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Dual
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“Dual Diagnosis" is a term used in the health services to describe people with mental health problems, who also misuse drugs or alcohol.

Recognition of the condition, or at least an understanding of its implications and consequent problems, dates back to the 1980s.  Literature on the subject is abundant and research is ongoing.  However no standard method of treatment has yet been established and at ground level, sufferers continue to be shunted between one agency and another.

As a mentoring and befriending project, Footsteps is neither equipped nor qualified to adequately address the serious problems resulting from Dual Diagnosis.  However, we are in a position to witness the outcomes and have recently posed the question as to whether there is a useful role for mentors to play. 

One of the consequences of Dual Diagnosis is that the client falls outside of the remit of both Mental Health and Drug/Alcohol agencies alike.  The Drug/Alcohol agencies are not qualified to assess or treat mental illness and the Mental Health agencies cannot accurately assess a client that is misusing substances.  Consequently the client finds him/herself somewhat out in the cold.  So, could an adequately trained mentor "fill the gap"?

In order to investigate this possibility, Footsteps is in the process of putting together a batch of case studies.  By doing so we are hoping to identify common problems and to be in a position to approach local agencies with a view to finding a way of bridging the gap through which so many are falling.