Table I

Strategy analysis

Strategy recommendationExamples of why drug use should have been considered
 (1) Life-course approachSubstance use often precedes and can exacerbate existing mental health problems (Hartz et al., 2014). But there is still more to understand about the relationship between drugs and mental health
 (2) Patient and public involvementInvolving service users who have experience of dual diagnosis would improve our understanding of their needs and the support they would benefit from (Wells et al., 2008). This remains an ambition rather than a reality
 (3) Mental and physical healthDrug use impacts on physical and mental health, capturing this in research outcomes measurement is critical (Robson et al., 2008)
 (4) Co-ordination and infrastructureDual diagnosis does not fit the aim or scope of many major research funding bodies despite the potential for applied research
 (5) Data, informatics and virtual populationsImproved data reporting at a population level must include drug use given the incidence and prevalence of dual diagnosis (Lai et al., 2015)
 (6) Flexible fundingCollaboration between researchers in mental health and addiction is critical but structurally impeded, see point 4 (Sellman, 2010)
 (7) Emerging interventions and alternative settingsInvestigating dual diagnosis beyond the treatment setting would provide intelligence that could inform prevention strategies and interventions (Gore et al., 2015)
 (8) Industry engagementInsufficient information is available about the way medication benefits or presents risks to people with a dual diagnosis. Drug use excludes potential participants from trials in mental health and vice versa (Hamilton and Pringle, 2013)
 (9) Regulation, ethics and governanceResearch ethics committees should also have people who understand the association between drugs and mental health
(10) Capacity buildingMulti-disciplinary research must include professionals and service users from the field of addiction if the ambition of applied research is to be realised (Fonseca et al., 2012)

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