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(2011) Evaluation of the Victorian Dual Diagnosis Initiative

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3. <strong>Victorian</strong> <strong>Dual</strong> <strong>Diagnosis</strong> <strong>Initiative</strong><br />

3.2.4 Education and Training Unit<br />

The ETU develops and delivers dual diagnosis education programs to <strong>Victorian</strong> AOD and mental health<br />

services. The ETU comprises dual diagnosis clinicians and educational experts and is expected to work<br />

closely with <strong>the</strong> four VDDI teams and <strong>the</strong> rural VDDI clinicians. Activities include:<br />

• Development/negotiation with relevant tertiary institutions <strong>of</strong> related undergraduate and postgraduate<br />

education curriculum<br />

• Design <strong>of</strong> training programs for mental health and AOD service providers to be implemented by<br />

specialist dual diagnosis practitioners at <strong>the</strong> local level<br />

• Practice development, including identification/implementation <strong>of</strong> models <strong>of</strong> best practice and<br />

facilitation <strong>of</strong> service innovation and practice research.<br />

The total number <strong>of</strong> staff employed in <strong>the</strong> unit is 2.5 eft.<br />

3.2.5 Additional Psychiatric Support<br />

The aim <strong>of</strong> increasing psychiatric support was to increase <strong>the</strong> availability <strong>of</strong> consultant psychiatrist<br />

advice and support for bio/psycho/social assessment, treatment and management <strong>of</strong> clients with<br />

complex needs.<br />

A priority focus was supporting psychiatrists, senior medical and o<strong>the</strong>r staff working within both sectors,<br />

with a strong focus on those in rural settings, in order to promote dual diagnosis leadership and uptake<br />

<strong>of</strong> mainstream practices at individual service levels.<br />

3.2.6 Reciprocal Rotations<br />

The reciprocal rotation project commenced in 2005. The objectives <strong>of</strong> <strong>the</strong> reciprocal rotations were<br />

tw<strong>of</strong>old:<br />

• Enhanced direct care capability <strong>of</strong> practitioners<br />

It was expected that clinicians would gain experience in a number <strong>of</strong> different services leading<br />

to a better understanding <strong>of</strong> how that service system may be better used for <strong>the</strong> benefit <strong>of</strong> <strong>the</strong><br />

client by <strong>the</strong> clinicians.<br />

• Organisational capacity building<br />

Expected outcomes for organisations included:<br />

− An increasing pool <strong>of</strong> dual diagnosis capable staff in each sector<br />

− Staff in each participating service will gain a greater knowledge and understanding <strong>of</strong><br />

<strong>the</strong> policies, procedures and practices <strong>of</strong> <strong>the</strong> reciprocal sector.<br />

− Staff will better understand <strong>the</strong> “culture” <strong>of</strong> <strong>the</strong> partner service sector.<br />

− Co-operation and collaboration leading to improved service pathways for referral and<br />

integrated care.<br />

− Increased direct service capacity <strong>of</strong> agencies to respond appropriately to dual diagnosis<br />

clients for <strong>the</strong> period <strong>of</strong> <strong>the</strong> placement/s.<br />

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