A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders

What is it about?

Co-morbidity of mental and substance use disorders (or dual diagnosis) is highly prevalent. Individuals affected by these conditions are some of the most vulnerable in society, yet the professional framework often fails to address the needs of this population, one of the main reasons being the inability to tackle both issues in an integrated manner. This is a qualitative longitudinal evaluation of the first Dual Diagnosis Anonymous in the UK, a peer led programme that was originally developed in the USA with the aim of supporting individuals with dual diagnosis. In order to address mental health issues, DDA added 5 steps to the traditional 12-steps programme. Our study found that DDA was effective in helping reduce both mental/ substance use disorders. The group was beneficial also to those who suffered of other addictive behaviours such as gambling. Thanks to DDA, participants stated that they felt empowered to reach out to the community, go back to education and seek employment. Participants reported that one of the most useful aspect of the programme was the opportunity to discuss both mental health and substance use issues at the same time in a safe place, something that they had been unable to do in other groups.

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