Dual diagnosis for mental health and substance abuse

Dual diagnosis in New ZealandDual Diagnosis

Dual diagnosis or co-existing disorders are when two or more mental health or substance use disorders exist at the same time. The common range of mental health type symptoms are:

  • Depression
  • Anxiety (panic attacks)
  • Psychosis
  • Paranoia

Are Dual Diagnosis conditions treatable?

Yes, in many cases these conditions are the result of alcohol or drug use, therefore when a person is able to maintain abstinence from alcohol or drug use, the mental health condition becomes A-symptomatic (in remission). In some cases on-going medication support is needed to enable an individual to effectively manage treatment. The treatment of these dual diagnosis conditions does required specialist intervention.

How does Capri Hospital treat dual diagnosis conditions?

Capri Hospital utilizes a holistic approach to the treatment of dual diagnosis conditions. You will work with a psychiatrist, psychologist, doctors, trained counselors and recovery coaches. Each person in the dual diagnosis programme will have an individual treatment plan to meet all your needs during your stay at Capri Hospital. An extended period of treatment is also available for those who would benefit from staying longer in the Capri Hospital environment.

The Goal of Treatment at Capri Hospital is Recovery

The term “recovery” in the context of Mental Health disorders is often used in both treatment and support groups. Recovery often incorporates concepts such as rehabilitation and habilitation. Rehabilitation encompasses the idea of returning to a former state following injury or illness, whereas habilitation focuses on developing new skills and abilities that the person has not previously displayed for the purpose of better functioning in society. Recovery is the process of changing whereby individuals work to improve their own health and wellness and to live a meaningful life in a community of their choice while striving to achieve their full potential.

Dr Siale Foliaki

Dr Siale Foliaki (MBChB FRANZCP) is a graduate of the Otago University School of Medicine and has twenty years of experience in Mental Health and Addiction medicine. He is a Fellow of the International Society of Addiction Medicine (ISA). Dr Foliaki is able to provide assessments for all clients who come through Capri Hospital and is available for outpatient consultation.

Dr Siale sees the holistic nature and approach of the programme offered at Capri Hospital as a major factor in the treatment spectrum. Other reasons the Capri Hospital programme is so effective in achieving outcomes not normally seen in other settings are:

  • Passionate and skilled clinicians
  • The right balance between medical and psychological treatment
  • We get a chance to know you and your loved ones well
  • We choose evidence research proven treatment
  • Get the basics right e.g. lifestyle balance etc.
  • We are committed to the care and well-being of others

Recovery Stories

This Month's Recovery Story

Pain killer drug addiciton

Adam's Story

"My life was out of control before coming to Capri Hospital. Drugs were my solution. Life was a struggle. I was caught in a downward spiral losing everything worthwhile. I was admitted to a psychiatric hospital for psychosis. This was my rock bottom. I sought help from family and was admitted to Capri. Here I was given great support from my peers and the staff members. I learnt how to live without drugs and take a good look within myself. I learnt tools to start a fresh life. Now I’m clean and sober and have good insights about my dual diagnosis. My whole attitude and outlook on life has changed because I was willing to seek help."

Getting help for your mental health treatementWhere Do I Start?

It is normal to feel nervous when talking to other people about life’s challenges, whether they are yours, family members, or friends. We are very aware of this and will make every effort to help you feel welcome, safe and valued.

To enquire about admission to Capri Hospital, phone our friendly, admitting team to explore possible options available. We will be happy to answer any questions you may have. We will be able to tell you quite quickly what treatment options are available for you or your family member.

Free, Confidential Initial Assessment - in person, or over the phone

Our admitting staff will want to gather important information about what has been happening in your life so that appropriate services can be arranged for your stay.

You will:

  • Meet and talk to one of our clinicians and together you will discuss your current situation and how we might be able to help you
  • Find out about the Capri Hospital services available that you will be able to access and use during your stay
  • Have the option to meet other clients in treatment and have a look around and get a first-hand feel for the Capri Hospital environment and facilities - if you choose to visit our facility
  • Have any questions answered that you may have

Do I Need A Referral?

No. Capri Hospital accepts referrals from clients themselves. However, we will also take referrals from General Practitioners, Mental Health Service providers, alcohol or other drug providers, employers, families or friends.

