Explain the nature and cause of mental ill health and alcohol/substance misuse, identify the skills needed to work with people with dual diagnosis. Critically evaluate the different strategies and services available to address the problems of alcohol substance use/misuse and mental ill health and critically assess the nature of community involvement and the effectiveness of health promotional strategies for people with dual diagnosis. Must include the legalisation of drugs in Portugal and the effects it has had on drug users.

Intro – Define Dual Diagnosis, Define mental health/illness, Define substance misuse.

Include in essay a range of different theories that explain the problem of dual Diagnosis.
Biological
Psychological
Medical Model
Social Model
(advantages and disadvantages of all in terms of dual diagnosis)
Skills needed to work with clients with dual Diagnosis.
Knowledges required (department of health good practice guide, mental health nursing,
NICE guidelines. MIND, Rethink
Improving Outcomes
Strategies (social)
Treatments (local drug support networks)
Depression and Anxiety (anti depressants)

Critically evaluating the strategies (social and psychological)
Individual and sociatal attitudes towards dual diagnosis (stigma)
Portugal (Johann Han)