Dual Diagnosis, ABI and AOD

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• Dual Diagnosis, ABI and AOD
• Working Together

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Dual Diagnosis ABI and AOD working together

• Dual Diagnosis refers to the coexistence of
  psychiatric and substance misuse disorders within
  the same person (Stuart Laraia, 1998).
• ABI is defined as an injury to the brain which
  results in deterioration in cognitive, physical,
  emotional or independent functioning.
• (Stringer Brealey, 1999).

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What are the similarities or common themes
between DD and ABI A0D?

• Dual Diagnosis
• Capacity building
• Training
• Secondary consult
• Shared care
• Three diagnosis
• Support to clinicians

• ABI AOD
• Capacity building
• Training
• Secondary consult
• Direct care
• Three diagnosis
• Support to clinicians

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Why collaborate?
Mental health problems common among people with
an ABI and among their carers include adjustment
disorders, depression, anxiety, and drug and
alcohol abuse. In addition, the brain injury
itself can cause symptoms similar to syndromes
such as psychosis and dementia. Most
problematically, an ABI can lead to significant
problems with impulse control, social skills and
self-awareness. These problems may manifest as
agitated, difficult, disruptive, inappropriate
and/or aggressive behaviour. Such behaviour may
or may not be associated with a serious mental
illness or disorder.
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Why collaborate?

• Isolation for rural DD workers and ABI AOD
  workers
• Concern for worker burnout
• Sharing of resources
• Networking
• Common clients, common problems
• same faces different places
• New initiatives with its own challenges

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Why collaborate?

• Ownership of program/position
• Clarity between state and local
• Personality driven positions and the issue of
  creating a sustainable model
• Peer support at local level limited

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Aims

• Provide support to specialists working in the
  field of dual diagnosis and alcohol and drug
  acquired brain injury
• Promote and address service gaps and priorities.
• To provide a forum for specialists within the
  Victorian Dual Diagnosis and Alcohol and Other
  Drug Acquired Brain Injury initiative to network
  and enhance collaborative working relationships.

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Aims continued

• Ensure the development of a coordinated response
  that is based upon best practice principles.
• Identify and share resources and knowledge
• To provide a mechanism for feedback to the
  department of Human Services

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Membership

• All statewide rural dual diagnosis specialists
• All ABI/AOD specialists
• Representatives of the Department of Human
  Services (DHS)

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Outcome of working together

• Established a coordinated approach where
  identified issues can be highlighted and
  discussed.
• Promote the issues surrounding service delivery
  as an isolated clinician.

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Outcome of working together

• Joint case meetings
• Joint training
• Joint clinical supervision for client group
• Every region different in delivery
• Creation of working partnerships between mental
  health and drug treatment