%0 Journal Article %T Mental Health Needs of Young People with Problematic Drug and Alcohol Use in Manchester %A Ruth Marshall %A Louise Theodosiou %A Prashant Bhat %A Anita Ghosh %A Jade Ark %J ISRN Public Health %D 2012 %R 10.5402/2012/973850 %X Background. Studies have indicated possible links between substance use disorder and other psychiatric disorders and suggested a high prevalence of unmet mental health needs amongst those with substance use disorders compared to the general population. Method. The study investigated the mental health needs of adolescents attending a substance misuse service. Mental health needs were assessed using the Strengths and Difficulties Questionnaire, the Conners screen for Attention Deficit Hyperactivity Disorder and a brief measure ascertaining demographics, drug use, and the service required by young people. Results. Young people were found to have higher than normal rates of mental health problems; this was not reflected in referral rates from the service. Conclusion. The findings are relevant to both commissioners and service providers. There is a need for integration between mental health services and those working with young substance users to provide a model of care that caters for dual diagnosis. Furthermore, offering mental health training to teams working with drug-using young people is recommended. 1. Background Healthcare provision in the United Kingdom is at an important junction; the White Paper Healthy Lives Healthy People (2010) emphasises the need to ensure that resources are used effectively, while at the same time embracing the culture of service user feedback. It is of note that the White Paper does not comment on developmental disorders and we are keen to reduce the separation between the evolving evidence base regarding developmental disorders and key national policies. We suggest that adolescent mental health clinicians are ideally placed to elucidate the relationship between mental health and substance use; NICE [1] notes that there is a ˇ°lack of evidence on how to prevent substance misuse among particular groups of vulnerable and disadvantaged children and young people,ˇ± including ˇ°those with mental health problems.ˇ± This study sought to address this deficit. Finally, the Government document ˇ°Drugs: protecting families and communitiesˇ± emphasises the need for ˇ°producing guidance for commissioners, service providers and CAMHS to ensure that improved needs assessment and treatment planning processes are in place in all areas.ˇ± Furthermore, as envisaged in the National Service Framework for Children, young people and maternity services (2007), commissioners in Manchester are keen to understand the unmet needs of vulnerable, high-risk adolescents, as exemplified by the young people using the voluntary drug and alcohol support service in %U http://www.hindawi.com/journals/isrn.public.health/2012/973850/