How increasing knowledge and confidence in staff can change therapeutic alliance in Dual Diagnosis interventions

People who suffer from mental health disorders that are complicated by alcohol and or other drug use disorders are defined as having a dual diagnosis (Department of Human Services 2007). Research suggests that those with a dual diagnosis experience much higher rates of violent behaviour, suicidal ideation, suicide and physical health problems (Thornton et al 2012 p.429). In addition to these complications, there are compounding impacts on a person's social circumstance including loss of support networks, stress on family and anti social behaviour. (Donald, Dower & Kavanagh 2005 p.1372). There is little research on the role of supervision amongst those with dual diagnosis training however the minimal evidence suggests that it is necessary. Supervision led by qualified and competent staff in a helping environment has found to support staff in difficult situations and allow the opportunity to reflect on the process that is happening (Cookson et al 2014). In Singapore, we will present findings from focus groups currently being conducted in a 2015 study with service users. This study will articulate and explore how people with severe and persistent mental illness experience the therapeutic alliance once workers increase their knowledge and confidence in dual diagnosis competencies