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file icon BUDDHAS Older Adults Dual Diagnosis Resource Guide_2015
26.11.2015

BUDDHAS Older Adults Dual Diagnosis Resource Guide

26th November 2015 – Today, at the Building Up Dual Diagnosis Holistic Aged Services (BUDDHAS) forum (Shades of Grey- Diversity and Dual Diagnosis in Older Adults) Matthew Hercus, Assistant Director, Performance and Programs, Mental Health and Drugs Branch, DHHS will launch the BUDDHAS Older Adults Dual Diagnosis Resource Guide. This guide is intended to guide and support practice in working with those who are aged 55 and older with ‘dual diagnosis’.

You can now download the BUDDHAS Older Adults Dual Diagnosis Resource Guide here

Hits: 757
file icon BUDDYS Resource Guide
26.10.2015

26th October 2015 – Last Monday, at the BUDDYS Youth Service Provider`s Forum, Victoria’s Minister for Mental Health the Hon Martin Foley launched the BUDDYS (Building Up Dual Diagnosis in Youth Services) and HYDDI (Homeless Youth Dual Diagnosis Initiative) Youth Dual Diagnosis Resource Guide  2015.
This new resource considers practice issues for service providers working with young people with a dual diagnosis.  You can now download the BUDDYS Youth Dual Diagnosis Resource Guide 2015 here.
Minister Foley’s tweet about the resource can be read here


(GC)

Hits: 752
file icon VDDI Bulletin - March 2015
04.03.2015
Victorian Dual Diagnosis Initiative Bulletin- March 2015
The Victorian Dual Diagnosis Initiative (VDDI) is a cross-sector (Alcohol and Drug, Mental Health Community Support and Clinical Mental Health) initiative funded by the Victorian Department of Health & Human Services. The VDDI’s role is to contribute to the further development of mental health and AOD workers, agencies and sector’s capacity to recognise and respond effectively to people experiencing co-occurring mental health and substance use concerns (‘dual diagnosis’).
A VDDI Bulletin (March 2015) can be downloaded here
Hits: 1706
file icon Guideline: Management Acute Behavioural Disturbance due to Amphetamine-Type Stimulant intoxication
13.02.2015

Guideline for the management of Acute Behavioural Disturbance due to Amphetamine-Type Stimulant intoxication

- Oct 2014 version
New, 4-page guideline developed by VDDI-NEXUS Consultant Psychiatrist Dr Kah Seong-Loke . Dr Loke profiled the new guideline in a recent presentation to the 2014 Australian Drugs Conference Ice & Altered Realities: Amphetamine Intoxication Withdrawal - Management Guidelines for Acute Hospital Settings

Page 1 of the Guideline provides guidelines for acute assessment and management of ATS intoxication and toxicity (see explanation in slides 18-22 of the conference presentation)


Page 2 of the Guideline provides guidelines for the management of acute behavioural disturbance due to ATS intoxication  (see explanation in slides 23-37 of the conference presentation). Here Dr Loke profiles detailed suggested regimes from:
- Management of Patients with Psychostimulant Toxicity: Guidelines for Emergency Departments DoHA 2006 

- Management of Acute Amphetamine Related Problems (DAO WA, 2006) (not available online but medication regime summarised p19 in Turning Point’s Methamphetamine dependence and treatment 2007 guideline

- Guidelines for the medical management of patients with methamphetamine-induced psychosis DASSA 2006 (Abbreviated 2-page guideline here )

- Management of acute agitation in psychosis: an evidence-based approach in the USA. Schleifer, J. 2011 Advances in psychiatric treatment. 

- The psychopharmacology of agitation: Consensus statement of the American Association for Emergency Psychiatry Project BETA 2012)

N.B.: Note, in step 3 of page 2, that use of Midazolam is mentioned and alert below that cautioning that 'IM Midazolam should only ever be prescribed by a consultant and special precautions MUST be followed’. Local policies will provide further guidance re use of Midazolam

 Page 3 of the Guideline suggests interventions matched to the client’s stage of change

• Page 4 of the Guideline provides guidelines for the long-term management of amphetamine misuse and dependence (BI’s., supported withdrawal etc - see explanation in slides 39-46 of the conference presentation)

GC

Hits: 1719
file icon Infographic Victorian DUAL DIAGNOSIS POLICY @ Nov 2014_A3
20.11.2014

Infographic: What are the principle current Victorian policy documents guiding and supporting mental health and alcohol and drug workers and services in their recognition of and responses to people with dual diagnosis?

