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The author reflects on change focusing particularly on people with co-existing mental health and substance use problems. He argues that these people with dual doagnosis find it more difficult to initiate and maintain change. He suggests that a team's role should be to believe in that person when no one else can/will. Further, it states that despite people's own successes or difficulties in managing and achieving change, it may be frustrating supporting change in the people they work with.

The article reports about the activities at the conference of the Suffolk Mental Health Partnership NHS Trust held in Ipswich in Suffolk, Great Britain. The conference also hosted the journal launch of Mental Health and Substance Use. It was attended by clinicians, researchers and educators. The activities are described in brief.

People who the editor would like to thank for the support and commitment in the development of the October 2010 issue of the journal "Mental Health & Substance Use: Dual Diagnosis" are mentioned.

The article discusses various reports published within the issue, including an argument for adopting the term co-existing problems and dual diagnosis.