Resources Supporting Dual Disorders Recovery
About Dual Disorders Recovery
Reflecting the history of successful recovery efforts in America, literature from Alcoholics Anonymous describes individuals experiencing “happy, contented sobriety” after working a program of recovery and getting some clean time under their belts. Yet the experience of so many individuals with co-occurring depression, anxiety, posttraumatic stress, or other mental/emotional disorders is anything but happy and contented. When individuals stop using substances that may have been providing some mitigation of or distraction from other mental health disorder symptoms, they are left with a more direct and potent experience of those symptoms, which is typically anything but happy and contented. For those individuals, the goal and solution is dual recovery, that is, to have a program of recovery in which both disorders (or more) are effectively addressed at the same time, in a manner that is as integrated as possible.
Whether you are a traditional substance abuse treatment provider seeking to become more capable of providing effective co-occurring mental health treatment, or a traditional mental health treatment provider seeking to become more capable of providing effective co-occurring addictions treatment, the DDCAT and DDCMHT provide a useful framework.
- The DDCAT is the Dual Diagnosis Capability in Addictions Treatment model, with implementation guidance available at no cost via the DDCAT Toolkit, which explains the framework and offers information on how to develop your substance use disorder treatment services in an integrated, co-occurring direction.
- The DDCMHT is the Dual Diagnosis Capability in Mental Health Treatment model, with implementation guidance available at no cost via the DDCMHT Toolkit, which explains the framework and offers information on how to develop your mental health disorder treatment services in an integrated, co-occurring direction.
- The DDCHCS is the Dual Diagnosis Capability in Health Care Settings model, with implementation guidance available at no cost via the DDCHCS Toolkit, which explains the framework and offers information on how to develop your primary care treatment services in an integrated, co-occurring direction.
Co-Occurring Disorders Treatment Guidance
Developing and implementing effective treatment programs for individuals facing both of the significant challenges posed by co-occurring mental health & substance use disorders is understandably complex. Access any of the publications linked below for solid resources to guide such efforts:
- Evaluating Substance Abuse in Persons With Severe Mental Illness (HSRI)
- Strategies for Developing Treatment Programs for People with Co-Occurring Substance Abuse and Mental Disorders (SAMHSA)
COCE: SAMHSA's Co-Occurring Center for Excellence Overview Paper Series
- Definitions and Terms Relating to Co-Occurring Disorders
- Screening, Assessment, and Treatment Planning for Persons With Co-Occurring Disorders
- Overarching Principles to Address the Needs of Persons With Co-Occurring Disorders
- Addressing Co-Occurring Disorders in Non-Traditional Service Settings
- Treatment, Volume 1: Understanding Evidence-Based Practices for Co-Occurring Disorders
- Treatment, Volume 2: Addressing Co-Occurring Disorders in Non-Traditional Service Settings
- Services Integration
- Systems Integration
- The Epidemiology of Co-Occurring Substance Use and Mental Disorders
University of South Florida's COD Training Series
The University of South Florida developed a no-fee training series, offering a comprehensive overview for practitioners on topics related to assessing and treating persons with co-occurring disorders. A certificate of completion is available at no cost. The topics covered include the following:
- Understanding the Needs of Persons with Co-occurring Disorders
- Issues and Techniques in the Assessment of Co-occurring Disorders
- Creating Treatment Programs for Persons with Co-occurring Disorders
- Evidence-based Treatment Models for Persons with Co-occurring Disorders
- Responsive Services and Supports for Persons with Co-occurring Disorders
- Adolescents and Co-occurring Disorders
- Co-occurring Disorders among Older Adults
- Women and Co-occurring Disorders
- Co-occurring Disorders in Persons in the Justice System
Anger Management for Behavioral Health Clients
Access the Practitioner Manual and Participant Workbook below for a well-developed curriculum to utilize for addressing the needs for anger education, healthy anger expression, and anger management that are so prevalent among clients referred for co-occurring disorder treatment services.
Interactive Web-Based Learning Modules
The modules accessible via the link below were developed in 2007-08 by Stephen R. Wiland, with SAMHSA Block Grant funding made available through the State of Michigan's Department of Community Health. Although somewhat primitive in design by today's technology standards, the training content is still quite relevant.
- Dual Assessment
- Stages of Treatment
- Treatment Planning
- Motivational Counseling
- Substance Abuse Counseling for Persons with Mental Illness
- Group Treatment for Dual Disorders
- Relapse Prevention
- Family Treatment
- Integrated Treatment for Dual Disorders: A Guide to Effective Practice by Kim Mueser, Douglas Noordsy, Robert Drake, & Lindy Fox
- Coping Skills Group: A Session-by-Session Guide by Susan Gingerich & Kim Mueser
- Overcoming Addictions: Skills Training for People with Schizophrenia by Lisa Roberts, Andrew Shaner & Thad Eckman
- The Twelve Steps And Dual Disorders: A Framework Of Recovery For Those Of Us With Addiction & An Emotional Or Psychiatric Illness by Pat Samples & Tim Hamilton
- The Dual Disorders Recovery Book: A Twelve Step Program for Those of Us With Addiction and an Emotional or Psychiatric Illness - Hazelden
- Tips and Topics: Opening the Toolbox for Transforming Services and Systems, by David Mee-Lee , with Jennifer Harrison
- Hazelden's Co-Occurring Disorders Program - Hazelden