Links in Tennessee
& other State Dual Diagnosis Resources
Dual Diagnosis Recovery Network and Foundations Associates can not control the content of the external web sites we link to. We display these links and on subsequent pages as a convenience and possible resource only. Our links to external web sites or organizations does not imply any endorsement or affiliation. Note: Listing Treatment Centers that specialize in dual diagnosis or co-morbid disorders is a brand new endeavor as of October 2001. Many pages and links may be empty.- Australia
- Canada
- England
- State by State listings
- Various Countries
Dual Diagnosed Enhanced/Integrated Treatment Programs.
National studies commissioned by the federal government estimate that 10 million to 12 million Americans have co-occurring mental and addictive disorders. The prevailing research confirms that integrated treatment for co-occurring disorders (dual diagnosis) is much more effective than treating these illnesses separately. Integrated treatment means mental illness and addictive disorders services and interventions are delivered simultaneously at the same treatment site, ideally with cross-trained staff.
What is not considered integrated or dual diagnosis enhanced treatment is sequential treatment (treat one disorder first, then the other) or parallel treatment (in which two treatment providers at separate locations use separate treatment plans to treat each condition separately, but at the same time).
The National Alliance for the Mentally Ill, ?NAMI? endorses integrated, rather than sequential or collaborative-parallel, treatment programs for persons with dual disorders of mental illness and addictive disorders. The Dual Diagnosis Recovery Network suggests that consumers educate themselves about the distinctions between various levels of treatment integration and ask potential service providers and treatment facilities to what level do they meet the minimum standards for a dual diagnosis enhanced or an integrated treatment model.
Treatment Models for Co-occurring Disorders
[Adapted from SAMHSA Treatment Improvement Protocol (TIP)
#9]
SEQUENTIAL
- First, and historically most common, model used
- Consumer is treated by one system (addiction or mental health), and then by the other
- Differing views on which disorder to treat first; Treatment depends upon prioritization of disorders
- Financial coverage and confidentiality laws vary between systems
- May be appropriate for patients with a severe problem with one disorder, and mild problem with the other
- Consumers frequently receive conflicting therapeutic messages from separate systems
- Simultaneous treatment provided to the patient by both mental health and addiction treatment settings
- Utilizes existing treatment programs and settings
- Financial coverage and confidentiality laws vary between systems
- Coordination of services between settings varies widely
- May be appropriate for patients who have a severe problem with one disorder, and mild problem with the other
- Consumers frequently receive conflicting therapeutic messages from separate systems
- Combines elements of both mental health and addiction treatment into a unified and comprehensive treatment program for the patient
- Both disorders treated as primary
- Consumer receives simultaneous treatment of both disorders in a setting designed to accommodate both problems
- Clinicians have typically received specialized training in dual disorders
- Consumer no longer shoulders responsibility for integrating their care
