Key Issues: People with complex needs include people with mental health and substance misuse issues and offenders with mental health problems in the criminal justice system.Interdisciplinary working with these service user groups is supported but also undermined by government policy and legislation.Initiatives to coordinate improved interdisciplinary and inter-agency working include ‘mainstreaming’ and the ‘equivalence principle’.The Care Programme Approach and the Offender Mental Health Care Pathway provide mechanisms for delivering more holistic, interdisciplinary care that addresses the interrelatedness of service users’ difficulties.
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