[Mental Health Caring For Clients with Dual Diagnosis]

By

Acknowledgement

I would first like to express my gratitude for my research supervisor, colleagues, and peers and family whose immense and constant support has been a source of continuous guidance and inspiration.

DECLARATION

I [type your full first names & surname here], declare that the following dissertation/thesis and its entire content has been an individual, unaided effort and has not been submitted or published before. Furthermore, it reflects my opinion and take on the topic and is does not represent the opinion of the University.

Abstract

Persons with a dual diagnosis generally have a poorer prognosis than persons with either abuse or mental disorder. This is because problems seem to exacerbate each other, and because the treatment systems are ill suited for these clients and for the treatment of their problems. Traditionally treatment has been undertaken in two different systems The DDW's aim is to help clients become aware of the reasons they misuse substances, such as anxiety, and explore alternative coping mechanisms. The DDW also supports staff in developing substance misuse capabilities, which include therapeutic optimism, non-judgemental attitudes, engagement and empathy skills, and fulfils an educational role for staff and carers as well as clients. There are a number of problems associated with dual diagnosis field. This applies to the processing system should treat people dual diagnosis, and it applies to individuals' dual diagnosis. The search takes on four online databases literature: MEDLINE, PsycINFO, ERIC (Educational Resources Information Center) and Social Science Abstracts. Out study suggests that people with dual diagnosis should be placed in psychiatric treatment. Hospitals could establish a joint visitation team with participation from Specialist Outpatient Clinic / Department M, district psychiatry, social psychiatry and substance abuse treatment. The team should also develop common referral criteria and establish an assertive community treatment team with dual competencies.

Table of Contents

ACKNOWLEDGEMENTII

DECLARATIONIII

CHAPTER 1:1

Research Issue1

Dual diagnosis worker role1

Literature Review2

Research problem6

Aims and objectives of proposed study6

The aims and objectives of this study are:6

Research Question6

CHAPTER 2: RESEARCH METHODOLOGY7

Electronic data base searches7

Inclusion and exclusion criteria7

Search terms - key terms8

Additional Online searches8

Management8

Search rationale8

Critical Appraisal tool9

Appraisal limitations9

Reliability and validity9

Rigor and Trustworthiness of study10

Ethical Concerns11

CHAPTER 3: PROPOSED OUTCOME OF STUDY12

Time Scale12

Proposed Budget13

CHAPTER 1:

Research Issue

Dual diagnosis is a common problem which is often poorly understood and managed by mental health professionals. The effect of excessive substance use on a person's mental well-being can present as a diagnostic challenge as each condition may mask symptoms of the other.



Dual diagnosis worker role

The dual diagnosis worker's role (DDW) is specifically designed to provide therapeutic interventions for this client group, for example, relaxation, stress management and work motivation, and support the work of ward staff. The DDW also serves as liaison with community teams and services are required to ensure continuity of care when patients are discharged from the hospital. This work involves identifying the support link in the community and keeping staff informed the community about the discharge plan. (Benner 2004, 1)

The aim of DDW is to help clients become aware of the reasons for abusing substances, ...