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This toolkit is a compilation of resources for individuals and organizations who treat clients with co-occurring mental health and substance use disorders.

For Clients

Peer Support for People Challenged by Dual Diagnosis: “Helpful People in Touch” This chapter, taken from Consumers as Providers in Psychiatric Rehabilitation, provides an example of a consumer self-help program for people who have a severe mental illness and a substance use disorder.

Medications and Recovery Dual Recovery Anonymous (DRA) World Services Inc. addresses 12-step literature and its approach to needed medications. Much more information is available on the DRA website.

NAMI on Dual Diagnosis The National Alliance on Mental Illness offers insight and resources for individuals with co-occurring disorders.

For Counselors

Psychotherapeutic Medications: What Every Counselor Should Know A companion piece to A Collaborative Response: Addressing the Needs of Consumers with Co-Occurring Substance Use and Mental Health Disorders. This pamphlet is an excellent reference for clinicians as it contains useful information on psychotherapeutic medications.

Resource Links: Perspectives on Integrating Treatment for Adolescents with Co-occurring Disorders This issue of IRETA’s Resource Links includes contribution from the premiere voices in the field of research and practice on adolescent co-occurring treatment.

Tips and Topics This monthly behavioral health newsletter by Dr. David Mee-Lee, a leading expert in co-occurring substance use and mental disorders, explores person-centered treatment and program development.

Seeking Safety: A Treatment Manual for PTSD and Substance Abuse Seeking Safety is a present-focused therapy to help people attain safety from both PTSD and substance abuse. The treatment is available as a book, providing both client handouts and guidance for clinicians. The treatment was designed for flexible use. It has been conducted in group and individual format; for women, men, and mixed-gender; using all topics or fewer topics; in a variety of settings (e.g., outpatient, inpatient, residential); and for both substance abuse and dependence. It has also been used with people who have a trauma history, but do not meet criteria for PTSD. This site provides an overview and links to information on Seeking Safety.

Substance Abuse Treatment for Persons With Co-Occurring Disorders: Tip 42 This revised TIP provides information about new developments in the rapidly growing field of co-occurring substance use and mental disorders and captures the state-of-the-art in the treatment of people with co-occurring disorders. The TIP focuses on what the substance abuse treatment clinician needs to know and provides that information in an accessible manner. Appendix F contains the pharmacological management section.

Co-occurring Addiction and Less Severe Mental Illness This PowerPoint presentation by Dr. Richard Ries, of the Harborview Medical Center at the University of Washington, provides some extra information on psychopharm mental illness treatment, aside from schizophrenia.

For Organizations

SAMHSA The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Toolkit The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index is a program-level assessment used to inform addiction treatment agencies and others about a program’s ability to provide co-occurring services. If your program has a long history of providing addiction treatment services, the DDCAT site will provide the best guidance for increasing the co-occurring capability of your program.

Attitudes toward Clients with Co-occurring Disorders: Agency Staff Questionnaire This survey, to be completed by agency staff, examines staff attitude toward clients with co-occurring disorders.

Attitudes toward Clients with Co-occurring Disorders: Agency Directors Questionnaire This survey, to be completed by agency directors, examines staff attitude toward clients with co-occurring disorders.

Behavioral Health Recovery Management – Dual Diagnosis Clinical Guidelines The development of evidence-based practice guidelines is a major goal of the BHRM project. With the assistance of leading clinical researchers representing major research and practice institutions, the BHRM project will make available several clinical guidelines in behavioral health. The goal is to encourage individuals and programs to learn more about evidenced-based approaches with the hope that many will implement them in the future. To assist in this effort, most guidelines will contain a resource section that identifies books, manuals, videos, and other training materials and available trainers.

Psychopharmacology guidelines These guidelines address the high rate of comorbidity between substance abuse and serious mental illness.

Comprehensive Continuous Integrated System of Care (CCISC) Created by Ken Minkoff, one of the nation’s leading experts on integrated treatment of individuals with co-occurring psychiatric and substance disorders, this site offers information and on the development of integrated systems of care for such individuals, through the implementation of a national best practice model.


CTN Webinar: Integrated Treatment of Co-Occurring Disorders Excellent educational piece that focuses on integrating treatment. Presented by Dennis C. Daley, PhD, of the University of Pittsburgh and Appalchian Tri-State Node of NIDA’s Clinical Trial Network and Antoine Douaihy, PhD, of Western Psychiatric Institute & Clinic.