Date of Award

2008

Publication Type

Master Thesis

Degree Name

M.S.W.

Department

Social Work

Supervisor

Dr. Bruce Bidgood

Supervisor

Dr. Michael J. Holosko

Rights

info:eu-repo/semantics/openAccess

Abstract

This study explores the perceptions of prevalence of dually-diagnosed individuals in London/Middlesex County, collaboration between service providers, gaps in service, and models of practice related to best practice literature. Results from a sample of 11 qualitative interviews suggests the following: an abundance of services in the region; limited capacity; lack of service coordination and formal centralized access mechanisms; need for front-line education and cross-training; issues between the Ministries and the LHIN; and unclear roles and expectations between community service providers and inpatient facilities. Key informant's reports of best practices include: person-centred strategies; specialized services; community-based teams of multi-disciplinary staff; flexible service structure; collaboration and coordination in service provision; and sharing of expertise. Implications for social work practice are discussed, as well as a proposed model of treatment and recommendations for future studies.

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