Development and implementation of a dual diagnosis strategy for older people in south east London

The provision of a seamless service to address the needs of older people with substance misuse is now more pressing than ever, particularly given the impact of a growing population of older people in society, and with co‐morbid mental health and substance use issues. There is growing recognition of the public health needs of older people with mental health problems and substance misuse. This paper seeks to consider the development and implementation of one particular dual diagnosis strategy.

The paper examines the background, development and implementation of a dual diagnosis strategy designed to address the growing problem of substance misuse of older people in an inner city area in London, UK.

A needs assessment highlighted workforce training needs which led to the commissioning of innovative training to address this. Pathways were created to allow seamless transition between services, thus enabling older adults with dual diagnosis to receive the care that they required.

Most local dual diagnosis strategies have focused on adults of working age. This paper concentrates on a local strategy aimed at improving services for older people with mental health and substance misuse problems.