Abstract
ual diagnosis – the co-existence of mental health and substance misuse issues – is an increasingly pressing problem. The numbers of people with both mental health and substance misuse problems rose by 60 per cent between 1993 and 1998. In the UK it is estimated that a third of patients in mental health services have a substance misuse problem. In one study, 51% of those in treatment for alcohol dependency with Turning Point also reported mental health problems Those affected by such challenges often find it difficult to access the support they need, with professionals and agencies unsure how to meet the full range of needs. Lucy, a service user for many years, has frequently experienced this:
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