Infographic suitable for A3 printing and laminating

Hits: 1499
file icon Thesis: Extent and Patterns of Substance Use in Older Adults with a Mental Illness
02.10.2014

2nd October 2014: Dr Kathleen Ryan’s PhD thesis An Exploratory Study into the Extent and Patterns of Substance Use in Older Adults with a Mental Illness  focused on older people disadvantaged through coexisting mental illness and substance use issues (dual diagnosis). Her study investigated the extent and types of substances used in 60 older people with a mental illness. This study explored the frequency and types of substances used; the reasons for use; and, views on change. The study also examined the applicability of the ASSIST substance-screening instrument for an older population. The results indicated that a range of licit and illicit substances were used with varying frequency. The study found that the extent of alcohol/drugs used previously and currently is high. Alcohol, sedatives and tobacco are the most commonly used.

Those aged 55-64 have used and currently use to a larger extent a greater range of substances, most noticeably cannabis, as well as alcohol, benzodiazepines and caffeine than those aged 65+. Only those aged 55-64 have used a (non-medical) drug by injection. Complex and multi-faceted reasons for substances use and views on change were found along with an overlap between reasons for use and reasons for change. It is anticipated that the findings from this study will provide the basis for further policy development within the dual diagnosis field and will help contribute towards more effective clinical practice with an older population with dual diagnosis.

(GC)

Hits: 1879
file icon Report: Carers’ experience of providing care and support to family members with dual diagnosis
23.01.2013

23 January 2013: This report, by Laura David of the Victorian Mental Health Carers Networkdocuments a 2011 exploratory research project around carers’ experience of providing care and support to family members with co-occurring severe mental health and substance use issues (‘dual diagnosis’) and their engagement in mental health service delivery.

This topical report, funded by the Victorian Department of Health, builds on qualitative interviews with carers from three Melbourne mental health services and follow-up discussion groups with mental health service staff.

The report offers valuable:

  • Carer interview findings
  • Staff discussion group findings
  • Implications and recommendations: 10 recommendations are made on strategies for strengthened carer engagement with MH and AOD services and improved collaboration and integration between the MH and AOD sectors.
  • Key implications for decision makers

(GC)

Hits: 3790
file icon Gippsland Dual Diagnosis CARERS RECOMMENDATIONS REPORT
21.09.2012

21st Sept 2012: In 2010-11 the Victorian Dual Diagnosis Initiative - Gippsland (auspiced by Latrobe Regional Hospital), conducted three forums for carers and significant others of people with co-occurring mental health-substance use concerns (dual diagnosis). The intent of the forums was to gain feedback on the experiences, challenges and successes for carers and significant others of individuals with a dual diagnosis. A total of 52 carers and significant others were involved in the forums and four key areas for improvement were identified.

The forum report Hearing the Stories of Carers & Significant Others - Recommendations for Service Delivery 2012, authored by Gillian Clark and Dean Rooke, can now be downloaded here.

Hits: 4901
file icon Our Healing Ways - Supervision: A culturally appropriate model for Aboriginal workers
18.07.2012

The Our Healing Ways project was coordinated by Katherine Bakos as a project of the Victorian Dual Diagnosis Initiative. The Healing Ways Project developed three key resources including:

Supervision: A culturally appropriate model for Aboriginal workers
This model has been developed to help meet the need for culturally appropriate supervision models for workers. It has been based on the needs of the Aboriginal AOD, Mental Health and SEWB workforce and recognises that people are working with community – often including their own families, friends and colleagues.

Hits: 6703
file icon Our Healing Ways - Relationship between A&D and Mental Health - Resource Book for Aboriginal Workers
18.07.2012

The Our Healing Ways project was coordinated by Katherine Bakos as a project of the Victorian Dual Diagnosis Initiative. The Healing Ways Project developed three key resources including:

The relationship between alcohol and drugs and mental health - A resource book for Aboriginal Workers
This resource includes background information, holistic assessment, setting up a recovery plan together, stages of change, interventions, resources and services.

Hits: 5023
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