Before Your Admission

Once your admission is confirmed, one of our supportive admitting team will help to manage this process for you. This may include, with your approval, liaising with other medical providers on your behalf regarding previous treatment and any medications you might have received, explaining to family members what treatment involves, and arranging pickups from the airport if required.

We will email you confirmation of admission, a list of what to bring, request a deposit if your admission is more than a week away, and make arrangements for the invoice to be sent to you prior to admission.

Treatment Begins

On the morning you are admitted, one of our admission staff will meet with you and orientate you to the Capri Hospital programme. If you need collecting from the airport we will arrange a driver to pick you up.

What will happen when I arrive?

  • You will complete the admission paperwork
  • You will be shown to your room
  • Meet our duty doctor and admitting nurse (who may start you on any detox medication if required)
  • If you wish, your family will be able to stay with you for support during the admission process

The main goal of your first day in treatment will be to settle into your room and become oriented to the Capri Hospital facilities and schedules: what time meals are, where tea and coffee can be found, where the spare towels are, etc. and getting to know Capri Hospital staff and clients.

If you have further questions please telephone 0800 227741 or email info@caprihospital.co.nz

Ongoing Support

Research clearly shows that ongoing support is critical to long-term recovery success. Programmes that do not provide treatment and/or support for three months or more have very poor treatment outcomes. Because of this, Continuing Care Planning is a very important component of the Capri Hospital Treatment programme, and is fundamental to achieving long-term recovery. Before you leave residential treatment, your Clinician will work with you to formulate a comprehensive Continuing Care Plan which will include either Capri Hospital Outpatient Programmes or community recovery groups. This plan has a number of practices that both research and our own experience have found important in achieving and maintaining long-term recovery/remission from the conditions we treat.


  • Professionally led weekday outpatient group
  • Client led, weekday outpatient group
  • Weekly recovery texts
  • Regular, scheduled support phone calls
  • Recovery Principle Group
  • Graduations & Weekly Review meeting
  • Check-up from the Neck up
  • Family Support & Education


  • If attending one of our groups here at Capri Hospital, a nutritious lunch can be purchased. Lunch tickets are available from the office


  • Post Discharge Consultation meeting with either Dr Rob or Kate Brandram-Adams, Christchurch Outpatient Services
  • Weekly, professionally led evening meeting in Christchurch on Monday evening from 6.00pm – 7.00pm
  • Regular, scheduled support phone calls
  • Weekly recovery texts

Dr Rob and Kate Brandram-Adams, Christchurch Outpatient Services

Dr Rob Brandram-Adams facilitates our Capri Hospital Continuing Care Services in Christchurch. Dr Rob graduated from St Bartholomew’s Hospital in London in 1975, specializing in addiction medicine since 1986. He is an ex-Medical Director of Queen Mary Hospital and a founder of the International Society of Addiction Medicine (ISAM). Kate has worked as a Registered Mental Health Nurse for the past 15 years and has attained an American Certification in Addiction Registered Nursing (CARN).


  • Post Discharge Consultation with Tommy Benefield, Outpatient Services Wellington
  • Weekly professionally led evening meetings in Wellington on Tuesday evening from 6.00pm – 7.00pm
  • Regular, scheduled support recovery texts and phone calls

Tommy Benefield - Wellington Outpatient Services

Tommy is a Registered Alcohol and Other Drug Practitioner and a Certified Addictions clinician. He has finished three years post grad training in Psychotherapy and is working towards a Masters in psychotherapy. He is the Clinical Manager of the Police Youth Aid Drug Programme and the Therapist for Capri Hospital aftercare in Wellington. Tommy got clean and sober at 17 and has 15 years of uninterrupted abstinence recovery through the 12 Step Fellowships. He is an enthusiastic and passionate clinician who draws on training and personal experience to support our clients.

Other Regions

  • Regular scheduled support phone calls
  • Weekly recovery texts
  • Referral to local support services

Community 12 Step Support Groups

Alongside all of this, we strongly advocate attendance at 12 Step support groups such as Alcoholics Anonymous, Narcotics Anonymous, Gamblers Anonymous, Emotions Anonymous, and Alanon for family members or Clients who are Adult Children of Alcoholics or Addicts. Research is very clear that adherence with a 12 Step programme, alongside professional treatment, significantly improves long-term recovery outcomes for people.

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