Examples of what this might involve:

1. 

• Effective communications with staff, involve them in change processes.
• Two-way communication to enable problem-solving of operational challenges, awareness of new ways of working and understanding of ongoing challenges or operational barriers.

2. 

• Endorsement of messaging from senior clinicians highlighting the importance and benefit of collaboration across mental health and substance use services.
• Proactive challenge of stigma/myths around co-occurring conditions.

3. 

• Support implementation of new ways of working through providing sponsorship, removing operational barriers, enable and empower staff and bring together stakeholders.
• Align their work with other key drivers for mental health and substance use integration including National Drugs Mission, Suicide Prevention, Mental Health Core Standards and the improving physical health agenda.

4. 

Link in with governance structures and ensure accountability.

5. 

Mapping and aligning relevant work programmes across the wider system, including representation from key stakeholders, including mental health and substance use, within these.

6. 

Courageous and compassionate leadership that provides permissioning, safe spaces that allow staff to develop new ways of working, and the removal of barriers to staff identifying and making improvements.