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The British experience of dual diagnosis in the national health service

Published online by Cambridge University Press:  24 June 2014

A. L. Lowe  and
M. T. Abou-Saleh
A. L. Lowe*
Affiliation:
St Ann's Hospital
M. T. Abou-Saleh
Affiliation:
St George's Hospital Medical School, University of London, London, UK
*
Alison L. Lowe, MBC ChB, MRCPsych, Consultant Psychiatrist, St Ann's Hospital, St Ann's Road, London N15 3TH, UK. Tel: +44 (0)20 8442 6113;Fax: +44 (0)20 8442 6447; E-mail: [email protected]
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Abstract

The co-occurrence of substance misuse and other psychiatric disorder (dual diagnosis) has been increasingly recognized in the UK. Clinical studies of patients with severe mental disorders showed high rates of substance misuse with poor clinical and social outcome. These patients often fall ‘between the cracks’ of the separate general psychiatric and addiction services. This has necessitated the development of a national policy advocating the provision of integrated care within mainstream psychiatric services. There are emergent models of good practice that require evaluation of effectiveness and cost effectiveness.

Keywords

Britishcomorbiditydual diagnosisservice modelssubstance misuse
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 16 , Issue 1 , February 2004 , pp. 41 - 46
Copyright
Copyright © 2004 Blackwell Munksgaard

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