Segments in this Video

Dual Diagnosed (01:32)


Pamela Parker says a dual diagnosis comes with two stigmas. Tony Driver and Parker reflect on their experiences with mental health service and drug treatment. Dr. Brian Iddon discusses patient unwillingness to admit to drug use if they have a mental health issue.

What is Dual Diagnosis? (01:23)

Dual diagnosis typically refers to mental health and substance abuse issues. Driver believes he has more than two problems. Prof. Graham Thornicroft states that a study revealed approximately 30% of patients with a psychiatric disorder use drugs or alcohol; it is more common among men and young people.

Do Drugs Cause Mental Health Problems? (01:30)

Experts discuss the connection between mental illness and substance use. Driver self-medicated with drugs to lift his mood.

Why do People Use Street Drugs? (04:15)

Driver knows people who were able to "keep a lid" on their mental illness by using street drugs. Experts discuss the use of psychiatric drugs, the effects of street drugs on mental health symptoms, and perception of dual diagnosis.

Treatment Services (01:28)

Driver states that when he mentions drug use along with mental illness, treatment gears toward drug use. Those with dual diagnosis are often transferred between mental health and drug treatment services; each thinking the other is the main problem.

How Can We Respond? (04:21)

Those with a dual diagnosis pose a new challenge to treatment services. Maggie Bristow discusses the importance of getting the "big picture" when treating those with a dual diagnosis— motivational interviewing.

Therapeutic Alliance (04:18)

Driver and Bristow discuss Bristow's approach to treating a person with a dual diagnosis. Driver feels he has some power in his life and "things" are more achievable.

And the Future? (03:00)

Iddon does not think mental health services understand the scale of illicit substance use. Experts consider reduction approaches, and drug and mental health services working together. Driver has not been in residential treatment since working with Bristow.

Credits: Pillar to Post (01:03)

Credits: Pillar to Post

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Pillar to Post

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Studies show that between 30% and 50% of people with a diagnosis of a serious mental health problems also report using street drugs on a regular basis. People who have a dual diagnosis report how they are pushed from Pillar to Post - from one service to another, with each service offering little or no help or simply passing the client on to another service. The result is that people with complex needs often fall out of services completely. Highlighted in the UK's Department of Health guidance on good practices for dual diagnosis, and features people with a dual diagnosis, as well as a range of experts who describe the difficulties faced both by services and service users, this film shows how by working flexibly and with the service user's agenda, progress can be made with people who once felt they had been written off by services.

Length: 24 minutes

Item#: BVL118694

ISBN: 978-1-63521-523-6

Copyright date: ©2008

Closed Captioned

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