Tuesday, March 17, 2009

What kind of programs are there that treat people with co-occuring disorders?

SAMHSA catagozies behavioral health programs in one of three categories: Addiction or mental health only, Dual Diagnosis capable (DCC) and Dual Diagnosis Enhanced (DDE).
GCASA's MICA programs are DDC, Dual Diagnosis capable.
Here is the definition from SAMHSA's Overview Paper I entitled "Definitions and Terms Relating To Co-Occuring Disorders". You can access the paper by clicking here.
Addiction- or mental–health-only services refers to programs that “either by choice or for lack of resources [staff or financial], cannot accommodate patients” who have co-occurring disorders that require “ongoing treatment, however stable the illness and however well-functioning the patient” (ASAM, 2001, p. 10).
Dual diagnosis capable (DDC) programs are those that “address co-occurring mental and substance-related disorders in their policies and procedures, assessment, treatment planning, program content and discharge planning” (ASAM, 2001, p. 362). Even where such programs are geared primarily toward treating substance use or mental health disorders, program staff are “able to address the interaction between mental and substance-related disorders and their effect on the patient’s readiness to change—as well as relapse and recovery environment issues—through individual and group program content” (ASAM, 2001, p. 362).
Dual diagnosis enhanced (DDE) programs have a higher level of integration of substance abuse and mental health treatment services. These programs are able to provide unified substance abuse and mental health treatment to clients who are, compared to those treatable in DDC programs, “more symptomatic and/ or functionally impaired as a result of their co-occurring mental disorder” (ASAM, 2001, p. 10). Enhanced-level services “place their primary focus on the integration of services for mental and substance-related disorders in their staffing, services and program content” (ASAM, 2001, p. 362). The Integrated Dual Disorders Toolkit describes a particular type of dual diagnosis enhanced program for adults with SMI (CMHS, 2003).
These program types can be established at any level of care. Given the high prevalence of COD within all behav¬ioral service settings, it is reasonable to expect programs to move toward dual diagnosis capable. While standards for DDC and DDE program licensure or certification have not been established at the national level, States are be¬ginning to develop some core standards.
For more information about GCASA's Behavioral Health Programs which serve patients with co-occuring disorders, contact John Bennett, GCASA's Director Of Treatment, at 585-815-1849.
This is article #2 in a series on Co-Occuring Disorders.

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