Dual diagnosis in this context refers to a person who experiences both a substance use problem and a mental health issue such as depression, or an anxiety disorder. Treatment options must address both.
The Dual Diagnosis Model of Care describes a clear clinical pathway for all adolescents and adults suspected of having a dual diagnosis covering integration across primary care, substance misuse, community mental health and acute services.
The Model was launched in 2023 by myself as Minister and Minister Naughton and recommends the development of 12 Adult Specialist Dual Diagnosis Teams nationally, and 4 Adolescent Hub Teams.
Roll out of the teams has commenced, with mental health funding of over €5 million secured to support recruitment in this area to date. Five Dual Diagnosis teams are being recruited into and developed at present – adult teams in Limerick and Cork commenced services in 2024, and a team in Waterford is in recruitment, and two Adolescent hub teams in North Dublin (Substance Abuse Service Specific to Youth - SASSY) and South Dublin (Youth Drug and Alcohol Service - YoDA) are being developed.
Under Budget 2026, I secured funding for an additional Dual Diagnosis team, and a Dual Diagnosis Day Programme in Dublin.
In the meantime, individuals who do require treatment for dual diagnosis are being supported by the relevant HSE social inclusion addiction services in their community.
This continued investment highlights this Government’s commitment not only to mental health, but to ensuring that the mental health services that we develop and deliver are reflective of the needs of modern society.