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Elizabeth Hughes, Jane Harris, Tom Ainscough, Angela Bate, Alex Copello, Sonia Dalkin, Gail Gilchrist, Emma Griffith, Lisa Jones, Michelle Maden, Luke Mitcheson, Harry Sumnall & Charlotte Walker.

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Elizabeth Hughes ^1,3,*, Jane Harris ², Tom Ainscough ³, Angela Bate ⁴, Alex Copello ⁵, Sonia Dalkin ⁴, Gail Gilchrist ⁶, Emma Griffith ⁷, Lisa Jones ⁸, Michelle Maden ⁹, Luke Mitcheson ¹⁰, Harry Sumnall ¹¹, Charlotte Walker ¹²

¹ School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
² Public and Allied Health, Liverpool John Moores University, Liverpool, UK
³ School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK
⁴ Nursing, Midwifery and Health, Coach Lane Campus West, Northumbria University, Newcastle upon Tyne, UK
⁵ School of Psychology, University of Birmingham, Birmingham, UK
⁶ National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, London, UK
⁷ Bybrook Lodge, Avon and Wiltshire Mental Health Partnership NHS Trust, Blackberry Hill Hospital, Bristol, UK
⁸ Faculty of Health, Liverpool John Moores University, Liverpool, UK
⁹ Institute of Population Health, University of Liverpool, Liverpool, UK
¹⁰ Lambeth Drug and Alcohol Service, South London and Maudsley NHS Trust, London, UK
¹¹ School of Psychology, Liverpool John Moores University, Liverpool, UK
¹² Lived Experience Researcher, Wales, UK
^* Corresponding author Email: elizabeth.hughes@gcu.ac.uk

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https://doi.org/{{metadata.DOI}}

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Response by Nina Barrett on 20 October 2024 at 9:57 PM
Drug and alcohol funding stream different to general Mental Health services
I have nursed in both acute MH services and Drug and Alcohol (D&A) inpatient services, as both a Charge nurse and NMP. As far as I am aware we were not approached for any input into this research. It is a strong belief of mine that one of the main issues is how drug and alcohol services are funded at government level. As I am sure you are aware, our funding stream is different to all other areas of MH services. D&A services funding is continuously under threat due to recommissioning every 3 years (which providers can undercut the last etc.) whilst often under delivering on their promises once in place. Consequently, D&A services are fragmented to say the least with even workers within these sectors unsure of who is responsible for what! The acronyms alone of the either the funded or charitable organisations are an education in itself. This needs to be debated at government level so D&A services are funded the same as all other MH services. Preferably the RADAR (pilot in Manchester) model linking in with primary care. Until this happens, substance misuse services stand little chance of being able to develop into effective model that helps some of the most traumatised and marginalised members of society. Patients are caught in the catch 22 of ‘MH services’ will not engage until they are substance free. However, IF they manage to engage enough to get into detox the referral process of getting MH support thereafter is too long and they soon relapse as a coping mechanism. A good example of this, is untreated ADHD. They are not accepted for an ADHD referral until substance free, but the waiting list is around 2-3 years (obvious relapse, loss of hope etc.), we see this on a weekly basis, I could go on and on, but I will leave it at that.