Download Working collaboratively

Co-occurring Alcohol and Other Drug and
Mental Health Conditions in Alcohol and
other Drug Treatment Settings
Session 5:
Working Collaboratively
Referral and Discharge Planning
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Comorbidity Guidelines
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Refer to:
 Chapter 9
 Appendix U
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An Interesting Quote!
“At first glance it appears as if we have discovered a new
disease!
The question is, can we develop an antidote?
Actually, what is really needed is more like a course of
thoughtful palm reading…studying the lines that connect
the two disorders and trying things out.” (Baigent 2004)
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Key Points for Referral and
Discharge Planning
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Develop links with range of local services
and engage them in clients’ treatment
where appropriate
Important to obtain client consent and to
practise assertive follow-up
Active referral is preferred process when
referring clients with comorbidity
Discharge planning in close consultation with
client is integral to treatment process
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Services for Consultation
Psychologists
Psychiatrists
Social/welfare
services
General
practitioners
Mental health
services
AOD treatment
Translation/culture
specific agencies
Social
services
Employment
services
Medical
services
Housing
services
Criminal
justice
services
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Referral Processes
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Passive Referral
Facilitated Referral
Active Referral
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Communicating with Other
Services
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Obtain client’s consent before sharing any
information
Keep client informed during this process
Maintain client confidentiality (e.g. obtain
client’s written permission for release of case
notes and avoid faxing confidential
information)
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Assessment Reports
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Include only relevant and important
information, including reasons for referral
Write in a clear, simple,objective writing style
Include MSE report if necessary
Be concise
Always cite source of information
 eg: “Andrew stated that…; his parents
revealed that…”
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Assessment Reports
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Consider all sources of information in your
conclusions
Avoid jargon
Eliminate any ambiguous, biased, or
judgemental wording
Mark all reports “STRICTLY CONFIDENTIAL”
Avoid faxing confidential information
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Communicating with Clients
about Referral
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Name, phone no., address of referral
service
Directions and transportation to and from
service appointment
What to expect upon arrival at service,
along with nature, purpose and value of
referral
Written material about service
Method of contacting AOD worker
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Discharge Planning
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Process of equipping clients with skills and
contacts to continue progress of treatment
and prevent relapse
Prepare clients for cessation of treatment
Involve clients in discharge planning
Link clients with other support services
Communicate with relevant services
Document discharge plan in client records
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Factors to Consider When
Discharge Planning
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Stability of accommodation
Social support
Family and carer involvement (with client’s
permission)
Relapse prevention and lapse management
strategies
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In Sum…
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Working with other services is essential to
effective management of clients with coexisting AOD and MH concerns
Discharge planning needs to involve clients,
family/carers and other services
Refer to Chapter 9 in the Guidelines for
further information
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