Review suggests need for enhanced training and practice opportunities for professionals supporting people with dual diagnosis

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Estimates of the numbers of people with learning disabilities who also have a co-morbid psychiatric disorder vary considerably between studies, from 14 to 39%. This review set out to look at the knowledge, attitudes and training of professionals supporting people with both learning disability and psychoatric disorder, termed in this study, dual diagnosis.

The authors state at the outset that they believe that mental health workers supporting people with dual diagnosis must have adequate knowledge and positive attitudes if they are to provide adequate care and that well designed and delivered training is the means through which these aims can be achieved.

They reviewed the literature published in English since 1995 which examined knowledge, attitudes and training of psychiatrists and other professionals supporting people with dual diagnosis and found twenty seven studies to be reviewed.

From an examination of the studies, the authors conclude that knowledge and attitudes were poor with much room for improvement.

They call for enhanced training and practice opportunities. They also make a cumber of recommendations for improving training opportunities and call for further research.

Mental health: Knowledge, attitudes and training of professionals on dual diagnosis of intellectual disability and psychiatric disorder, Werner, S. &  Stawski, M., in Journal of Intellectual Disability Research, 56: 291–304

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John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

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