Abstract
There is no strong evidence base to support one particular form of service delivery for dual diagnosis. Effective interventions are available for substance use and substance dependence, but these interventions are under-utilized in the general psychiatric setting. Integrated, parallel and stand-alone services have been developed in different settings. It is possible to integrate motivational and cognitive-behavioural therapy (CBT) treatment programmes for people with pyschosis and substance use problems and their carers. Currently, drug use on psychiatric wards and cannabis and cocaine use by chronically psychotic patients is resulting in high levels of stress and serious deterioration in overall outcomes in mental health services in the UK.
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