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

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

3. Dual Diagnosis Network Event 23 rd April 2014 St Chad’s Parish Centre 9.30 - 10am Introduction and update from the DD Project 10 -10.30am MH commissioning/Leeds new MH Framework 10.30 -10.45amSocial Justice Team 10.45 - 11.15am Break 11.15 – 11.45am DD competency framework 11.45 – 12.05amZIP 12.05 – 12.20pmBSL Sign Health 12.20 – 12.30pmClosing Comments etc

4. KEY ACTIONS - 2014  Action Plan for 2014 agreed with commissioners via DD Strategy Group  3 Key actions for 2014 1.For Leeds to have a clear DD Statement of Purpose 2.To ensure Leeds has an agreed DD Competency Framework + Training Programme 3.To ensure Leeds has a robust DD strategic plan for the future

5. DD Competency Framework + Training  2 x focus groups held with DD lead practitioners + service manager = 18 services/organisations involved in both  1 x focus group held with ZIP  New Competency Framework drafted by Dr Elizabeth Hughes Next Steps  To be signed off by DD Strategy Group + ZIP  Link to rolling programme of training for the future  Steps to progress included in new DD Project action plan

6. Level 2 Training  Funding for 90 places of level 2 DD training agreed by Leeds North CCG  2 day training course  Begins January 2015  ZIP members will be contributing towards the delivery of the course  Some places still left – apply ASAP

7. Future Needs Assessment  4 X Focus groups facilitated with key stakeholders = Service users, peer mentors, DD lead practitioners + service/operational managers – What is working well + why? What is not working well, why + possible solutions? How can the disconnection between service users, practitioners, services + commissioners be overcome? Alternative DD Models

8. Future Needs Assessment – Initial Findings What is working well + why?  The DD Project + DD Network  Agreed care pathways, joint/link working partnerships and protocols are in place  People, who are willing to engage/address substance use  Single point of access to services  Services delivered in the same location  Service user involvement and mutual aid are in place  Services have ability to be flexible to work with a persons support needs /criteria  Engage at levels relating to persons need, can offer outreach/floating support or able to offer early intervention  Services that have staff trained in DD and services/professional have a good knowledge of other services

9. Future Needs Assessment – Initial Findings What is not working well, why + possible solutions?  Crisis + high risk situations  Pre-contemplative substance users  Inpatient services + risk management  People who are undiagnosed or have a specific diagnosis i.e. personality disorder  Accessibility of services  Inconsistency in DD provision  Recovery, peer + mutual support  Families, carers + concerned others

10. Future Needs Assessment – Next Steps  Report drafted + awaiting sign off by DD Strategy Group  ZIP have contributed own section to report = independent service users perspective  Full report and summary will be available to DD Network  New DD Project action plan will include identifying how to address what is not working well  Some work streams/projects are already addressing issues e.g. Crisis Assessment Service + Harm Reduction pilot, Inpatients + Harm Reduction pilot

11. National Policy Updates !!!

12. 2 Key New Drivers  Mental Health Crisis Care Concordat = A joint statement from DoH + Home Office about how public services should work together to respond to people who are in mental health crisis.  Mental Health National Intelligence Network= Aims to bring together publically accessible data into one place to support the development of better health and social care.  Both include specific outcomes in relation to DD

13. What does this mean????  Potential New/refresh of Dual Diagnosis Guidance – This will include guidance for commissioners  Development of guidance/service spec for commissioners to enable crisis services to meets needs of people experiencing DD + crisis  Better data available nationally and locally i.e. - Match NDTMS and MHMDS NICE guidelines in development – Dual diagnosis: community-based services to meet people’s wider health and social care needs when they have a severe mental illness and misuse substances

14. Thank you for listening