Co-occurring Disorder Treatment

An approach to effectively treating co-occurring substance use and mental health disorders. Dual disorders (also referred to as co-occurring disorders, or COD) respond best to treatment that is significantly integrated in its ability to address both mental health and substance use concerns. Service providers of dual disorders treatmentWoman walking up stairs receiving treatment strive for integration at the levels of program structure, milieu, assessment, treatment interventions, continuity of care, staffing, and training.

One of the strategies that has been pursued across the State of Michigan's public behavioral health system has been the development and implementation of the SAMHSA-endorsed IDDT model. Although typically very effective when implemented well at a high level of fidelity, this is a very costly and intensive model not available to, and necessarily indicated for all individuals with dual recovery needs.

Adaptation of various elements of the IDDT model, at differing levels of indicated intensity must also occur to be able to meet the dual-recovery needs of all service recipients. Use of the Dual Diagnosis Capability in Mental Health Treatment (DDCMHT) framework to guide traditional mental health programs toward greater dual disorders capability and enhancement is providing important guidance as our system of care continues to evolve and improve. In similar fashion, use of the Dual Diagnosis Capability in Addictions Treatment (DDCAT) framework is providing guidance for traditional addictions treatment programs.