At Cygnet Lodge Brighouse we understand that Dual Diagnosis is the norm rather than the exception. The relationship between mental ill health and substance misuse is now recognised as one the biggest challenges to health services across the UK. We recognise that: Service users have unique needs and problems, including those associated with illicit drugs or alcohol One size does not fit all, we will always ensure that the treatment path is responsive to need Service users must have some level of ownership in terms of their treatment A multi-disciplinary approach to treatment ensures all treatment needs are effectively met Recovery is more achievable when effective support mechanisms are in place We employ our own in-house substance misuse practitioner and substance misuse assistant who are available for service user’s when required. Treatment Pathways Service users with a dual diagnosis have unique histories, unique problems and the relationship between their substance misuse and their ill health will be equally unique. We therefore cannot identify a treatment path until we understand the individual service user. At Cygnet Lodge Brighouse we are ideally placed to ensure the recovery pathway that individuals embark on is the right one. Using the cycle of change model to identify where each service user is in terms of their readiness to change will determine the treatment pathway that is planned. This may include the use of the following evidence based treatment options: Cognitive Behavioural Therapy (CBT) Motivational interviewing Risk management Relapse prevention work Good lives model (goal setting) Family Therapy The above interventions can be facilitated on a one to one level or within a specific group setting.