Mental Health and Substance Misuse

 

Mental Health and Substance misuse (drugs and / or alcohol) is also known as Dual Diagnosis.

There is a broad spectrum of mental health disorders ranging from severe and enduring mental illness, such as bi-polar or schizophrenia through to the so-called milder mental health disorders, such as anxiety and personality disorders. Types of substances used, their effects and potential difficulties can also range from cannabis and alcohol to so-called harder drugs such as heroin and crack cocaine. Dual diagnosis for example, may refer to someone with a diagnosis of schizophrenia who uses cannabis, someone who is depressed and drinking heavily or someone who uses heroin and is suffering from anxiety.

People with this combination of problems often have lots of other difficulties. They are more likely to come into contact with services, in crisis, with problems relating to social, legal, housing, welfare and ‘lifestyle’ matters.

Assessing which is the primary and secondary problem may be possible, but is not always helpful and could lead to barriers in accessing treatment. Treating the mental health and drug and/or alcohol problem together should be the treatment of choice, ideally within the same service – that is known as an “integrated” approach and is recommended in national guidelines.

Reviewed June 2019 by the East Kent Mental Health Commissioning Team. For content suggestions, updates or information please email: EKmentalhealth.commissioning@nhs.net.

For secondary mental health support diagnosis and treatment is through KMPT, referral is by letter to the local CMHT. The local Community Mental Health Teams are:

  • Dover / Deal: Coleman House, Brookfield Avenue, Dover, Kent, CT16 2AH | Telephone: 01304 216666. or more information go to the Dover CMHT website page: Dover CMHT web page on KMPT
  • Shepway: Ash Eton, Radnor Park Avenue, Folkestone, Kent, CT19 5HL. | Tele: 01303 227501. For more information go to the Shepway CMHT website page: Shepway CMHT web page on KMPT

For the East Kent Substance Misuse Service The Forward Trust: 

Address: | Maybrook House Queens Gardens Dover, CT17 9AH | Website: www.forwardtrust.org.uk 24 Hour telephone support: Call 0300 123 1186 - phone line open 24 hours a day, 7 days a week.
Email: eastkent@rapt.org.uk

If you have a patient or client that you think needs help to address problems with drugs and/or alcohol, please download the form by going to think link: East Kent Drug Alcohol Referral form

The form can be returned to the East Kent Drug and Alcohol service (please write the client’s name at the top of any additional sheets used) either by fax to 01227 826409 or to: Forward Trust, Maybrook House, Queens Gardens, Dover CT17 9AH

Tier 1: Community Mental Health Support:

  • Live Well Kent: Live Well Kent can help you improve your mental and physical health and wellbeing. It is a free service for anyone over 17. Call: 0800 567 7699 | E Mail: info@livewellkent.org.uk | Website: www.livewellkent.org.uk | Leaflet: SKC Live Well Kent Leaflet
  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For the South Kent Coast CCG IAPT  leaflet: SKC CCG IAPT Provider Leaflet.
  • For the East Kent Substance Misuse Service: South Kent Coast Service:  Maybrook House Queens Gardens Dover, CT17 9AH | Website: www.forwardtrust.org.uk | 24 Hour telephone support: Call 0300 123 1186 - phone line open 24 hours a day, 7 days a week | Email: eastkent@rapt.org.uk. If you have a patient or client that you think needs help to address problems with drugs and/or alcohol, please download the form by going to the link: East Kent Drug Alcohol Referral form. The form can be returned to the East Kent Drug and Alcohol service (Please write the client’s name at the top of any additional sheets used) either by fax to 01227 826409 or to:
  • Foward Trust, Dover, Maybrook House, Queens Gardens, Dover CT17 9AH
  • Forward Trust Thanet: Mill Lane House, Mill Ln, Margate CT9 1LB

Tier 2: Support based in Primary Care

  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For a list of South Kent Coast CCG IAPT Providers leaflet: SKC CCG IAPT Provider Leaflet.
  • Primary Care Mental Health Specialist service: Primary Care Mental Health Specialist service (PCMHS) has been introduced to support a safe and positive discharge from Secondary services for people with long term stable mental health conditions (clusters 7, 11 and 12) into primary care.
    Invicta Healthcare Referrals: Invicta PCMHS Referral form email to: invictahealth.mentalhealthreferrals@nhs.net
  • The Mental Health Social Work Service: The mental health social work service works with individuals aged 17-65 years with mental health needs and social care issues. It also provides a service to carers. The service supports people to enhance their independence and achieve social care goals. It is a single service across primary and secondary care.Tel: 03000 416161 Mon – Fri 8.30-17.00 | Out of hours - 03000 419191 | Email: mentalhealthreferrals@kent.gov.uk | Leaflet: Mental Health Social Work service | Referral Form: MH Social work referral form
  • For the East Kent Substance Misuse Service: Dover Hub:  Maybrook House Queens Gardens Dover, CT17 9AH | Website: www.forwardtrust.org.uk | 24 Hour telephone support: Call 0300 123 1186 - phone line open 24 hours a day, 7 days a week | Email: eastkent@rapt.org.uk. If you have a patient or client that you think needs help to address problems with drugs and/or alcohol, please download the form by going to the link: East Kent Drug Alcohol Referral form. The form can be returned to the East Kent Drug and Alcohol service (Please write the client’s name at the top of any additional sheets used) either by fax to 01227 826409 or to:
  • Dover Hub, Maybrook House, Queens Gardens, Dover CT17 9AH
  • Thanet: Mill Lane House, Mill Ln, Margate CT9 1LB

Tier 3: Specialist Mental Health Services

The diagnosis and treatment of PTSD is through KMPT, referral is by letter to the local CMHT. The local Community Mental Health Teams are:

Dover / Deal: Coleman House, Brookfield Avenue, Dover, Kent, CT16 2AH | Telephone: 01304 216666. or more information go to the Dover CMHT website page: Dover CMHT web page on KMPT

Folkestone / Hythe : Ash Eton, Radnor Park Avenue, Folkestone, Kent, CT19 5HL. | Tele: 01303 227501. For more information go to the Shepway CMHT website page: Shepway CMHT web page on KMPT

Thanet: The Beacon Centre, Manston Road, Ramsgate, Kent CT12 6NT | Telephone: 01843 85520. For more information go to the Thanet CMHT website page: Thanet CMHT web page on KMPT.

For the East Kent Substance Misuse Service: Dover Hub:  Maybrook House Queens Gardens Dover, CT17 9AH | Website: www.forwardtrust.org.uk | 24 Hour telephone support: Call 0300 123 1186 - phone line open 24 hours a day, 7 days a week | Email: eastkent@rapt.org.uk. If you have a patient or client that you think needs help to address problems with drugs and/or alcohol, please download the form by going to the link: East Kent Drug Alcohol Referral form. The form can be returned to the East Kent Drug and Alcohol service (Please write the client’s name at the top of any additional sheets used) either by fax to 01227 826409 or to:

Dover Hub, Maybrook House, Queens Gardens, Dover CT17 9AH

Thanet: Mill Lane House, Mill Ln, Margate CT9 1LB

Service Information and referral forms

For the East Kent Substance Misuse Service the Forward Trust: If you have a patient or client that you think needs help to address problems with drugs and/or alcohol, please download the form by going to the link: East Kent Drug Alcohol Referral form. The form can be returned to the Forward Trust l service (Please write the client’s name at the top of any additional sheets used) either by fax to 01227 826409 or to: Dover Hub, Maybrook House, Queens Gardens, Dover CT17 9AH. 

NICE Guidance and other links

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