Comorbid mental health and substance use problems are highly prevalent in substance use treatment settings and generally lead to poorer treatment outcomes. Pathways to Comorbidity Care (PCC) is a multi-modal training program developed to encourage an integrated service approach to improve clinicians’ capacity to identify and manage comorbid substance use and mental health outcomes within public drug and alcohol treatment settings. In this paper we describe the concepts underlying the PCC Package and the use of Implementation Science to assess and overcome potential barriers, including clinicians’ preferences, knowledge about best practice and professional culture. The training components include didactic seminars, group workshops run by a local clinical champion on relevant subjects such as Motivational Interviewing and Cognitive Behaviour Therapy, individual clinical consultation and feedback with a senior clinical psychologist. The PCC also includes an online portal containing comorbidity resources including manuals, guidelines and booster webinars. Finally, we describe the evaluation of PCC implementation. Drug Health Services need to be equipped to treat the majority of their clients who present with comorbid mental health conditions: we anticipate that this multimodal training package, which applies the principles of Implementation Science, will facilitate effective and integrated care for these vulnerable clients.
Eva Louie, M Clin Psych, Vicki Giannopoulos, M Clin Psych PhD, Andrew Baillie, M Clin Psych PhD, Gabriela Uribe, BA (Psych), Simon Byrne, M Clin Psych PhD, Mark Deady, PhD, Maree Teesson, PhD, Amanda Baker, M Psych PhD, Paul S. Haber, MBBS, MD & Kirsten C. Morley, MPH PhD
Journal of Dual Diagnosis: research and practice in substance abuse comorbidity, 28 Feb 2018