The challenges of developing dual diagnosis capabilities for acute inpatient staff

Elizabeth Hughes, Neil Robertson, Cheryl Kipping, Claire Lynch

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement.In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care.This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.

LanguageEnglish
Pages36-42
Number of pages7
JournalThe Journal of Mental Health Training, Education and Practice
Volume2
Issue number2
DOIs
Publication statusPublished - 1 Sep 2007
Externally publishedYes

Fingerprint

Dual (Psychiatry) Diagnosis
Inpatients
staff
worker
lack
mental health
Mental Health Services
Financial Management
supervision
Psychiatry
Mental Health
health service
driver
Learning
Staff
Research
resources
learning
Workers
experience

Cite this

Hughes, Elizabeth ; Robertson, Neil ; Kipping, Cheryl ; Lynch, Claire. / The challenges of developing dual diagnosis capabilities for acute inpatient staff. In: The Journal of Mental Health Training, Education and Practice. 2007 ; Vol. 2, No. 2. pp. 36-42.
@article{83de03d0083b4896b798aa25efc59c91,
title = "The challenges of developing dual diagnosis capabilities for acute inpatient staff",
abstract = "Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement.In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care.This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.",
keywords = "Acute inpatient, Dual diagnosis, Mental health, Staff training, Substance use",
author = "Elizabeth Hughes and Neil Robertson and Cheryl Kipping and Claire Lynch",
year = "2007",
month = "9",
day = "1",
doi = "10.1108/17556228200700012",
language = "English",
volume = "2",
pages = "36--42",
journal = "Journal of Mental Health Training, Education and Practice",
issn = "1755-6228",
publisher = "Pier Professional Ltd",
number = "2",

}

The challenges of developing dual diagnosis capabilities for acute inpatient staff. / Hughes, Elizabeth; Robertson, Neil; Kipping, Cheryl; Lynch, Claire.

In: The Journal of Mental Health Training, Education and Practice, Vol. 2, No. 2, 01.09.2007, p. 36-42.

Research output: Contribution to journalReview article

TY - JOUR

T1 - The challenges of developing dual diagnosis capabilities for acute inpatient staff

AU - Hughes, Elizabeth

AU - Robertson, Neil

AU - Kipping, Cheryl

AU - Lynch, Claire

PY - 2007/9/1

Y1 - 2007/9/1

N2 - Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement.In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care.This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.

AB - Dual diagnosis poses particular challenges for inpatient mental health services. Workers have low levels of training, clinical experience and support to deliver integrated care that combines mental health and substance use interventions. In addition, inpatient workers have to balance being therapeutic with ensuring that illicit substance use does not occur on the wards. This often leads to confrontation and poor engagement.In order to improve the capabilities of the workers to deliver more effective interventions for this group of service users, dual diagnosis training should be a high priority for acute inpatient services. However, there are a number of challenges in the implementation of this including lack of resources to fund training and specialist roles, lack of time to attend training (and supervision), and lack of time to implement learning in routine care.This paper will describe the policy drivers for the improvement of dual diagnosis care in acute psychiatric inpatient services, and how two initiatives in London are overcoming some of the obstacles and showing some promising initial outcomes. This paper will make recommendations for future research and developments.

KW - Acute inpatient

KW - Dual diagnosis

KW - Mental health

KW - Staff training

KW - Substance use

UR - http://www.scopus.com/inward/record.url?scp=84993047552&partnerID=8YFLogxK

UR - http://www.emeraldinsight.com/loi/jmhtep

U2 - 10.1108/17556228200700012

DO - 10.1108/17556228200700012

M3 - Review article

VL - 2

SP - 36

EP - 42

JO - Journal of Mental Health Training, Education and Practice

T2 - Journal of Mental Health Training, Education and Practice

JF - Journal of Mental Health Training, Education and Practice

SN - 1755-6228

IS - 2

ER -