2017/18 Undergraduate Module Catalogue

HECS3205 Dual Diagnosis: The Management of Substance Misuse and Mental Illness

30 creditsClass Size: 30

Module manager: Matthew Gaskill
Email: matthew.gaskell@nhs.net

Taught: 1 Sep to 31 Jan (Adv pre 2223), Semester 1 (Sep to Jan) View Timetable

Year running 2017/18

Pre-requisite qualifications

Students must be able to demonstrate that they have:

1. Certified evidence of ability to study at level 3.
2. Appropriate previous experience in working with substance users with mental health problems.
3. Students must have or secure a practice-placement and Practice Mentor in order to study this module and be able to work with a client group that will enable them to fulfil the assessment requirements. These include being able to video record clinical practice.

This module is not approved as a discovery module

Module summary

This is a practice based module taught face to face. The module is aimed at practitioners who work primarily in substance misuse services or mental health services. It is designed to enable practitioners competently to assess the severity of a service user's problems and, if necessary, refer to another agency (notably for people with severe and enduring mental illness). Practitioners are expected to demonstrate that they can use relevant skills across a range of substance misuse and mental illness disorders including those people who have personality disorders or a moderate severity mood disorder. Students will be required to show that they are familiar with the research literature and that they can apply this to clinical practice and to measure treatment outcomes.

Objectives

On successful completion of the module the student will be able to:

- Discuss and evaluate treatment models of substance misuse co-morbidity.
- Understand and discuss how mental illness and substance misuse interrelate.
- Describe how drugs of misuse are classified.
- Critically evaluate the research literature on the effectiveness of treatments for 'dual diagnosis' service users.
- Undertake a general assessment of a person with a substance misuse and mental illness problem.
- Detect mental illness and make appropriate referral on.
- Complete a risk assessment including mental illness and substance misuse.
- Be able to explain to service users and professionals the interplay of factors which contribute to the risk of drug-related death.
- Demonstrate appropriate use of therapeutic skills in complex cases where service users present with mental illness and substance misuse problems, including the following:
* motivational interviewing
* social behaviour and network therapy
* cognitive behaviour therapy

Learning outcomes
- A classification of mental illness and of substance misuse disorders.
- An understanding of national policy for substance misuse and mental illness.
- An understanding of different treatment models and their application.
- A knowledge of the clinical worksheets and measuring instruments appropriate to co-morbidity.
- A knowledge of the remit of the Mental Health Act and compulsory treatment.
- An awareness of guidelines for care planning.
- Familiarity with the published research on this subject.

Skills outcomes
- Demonstrate the ability to undertake a comprehensive assessment.
- Demonstrate the ability to produce a case summary including a formulation, risk assessment, and care plan.
- Demonstrate the ability to work in a motivational style and in particular to use feedback as part of an intervention.
- Demonstrate an ability to apply social behaviour and network therapy to service users with substance misuse and mental health problems.
- Demonstrate an ability to use cognitive behaviour therapy with service users having moderate severity mental disorders.
- An ability to use worksheets associated with different treatments and an ability to use outcome measures and incorporate these into treatment as appropriate.
- An ability to assess risk of relapse.

Syllabus

Theory and Research
i) Introduction to substance use and mental illness.
ii) Substance misuse and mental illness co-morbidity.
iii) Overview of substance misuse interventions.
iv) Building a therapeutic alliance.
v) Motivational strategies and skills.
vi) Cognitive behavioural strategies and skills
vii) Methods of evaluating treatment outcome.
Practice skills
i) The comprehensive assessment of substance misuse and mental illness.
ii) Care planning, risk assessment and case formulation.
iii) Demonstrate knowledge of services available and the ability to use relevant referral pathways.
iv) Motivational dialogue.
v) Social behaviour and network therapy.
vi) Cognitive behaviour therapy basic skills.
vii) Developing coping skills for substance misuse.

Teaching methods

Delivery type	Number	Length hours	Student hours
Work Based Learning	15	7.00	52.50
Practical Demonstration	12	1.00	12.00
Class tests, exams and assessment	2	2.50	5.00
Fieldwork	1	3.00	3.00
Lecture	12	1.00	12.00
Seminar	12	1.50	18.00
Tutorial	3	0.20	1.00
Private study hours			196.50
Total Contact hours			103.50
Total hours (100hr per 10 credits)			300.00

Private study

Private reading in preparation for lectures/seminars: 44 hours
Private reading and preparation for written assignments: 50 hours
Writing assignments, preparing and producing practice video: 30.5 hours
Exam preparation: 20 hours
Reading/preparation/note taking for each 2 day placement block: 32 hours
Observation and reflection of own video-recorded practice: 20 hours

Opportunities for Formative Feedback

Individual tutorials x 3
Group observation and reflection on student's video-recorded practice (under 'skills sessions' in timetable above)
Mock examination

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Case Study	1 x Case Study (2,500 words)	30.00
Assignment	Video of practice plus 1,000 word written analysis of practice	40.00
Total percentage (Assessment Coursework)		70.00

Normally resits will be assessed by the same methodology as the first attempt, unless otherwise stated

Exams

Exam type	Exam duration	% of formal assessment
Standard exam (closed essays, MCQs etc)	2 hr	30.00
Total percentage (Assessment Exams)		30.00

There is no compensation between the elements of the assessment. All three elements must be passed in order to pass the module.

Reading list

The reading list is available from the Library website

Last updated: 04/12/2014

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