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• W2081971928 abstract "Purpose – The integration of health or social services is an enduring challenge and especially so in relation to people experiencing “dual diagnosis”, the co‐occurrence of mental health and substance use problems. The emergence of the “dual diagnosis” concept has highlighted the tension between specialist treatment for single problems and complex, individualised care. The purpose of this paper is to examine the evolving nature of dual diagnosis initiatives in an Australian state during recent decades.Design/methodology/approach – Interpretive, case study analysis of policy documents and key informant interviews (19) illuminates the experience of dual diagnosis initiatives.Findings – In the case of Victoria, dual diagnosis responsiveness has evolved slowly over the last 20 years, delayed by the inherent difficulty of practice change, a weak perception of need, interprofessional tensions and shortcomings in data collection, coordination and resources. Key enablers have been champions and leaders in policy, ..." @default.
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• W2081971928 date "2013-02-15" @default.
• W2081971928 modified "2023-09-26" @default.
• W2081971928 title "Reflections on capacity‐building initiatives in an Australian state" @default.
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• W2081971928 doi "https://doi.org/10.1108/17570971311309006" @default.
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