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Dual Diagnosis

Volume 404: debated on Monday 28 April 2003

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To ask the Secretary of State for Health pursuant to her answer of 8 April 2003, Official Report, column 236W, on dual diagnosis, what other categories of dual diagnosis have had detailed guidance for treatment published; what resources are allocated to these and the drug misuse proposed treatments; and if he will make a statement.[110223]

The "Dual Diagnosis Good Practice Guide" (2002) provides guidance on services for people with a diagnosis of severe mental illness and substance misuse."Models of Care" (2002) sets out a national framework for the commissioning of an integrated drug treatment system for adult drug misusers in England. It includes detailed guidance on provision of services for psychiatric co-morbidity. It also describes the evidence to support appropriate approaches to assessment, risk assessment, treatment and care planning to inform commissioning of service provision for adults with concurrent substance misuse and severe as well as common mental health problems or personality disorders.Funding for commissioning services for people with a dual diagnosis is provided from mainstream national health service budgets and from the pool treatment budget, a fund that is used specifically for commissioning drug services. In 2003–04, the money available is £236.1 million, which represents a 23 per cent. increase over the previous year.The implementation of the dual diagnosis good practice guidance is being supported as part of a comprehensive programme of work in the National Institute for Mental Health in England with a budget of £400,000 for 2003–04.In addition, policy and good practice guidance has been produced for the provision of services for people with learning disabilities, personality disorders and deaf people with mental health problems.