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Substance misuse/dual diagnosis 

Substance misuse/dual diagnosis
Chapter:
Substance misuse/dual diagnosis
Author(s):

Tom Burns

, and Mike Firn

DOI:
10.1093/med/9780198754237.003.0019
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date: 17 October 2019

Dual diagnosis is used to refer to people with a psychotic illness plus harmful or hazardous substance misuse, which includes alcohol and any legal or illegal drugs. These coexisting morbidities present challenges for the delivery of services which have traditionally specialized in one or the other in the form of different approaches in addictions and community outreach services. The chapter provides data on the high incidence, poorer outcomes, associated risks, and high service use of these dual diagnosis patients. Best practice in service responses and clinical assessment and interventions are presented alongside a case study and care planning documentation.

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