Recuperation from substance misuse is tough for any users trying to get their lives back on track but for those people who also suffer from dual diagnosis issues, the particular journey back to normality – or as near to normality as possible in terms of their underlying illness – is compounded by a number of underlying problems. One of these is the constant confrontation every day medication for their underlying illness. An additional is their sense of underlying self-worth. Still another concern is an understanding problem: this includes perception of other people and, more fundamental, a problem associated with low self-esteem in their perception of themselves as valued members associated with society. While substance misuse is of increasing concern world-wide, the recognition, in the own right, of problems connected with dual diagnosis has been rather ignored. Despite dual diagnosis having been with us for many years, it is really only comparatively lately that resources have been made available to deal with the problem and institute a double diagnosis programme in its own right.

The scale is huge as well as the matter is a multifarious one, even though appropriate care is now being shipped through the instigation of a number of dual diagnosis programmes. It has been recognised the fact that appropriateness of this care centres on a holistic approach so integrating appropriate healthcare teams has been of prime concern when setting up a dual diagnosis programme.
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All human beings need to be thought to have an active role to contribute to society and, despite psychiatric disease, this is no less important to sufferers taking part in a dual diagnosis programme. Identification of this is fundamental to a co-ordinated approach to a personalised treatment plan since dual diagnosis sufferers have interpersonal needs in equal proportion to medical needs and, for extensive success, both aspirations need to be accommodated in an individualised dual diagnosis program.

It is only fairly recently that the suitable definition of dual diagnosis has become accepted: this is centred on the co-existence of problems which cover each a problem with substance misuse while also taking into account a pre-existing psychological health illness. For sufferers, by themselves, this is still the tip of the iceberg and it is a recognised factor that will dual diagnosis is pretty multifaceted with regards to recognising the needs of those with double diagnosis. Many professionals believe that the meaning should be more specific – which psychological illness should be included and which should not? Is one more profound and more deserving to be treated than one more? All these need to be considered in terms of financing and employing the appropriate healthcare profession in accordance with the illness being considered.

Surprising figures from the Office of Nationwide Statistics indicates that, in the UK, a moderate dependency problem exists within approximately 10% of male remand prisoners whilst 40% had a severe dependency and a huge 79% showed to have two mental disorders and also a drug dependency problem. A number of factors have been shown to exacerbate a propensity towards the development of dual diagnosis for example behaviour, a person’s response to their atmosphere and genetic make up. These, nevertheless , a just a few of the problems leading to the advantages of a dual diagnosis programme to become set up. Drugs such as cannabis often exacerbate what might initially have already been a minor psychiatric problem and other medications could act as triggers to set off a dormant mental health problem. As such problems are so intricate, models of treatment need to be considered by Care Delivery Teams to ensure that a social and medical underclass are not allowed to create whereby dual diagnosis sufferers aren’t considered to be sufficiently ‘needy’ to be accepted onto a dual diagnosis program.


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