29/01/2026
๐๐ฎ๐๐ฅ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐ข๐ฌ ๐ง๐จ๐ญ ๐ ๐๐ฎ๐ณ๐ณ๐ฐ๐จ๐ซ๐.
Substance use frequently underlies, mimics, or amplifies psychiatric presentations. Treating โmental healthโ without rigorously interrogating substance use risks inaccurate formulation and compromised outcomes.
Dual diagnosis is not the coexistence of symptoms.
It is the discipline of determining causality.
A clinically credible dual-diagnosis programme requires more than parallel therapy and detox. It requires:
โข Multidisciplinary assessment led by experienced psychologists and medical doctors
โข Continuous psychiatric nursing oversight
โข Daily MDT review of formulation, risk, and treatment trajectory
โข Structured, evidence-based programmes adapted in real time to the patientโs presentation
โข Purpose-built patient management software that integrates clinical assessments, daily notes, risk indicators, and treatment decisions across disciplines
โข Longitudinal clinical tracking that allows MDTs to see patterns, response to intervention, and emerging risks rather than isolated snapshots
โข Structured, clinician-grade reporting that enables referring professionals to remain informed, involved, and clinically aligned
โข Discharge planning focused on long-term management of co-occurring disorders, not episode-based care
Dual diagnosis is a specialized clinical discipline.
It is not defined by branding language, but by process, governance, and accountability.
As co-occurring disorders have become more widely discussed, the term โdual diagnosisโ has been applied increasingly loosely. Referrers are encouraged to look beyond terminology and examine how programmes determine diagnosis, manage complexity, and remain clinically accountable.
Patients do best where substance use and mental health are assessed together, rigorously, and without assumptions โ and where referring clinicians remain informed partners in care.
We do not run a personality-driven rehabilitation centre. We run an operationally disciplined, clinically governed treatment environment built around systems, structure, and accountability rather than individual charisma or therapeutic style.
Clinical decisions are made through formal multidisciplinary processes, supported by defined protocols, documented rationale, and continuous review. Patient care does not hinge on who is on duty, who is most persuasive in the room, or which therapeutic voice is loudest on a given day. It is driven by shared clinical data, longitudinal assessment, and collective professional judgement.
This approach ensures consistency of care, reduces subjectivity, and allows complex dual-diagnosis presentations to be managed with precision rather than opinion. The focus remains on accurate formulation, appropriate intervention, and measurable clinical progress โ not on personalities, branding, or narrative.
How this is operationalized in practice
Our clinical work is supported by purpose-built patient management infrastructure designed specifically for dual-diagnosis care.
All psychological assessments, medical reviews, nursing observations, risk indicators, treatment decisions, and programme adjustments are captured within a single, integrated clinical system. This allows multidisciplinary teams to review patient data longitudinally rather than in isolated snapshots.
Daily MDT decisions are documented with clinical rationale, enabling real-time programme adjustment and clear traceability of care. This structure reduces handover risk, prevents siloed decision-making, and ensures that evolving psychiatric and substance-related factors are interpreted together.
Where appropriate, structured clinical summaries and progress overviews are shared with referring professionals who wish to remain involved, preserving collaboration while maintaining clinical role clarity.
Discharge planning is informed by the full treatment trajectory, supporting continuity of care and long-term management of co-occurring disorders beyond admission.
www.myrehab.co.za
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