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

Milani, Raffaella, Nahar, Keisha, Ware, Daniel, Butler, Alan, Roush, Sean, Smith, Doyal, Perrino, Luisa and O’Donnell, John (2020) A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders. Advances in Dual Diagnosis, 13 (4). pp. 151-167. ISSN 1757-0972

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Dual Diagnosis Anonymous (DDA) is a peer-led programme developed in the USA which aims to address mental and addictive disorders in an integrated manner. This study is part of a mixed methods evaluation of the first DDA in the UK, its purpose was to explore the impact and mechanism of change of the programme through the perspective of DDA attendees, facilitators, and the funding commissioners.
Six DDA members were interviewed three times over a period of 12 months, the facilitators were interviewed twice and the commissioner once. The qualitative longitudinal data were analysed using a trajectory thematic analysis.
DDA attendance was perceived to have had a positive impact on five main areas: (1) acceptance of self, of others and from others; (2) social functioning; (3) self-development; (4) recovery progression; (5) feeling of hope. The possibility of addressing both mental health and addiction at the same time was a key factor in the recovery process. The facilitators observed that DDA had contributed to integrate members into employment and education, while the commissioner stressed the importance of joint commissioning and sustainability.
The longitudinal approach provided a unique insight into the recovery process of DDA members. Being able to address the mental health as well as the substance use problems was considered to be a fundamental strength of DDA in comparison to the single purpose peer support fellowships.

Item Type: Article
Additional Information: This is the author accepted version of an article due to be published in Advances in Dual Diagnosis. The final authenticated version will be available online at: https://www.emerald.com/insight/publication/issn/1757-0972 The author accepted manuscript is deposited under the terms of the Creative Commons Attribution Non-commercial International Licence 4.0 (CC BY-NC 4.0). Any reuse is allowed in accordance with the terms outlined by the licence. To reuse the AAM for commercial purposes, permission should be sought by contacting permissions@emeraldinsight.com.
Uncontrolled Keywords: mental disorder, substance use disorders, peer support, dual diagnosis, 12-step, addiction
Subjects: Medicine and health > Mental health
Psychology > Substance abuse/misuse
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Depositing User: Raffaella Milani
Date Deposited: 23 Sep 2020 18:34
Last Modified: 10 Dec 2020 13:50
URI: http://repository.uwl.ac.uk/id/eprint/7338


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