" 
Full powerpoint presentation

Developing Engagement and Intervention for those with Dual Diagnosis need within an Early Intervention Service
Chris Fieldhouse
, Consultant Nurse Dual Diagnosis, North Staffordshire Combined Healthcare NHS Trust
Pre event abstract
Problematic substance misuse is common within those experiencing a first episode of psychosis, with some estimates as high as over 80% within this population. This has a significant impact for the individual with much higher rates of disengagement, non-concordance with medication, contact with the criminal justice system, homelessness and other social difficulties. However despite considerable efforts to support service users to attend drug and alcohol appointments for treatment the success rate remained frustratingly low. The North Staffordshire Early Intervention Service were keen to reflect on their practice and work closely with service users to understand their perspective, as a result they developed an approach and understanding which has resulted in much better engagement, stronger therapeutic alliance and more positive outcome.
Full powerpoint presentation

A system response to supporting people with multiple and complex needs
Lindsay Henderson
, Programme Manager, Fulfilling Lives Newcastle & Gateshead
Pre event abstract 
Fulfilling Lives Newcastle Gateshead is an eight year Big Lottery funded programme aiming to improve the lives of people experiencing multiple and complex needs (MCN). Our definition of MCN is someone experiencing poor engagement with services and a combination of homelessness, mental ill health, offending and substance misuse issues. 
Continuing until 2022 the programme is supported by a Core Partnership of Changing Lives (Lead Partner), Mental Health Concern and Oasis Aquila Housing and is one of 12 National partnerships across England. Learning is at the heart of the programme as is the commitment to hearing the voice of lived experience. 
Working with 267 clients since 2014, the first four years of Fulfilling Lives Newcastle Gateshead brought forth a great deal of learning. We are beginning to understand the needs of this client group and are working hard to understand their client journeys with our increased focus on case studies and peer research. 
Our evidence shows that people with multiple needs struggle to access services due to a number of reasons including their own personal barriers and the systemic barriers within which the services set up to support them operate. We are therefore working in partnership with many agencies and building relationships and capacity to find out what supports and prevents our system from achieving the best results for people with the most demanding needs across Newcastle and Gateshead.
Full powerpoint presentation

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