1. DUAL DIAGNOSIS TRAINNING MODULES PORTUGUESE EXPERIENCE Maria João Gonçalves e Sónia Fontes

2. Select trainers with work experience in Day Care Centres, Residential Units and in Team Supervision Methods –Preparatory Reflection –Interactive methodologies –Group dynamics Part of more wide training programme of 60 hours Select the trainees TRAINING PLANNING TASKS

3. Trainees –13 professionals (2 men and 11 women) –Initial Training 7 professionals with high degree( Psychology, Therapists, Social workers, Kindergarten teachers) 6 auxiliary care givers –9 CERCI´S (Cercisa, Cercioeiras, Cerciama, Cercimor, Cercica, Cercilisboa, Cercipeniche, Cercima, Cercicaper) TRAINNING IMPLEMENTATION TASKS

4. TRAINING IMPLEMENTATION Training Modules“Dual Diagnosis” (30 hours) DateModulesHoursTrainers 7 Nov 09 (Saturday) Professional Mental Health Quality of Life6 Maria Filomena Amaro Maria João Gonçalves Raúl Melo Sónia Fontes 16 Nov 09 (Monday) Intellectual Disability, Mental Health Problems and Dual Diagnosis 6 Maria Filomena Amaro Maria João Gonçalves Sónia Fontes 28 Nov 09 (Saturday) 30 Nov 09 (Monday) Dual Diagnosis - Team Intervention12 Maria Filomena Amaro Maria João Gonçalves Sónia Fontes 9 Jan 10 (Saturday) Stress Management Support Strategies within the team 6 Maria Filomena Amaro Maria João Gonçalves Raul Melo Sónia Fontes

5. TRAINING IMPLEMENTATION Documents –ESTIA (UK) –TURNING POINT (UK) –Royal College of Psychiatric (UK) –British Psychological Society (UK) –MHID – Mental Health Intellectual Disability (NL) –National Association for the Dually Diagnosed (USA) –POMONA Project (EU) –FEAPS (SP) –Coordenação Nacional para a Saúde Mental (PT) –Luis Salvador Carulla; Marco Bertelli; Giampalo la Malfa papers –WORK POSITIVE (UK) –NHS (UK) –OMS –WPA

6. Final Evaluation –Evaluation Questionnaire (developed in the partnership) at the beginning and at the end of the training session Long-term Evaluation –6 months after the training session TRAINING EVALUATION TASKS

7. TRAINING EVALUATION Not Highly Important Important Don’t Know 123456 Basic knowledge about intellectual disability and mental health 8%92% How we decide what is normal and what is abnormal 38%54%8% How mental health problems can start and develop in people with id 31%62%8% The kind of psychological problems that people with id have 23%77% How to communicate better in order to understand people’s problems 15%85% The range of interventions for helping people with id and mental health problems 8%92% Psychological treatments 38%62% Talking treatments (counselling and psychotherapy) 38%62% Drug treatments 54%38% Form 1: to be completed at the begining of the course Tell us how important you think that the following topics are to your work

8. TRAINING EVALUATION Form 1: to be completed at the begining of the course Tell us how important you think that the following topics are to your work. Not Highly Important Don’t Know 123456 Multidisciplinary working and roles 8%92% Evaluating quality of life 8%92% Relationship between dual diagnosis and challenging behaviour 46%54% Assessing and managing risk 15%77%8% Looking after your own mental health 8%85%8% Managing stress 8%85%8%

9. TRAINING EVALUATION Form 2: to be completed at the end of the course Please tell us how satisfied you were with the teaching of the following topics on the course Not Highly Important Don’t know 123456 Basic knowledge about intellectual disability and mental health 20%80% How we decide what is normal and what is abnormal 10%40%50% How mental health problems can start and develop in people with id 40%60% The kind of psychological problems that people with id have 40%60% How to communicate better in order to understand people’s problems 30%60%10% The range of interventions for helping people with id and mental health problems 10%30%60% Psychological treatments 10%40% 10% Talking treatments (counselling and psychotherapy) 40%50%10% Drug treatments 10%30%60%

10. TRAINING EVALUATION Not Highly Important Don’t Know 123456 Multidisciplinary working and roles 10% 80% Evaluating quality of life 100% Relationship between dual diagnosis and challenging behaviour 30%70% Assessing and managing risk 20%80% Looking after your own mental health 100% Managing stress 10%90% Form 2: to be completed at the end of the course Please tell us how satisfied you were with the teaching of the following topics on the course

11. TRAINING EVALUATION Overall Evaluation of the Course DISAGREE SLIGHTLYAGREESLIGHTLYAGREE DON’TKNOW This course was relevant to my work / role 100% The course covered most of the things that I expected 10%90% I have learned a lot from this course 100% The course did not tell me anything new 100% I have a better idea of how to help people with id who have mental health problems 100% The course did not tell me enough about the mental health of people with intellectual disabilities 100% The ideas and facts presented were easily understood 70% 20%10% I will feel more supported in my work after this course 100% I have a better idea of how to help people with id who have mental health problems 40%60%

12. TRAINING EVALUATION Overall Evaluation of the Course Organisation of the course DISAGREE SLIGHTLYAGREESLIGHTLYAGREE DON’TKNOW The course was well organised 100% The teaching was presented in an easily understood form 10%90% There was enough time for questions and discussion 20%80% The course materials provided were useful 100% There was a good balance of topics presented in the course 100% I was helped if there was anything i did not understand 100% I know where to look for further information 10%90% I know where to look for further support 10%90% I felt involved in the training 100% I found the training inspiring 10%90%

13. CONCLUSIONS Existing need for: – Initial and life long training on Dual Diagnosis contents; –Multidisciplinary teams in day care centers and residential units must integrate health competences in their practice; –building up links/partnerships and a common language between social and health professionals; –stress management strategies within the teams –Team external supervision –Monitoring the implementation of health and social policies –Disseminate good Practice and provide visibility to Community Intervention