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Substance Misuse Research: Co-morbid Mental Health and Substance Misuse in Scotland

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Appendix 2: Commissioner Interview Topic guide

The following is the general topic guide employed to capture commissioners' views of local service provision for people with co-morbid mental health and substance misuse issues and associated policy.

Rapport-building

  • I understand that as a commissioner of …………………… services, your main interest lies with …………......... Please could you tell me a little more about your interest in this field?

General views

  • Please can you tell me more about your general views on service provision and care pathways for people with co-morbid mental health and substance misuse problems?
  • Have you any direct experience of such co-morbidity?
  • How do you envisage service provision changing over the forthcoming years?

Partnership

  • Is there integrated service provision in your area? If so…
  • Do you believe integrating other services and professions is working or would work well?
  • Do you believe integrated care could be disadvantageous in any way?
  • Some people say that integrated care is the only way forward, but other say that it makes little difference. How do you feel about this?
  • Do you personally advocate integrated care?
  • Could you envisage more effective ways of working together?
  • The changing nature of mental health/social care into a more team-based or 'working together' model may result in conflict of interests. What is your experience of the extent of conflict or otherwise between workers from different professional backgrounds?

Specialist services

  • What are your thoughts about providing a specialist service for co-morbid service users?

Client-centred work

  • Do workers focus together on client's needs?
  • How could you make the emphasis/relationship on client needs more effective?
  • Does your locality practice user involvement and consultation? What are your views on this?

Policy

  • Are you familiar with the document Mind the Gaps? If so, what are your views on the guidance?
  • How do you believe the revised policies (e.g. Mental Health Act) and structural changes will affect provision and care for people with co-morbid mental health and substance use problems?

The future

  • What, in your view, are the criteria for an effective service for people with co-morbid mental health and substance use issues in Scotland?
  • What questions or issues do you consider are important to address and should be explored?

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Page updated: Monday, June 5, 2006