Dual Diagnosis

Consensus specialises in supporting individuals with learning disabilities who have additional complex needs.

Sometimes referred to as a dual diagnosis of learning disability and mental health, or simply as a dual diagnosis, the risk of mental ill health is greater amongst people with learning disabilities than among the general population.

There are a variety of physical, psychological and social factors which mean that people with learning disabilities are at greater risk of mental health problems. People with learning disabilities may have very little in the way of family, friends or relationships in their lives. They are strongly disadvantaged in socially important areas such as education and work, and often have low status and little money.

All this contributes to a sense of worthlessness and isolation, so it is unsurprising that common mental health problems such as anxiety and depression occur more frequently amongst this group of people.

The often unsettled and uncertain lives led by many people with learning disabilities can result in exposure to particularly high levels of stress, the experience of disruption, loss and separation which can contribute to mental ill health.

Consensus recognises the need for a multi-agency and multidisciplinary approach to supporting individuals with dual diagnosis. Following an initial referral, a Behavioural Advisor from the Tizard Centre trained Positive Behaviour Intervention Team will get involved to support the assessment and care planning process. Their role includes developing practical strategies to support service users and working closely with staff to ensure that appropriate approaches and interventions are understood, implemented and consistently delivered.

Whether an individual has an acute mental illness or a chronic condition, Consensus works closely with local Primary Care Services and other agencies to support individuals on a day to day basis. Support Staff receive specialist training to assist them to identify the signs of relapsing or deteriorating mental health conditions, enabling them to flag up impending crises at an earlier stage.