A mutual therapeutic space that is collaborative and works with an individual ’ s strengths helps shift power dynamics . |
Addressing stigma in dual diagnosis requires a multidisciplinary and collective leadership approach . Without this , there ’ s a risk that treatment plans lose their holistic focus . By fostering open communication and shared understanding among professionals , we help create a cohesive support system that addresses both the mental health and substance use aspects of the person ’ s care . Within our role we have a duty to collaborate with other services in the community who may have expertise in areas we do not .
By reaching out and inviting professionals and people who are experts from experience into service development and leadership spaces , we can increase understanding of important issues . Moreover , by having these discussions , assistant psychologists can also help influence the narrative around the impact of stigma and advocate for a more open and compassionate approach to care , reducing barriers to engagement . This allows for the sharing of strategies and resources that can be used to support clients more effectively .
A significant aspect of the work done by assistant psychologists is helping people understand coping techniques and develop new skills and strategies to manage their presenting needs . This might include psychological and mindfulness-based techniques aimed at offering alternative ways to manage their difficulties , understanding the impact of emotions , as well as relapse prevention strategies . By recognising that stigma impacts people differently , assistant psychologists tailor
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interventions to meet the specific needs of each individual . This personalised approach ensures that people feel valued and respected and that the support they receive is relevant and effective for the individual ’ s unique circumstances .
EMPOWERMENT Empowerment is a key theme in reducing self-stigma in dual diagnosis . A mutual therapeutic space that is collaborative and works with an individual ’ s strengths helps shift power dynamics within session , and empowered people can build confidence in their ability to manage their conditions and develop a sense of agency in their recovery journey .
As assistant psychologists we also engage in advocacy efforts to combat institutional stigma , ensuring that people are not discriminated against in their access to care . This involves challenging stigmatising language , attitudes and behaviours within healthcare settings and advocating for policies that promote equality and inclusivity for those with a dual diagnosis . We challenge unhelpful practices by encouraging the use of non-stigmatising language , discouraging negative labelling , signposting to appropriate services and raising awareness among other healthcare professionals .
It ’ s vital that we advocate with the person and their needs to ensure that people accessing services with dual diagnosis do not fall through the gaps . We do this through co-production and being respectful , compassionate and responsible . We co-produce policies with service users and advocate for increased funding
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for dual diagnosis programmes , ensuring that we make reasonable adjustments where possible so that the people experience person-centred care that is free from stigma .
COMPASSION , COMMUNICATION AND COLLABORATION Through compassion , communication and collaboration , we can help support and advocate for change in perception by continuing to develop spaces where dual diagnosis can be better understood . We feel privileged in the work we do to support people with complex needs to feel connected , heard and valued , and to co-create their own journey of hope and recovery .
We can all help mitigate the impact of stigma and support individuals in their recovery by dismantling the barriers that stigma creates , and fostering a valued therapeutic relationship that empowers people to feel safe , connected and not judged for their understandable approaches to coping .
Edward Loveless is higher assistant psychologist for the Access to Wellbeing Team York , Tees , Esk and Wear Valleys NHS Foundation Trust .
James Streatfield is higher assistant psychologist for Central York Adult Community Mental Health Team , Tees , Esk and Wear Valleys NHS Foundation Trust .
Dr Stephen Donaldson is dual diagnosis lead for North Yorkshire and professional lead for psychological professions York , Selby , and specialist services , Tees , Esk and Wear Valleys NHS Foundation Trust
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