This quality standard covers the assessment, management and care provided for people aged 14 and over who have coexisting severe mental illness and substance misuse. It describes high-quality care in priority areas for improvement. 

Quality statements:

Statement 1 People aged 14 and over with suspected or confirmed severe mental illness are asked about their use of alcohol and drugs.

Statement 2 People aged 14 and over are not excluded from mental health services because of coexisting substance misuse or from substance misuse services because of coexisting severe mental illness.

Statement 3 People aged 14 and over with coexisting severe mental illness and substance misuse have a care coordinator working in mental health services when they are identified as needing treatment from secondary care mental health services.

Statement 4 People aged 14 and over with coexisting severe mental illness and substance misuse are followed up if they miss any appointment.