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UPDATE FROM THE DUAL DIAGNOSIS NETWORK RICHARD BELL DUAL DIAGNOSIS PROJECT MANAGER

UPDATE FROM THE DUAL DIAGNOSIS NETWORK RICHARD BELL DUAL DIAGNOSIS PROJECT MANAGER. Dual Diagnosis Network Event 23 rd April 2014 St Chad’s Parish Centre. 9.30 -10am Introduction and update from the DD Project 10 -10.15am Drug + Alcohol Services Commissioner Update

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UPDATE FROM THE DUAL DIAGNOSIS NETWORK RICHARD BELL DUAL DIAGNOSIS PROJECT MANAGER

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  1. UPDATE FROM THE DUAL DIAGNOSIS NETWORK RICHARD BELL DUAL DIAGNOSIS PROJECT MANAGER

  2. Dual Diagnosis Network Event23rd April 2014St Chad’s Parish Centre 9.30 -10am Introduction and update from the DD Project 10 -10.15am Drug + Alcohol Services Commissioner Update 10.15 -10.30am Dual Diagnosis Expert Reference Group 10.30 - 10.45am Multiple + Complex Needs 10.45 -11.15am Break 11.15 -11.30 am Touchstone CST 11.30 -12.15 pm DD competencies (presentation + focus group) – Dr Elizabeth Hughes 12.15 - 12.30pm Closing

  3. Introductory Housing Keeping • Fire exits • Toilets • Please help keep the venue clean and tidy • Network event – please network!

  4. DD Network Event October 2013 – Care Co-ordinationFocus Group Feedback • Step 3 of the Leeds DD Care Co-ordination protocol focuses on models of care and care co-ordination DD Care Pathway Evaluation 2013 identified - • The term care co-ordination is synonymous with the Care Programme Approach (CPA) • People may often be accessing services that CPA doesn’t apply to e.g. drug/alcohol, voluntary sector mental health and mental health housing support • When people are not under CPA the monitoring of joint working is often informal

  5. Focus Group Question • Alternative to “Care Co-ordination” • How is care co-ordinated when people are not under CPA? • How should care be co-ordinated when people are not under CPA? • How could the Dual Diagnosis Network + Lead Practitioners role be improved in the future?

  6. 1 - Alternatives to Label ‘Care co-ordination’

  7. Leeds Dual Diagnosis Care Co-ordination Protocol is due for review in 2014 • Rename ‘Joint Working Protocol’ • Use Term Lead Worker/Agency

  8. 2 - How is care co-ordinated when people are not under CPA? . • If multiple agencies are involved often no one takes the lead to co-ordinate care and services can feel disjointed • No standards or co-ordination across services – difficult to liaise to arrange meetings • Currently very fragmented • Poor planning • A culture change is needed in some services to allow liaison / conversations • More respect for each other

  9. 3 - How should care be co-ordinated when people are not under CPA? • Better pre-planning to identify most appropriate person • Joint support planning • A formalised joint working plan/protocol • Shared systems/ IT system available to all • Must have SU at the centre and they should be as involved as possible • Include those most involved i.e. families and carers

  10. 4 - How could the Dual Diagnosis Network + Lead Practitioners role be improved in the future? • Opportunities to develop/map innovative practice and share information • “Knowledge bank” for the role of practitioners • Consult/engage with families, carers or SU • Using current resources better – supporting link working and joint care • Deciding what incidence of dual diagnosis within a service warrants a level 3 practitioner

  11. MOVING FORWARD – THE NEXT YEAR • Action Plan for 2014 agreed with commissioners via DD Strategy Group • 3 Key actions for 2014 • For Leeds to have a clear DD Statement of Purpose • To ensure Leeds has an agreed DD Competency Framework + Training Programme • To ensure Leeds has a robust DD strategic plan for the future

  12. 3. To ensure Leeds has a robust DD strategic plan for the future • Systematically gather information on perceptions of key DD project stakeholders = Focus groups involving the DD Expert Reference Group, DD Working Group, lead practitioners + carers 1. Whose needs are and aren’t being met? 2. What are the barriers + solution for clients who don’t fit services? 3. If things could be done differently how would they be done / how would they work? 4. What is the role of the DD network + services supporting DD clients in the future? • How can the disconnection between service users, practitioners, service mangers + commissioners be overcome? Report used to inform the new mental health framework being developed for the city, re-commissioning of substance use services + action plan linked to DD statement of purpose

  13. Focus Group Dates • Practice Development Session – 6th June • DD Working Group – 16th July • ERG conference –18th June • Accommodation Gateway – 7th July • Complex Needs Clients – LYPFT, ASC + Community Links Its an opportunity to have your say and influence future commissioning and service development!

  14. Thank you for listening

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