This site is intended for healthcare professionals only

‘Desperately needed’ guidance on dual diagnosis of mental illness released

Written by: | Published:

Homeless people often have a dual diagnosis Homeless people often have a dual diagnosis

NICE has published new guidance for the management of coexisting severe mental illness and substance misuse.

People with a ‘dual diagnosis’ are those who have coexisting mental illness and substance misuse. The aim of the guidance is to coordinate services to address people’s health and social care needs, and bring in other agencies that can remedy issues such as employment and housing.

Professor Alan Maryon-Davis, chair of the guideline committee at NICE explained that people with dual diagnosis often with physical health and social issues as well as their dual mental health and substance problem. They are often unemployed, in debt, homeless or in an abusive relationship. Additionally, they are also more likely to be stereotyped and stigmatised.

‘[These patients] tend to get shunted around the various services they need support from with no-one wanting to take responsibility for them,’ said Professor Maryon-Davis. ‘This can all too easily lead to a downward spiral and sooner or later a crisis – perhaps forcing them into A&E, or on the streets.’

For primary care nurses, the guidance recommends they must be aware that a patient with dual diagnosis may have a range of chronic physical health conditions, and understand that people's unmet needs may lead them to have a relapse or may affect their physical health. The guidance also stresses the need to work cooperatively with social care organisations, that can assist the patient with issues such as homelessness and education.

‘Staff working in mental health, substance misuse, primary care, social care, housing, employment, benefits, criminal justice and the voluntary sector need to have strong leadership to ensure that they are all working together as best they can,’ added professor Maryon-Davis.

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Comments

Name
 
Email
 
Comments
 

Please view our Terms and Conditions before leaving a comment.

Change the CAPTCHA codeSpeak the CAPTCHA code
 

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.