Drug and alcohol services - co-occurring substance use and mental health concerns: survey

5. Appendix A: Survey Questions

1) Which Alcohol and Drug Partnership area do you mainly relate to?

• Aberdeen City
• Aberdeenshire
• Angus
• Argyll and Bute
• Borders
• Clackmannanshire and Stirling
• Dumfries and Galloway
• Dundee
• East Ayrshire
• East Dunbartonshire
• East Renfrewshire
• Edinburgh
• Falkirk
• Fife
• Glasgow
• Highland
• Inverclyde
• Mid and East Lothian
• Moray
• North Ayrshire
• North Lanarkshire
• Orkney
• Perth and Kinross
• Renfrewshire
• Shetland
• South Ayrshire
• South Lanarkshire
• West Dunbartonshire
• West Lothian
• Western Isles

2) Which health board area do you work in?

• Ayrshire and Arran
• Borders
• Dumfries and Galloway
• Fife
• Forth Valley
• Grampian
• Greater Glasgow and Clyde
• Highland
• Lanarkshire
• Lothian
• Orkney
• Shetland
• Tayside
• Western Isles

3) What is your job title?

4) What type of service do you work in? Please specify (e.g. community addiction service, residential rehabilitation, etc.)

5) What is the name of the service you work within? (this question is for the purpose of linking responses and will not be reported)

6) Of the patients currently attending your service, what proportion have presented with co-occurring substance use and a current mental health condition (either diagnosed, self-defined, or that you believe could benefit from mental health support)?

Most

More than half

Half

Less than half

None

I don't know

7) Of these, what proportion arrive with a formally diagnosed mental health condition?

Most

More than half

Half

Less than half

None

I don't know

8) What mental health screening tools do you use within your service?

Beck Anxiety Inventory

Beck Depression Inventory

Hamilton Anxiety Rating Scale

General Health Questionnaire

None

I don't know Other (please specify)

9) How commonly are the following substances implicated for people presenting with co-occurring substance use and a mental health condition (diagnosed or undiagnosed)?

	Never	Occasionally	Common	Very common	I don't know
Alcohol
Amphetamines
Cannabinoids (including synthetic)
Cocaine (powder/crack)
Benzodiazepines (prescription/street)
Gabapentinoids
Methadone
Opiates
Prescription-only painkillers

10) If another substance, please specify which and how commonly it is implicated.

11) Please provide an estimate of the percentage of people presenting with co-occurring substance use and a mental health condition (either diagnosed, self-defined, or that you believe could benefit from mental health support) who are:

Male

Female

Other

12) Which age group do people presenting with co-occurring substance use and a mental health condition (either diagnosed, self-defined, or that you believe could benefit from mental health support) primarily correspond to?

Under 18

18-25

26-35

46-55

56-65

Over 65

13) Are you able to provide specific mental health support for people who present with a new mental health concern within your service?

Yes

No

14) If yes to 13, please detail the support provided.

15) If yes to 13, How often will your service offer treatment for the following mental health conditions?

	Never	Occasionally	Common	Very common	I don't know
Alcohol-Related Brain Damage
Anxiety Disorders (including general anxiety, Obsessive Compulsive Disorder)
Mood Disorders (including bipolar disorder, depression)
Personality Disorders
Psychotic Disorders (including schizophrenia)
Attention Deficit Hyperactivity Disorder
Post-Traumatic Stress Disorder

16) If Yes to 13, If a treatment for another mental health condition, please specify which and how commonly it is offered.

If No to 13 continue here

17) Do you refer on individuals where you are unable to support them due to an underlying mental health concern?

Yes

No

18) If Yes to 17, What are your service's criteria for referral?

19) If Yes to 17, Where do you refer them to?

Crisis Teams

Intensive Home Treatment Team

General Practitioner

Community Mental Health Team

Local third sector support organisation

Online tools and resources

Other (please specify)

20) If Yes to 17, Does referral result in their leaving the service?

Yes

No

If No to 17 continue here

21) For individuals supported by more than one service (including your own), is there a protocol in place for coordinating their care?

Yes

No

Don't Know

22) If Yes to 21, Is the protocol used?

Yes

No

23) If Yes to 21, How often is the protocol revised?

24) If Yes to 22, As part of this review process, how do you understand if this is working for individual service users?

If "I don't know" or "No" to 21, OR "No" to 22 continue here

25) If there is no formal protocol in place for coordinating care between services, what steps does your organisation take to keep in touch with the service user?

26) What are the particular challenges experienced by different groups of service users (minority groups, women, people who are homeless, people who do not speak English as a first language, etc.) and how do you do you support their specific needs?

27) Please provide any other comments (e.g. relating to how services could be improved in general to meet the mental health needs of people in substance use services).