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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.

Double Trouble in Recovery Double Trouble in Recovery (DTR) is a 12-step fellowship for men and woman with a dual diagnosis of substance use disorder with other mental health issues. The site contains a number of resources guides for professionals looking to start a group.

Behavioral Health Treatment Services Locator A tool from SAMHSA  set up to find treatment services across the United States. By selecting the “SA & MH” option after entering the city into the locator, the tool will list treatment facilities in the area offering treatment for dual diagnosis clients.

Drug Facts: Comorbidity: Addiction and Other Mental Disorders A basic introduction to co-occurring disorders from NIDA with answers to questions about the cause of comorbidity and effective treatment approaches.

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 Treatment Improvement Protocol from SAMHSA 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 guidance for professionals treating addiction and a less severe mental health disorder.

Tobacco Treatment for Persons with Substance Use Disorders A toolkit covering tobacco products and their use among those with substance use disorders and other mental health issues. It covers the various health issues of using tobacco products and gives several methods of quitting to be used by professionals.

Tobacco Recovery This tobacco interventions program was started in regards to Part 856 Tobacco-Free Services Regulation in New York. The site includes manuals, slides, and a five-module curriculum for integrating tobacco use intervention.

For Organizations

Behavioral Health Recovery Management – Dual Diagnosis Clinical Guidelines Six sets of clinical guidelines: service planning, motivational enhancement, psychopharmacology, and more.

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.

The Center for Practice Innovations The Center for Practice Innovations (CPI) was established to assist the New York State Office of Mental Health in the widespread use of evidence-based practices. Social work continuing education credits are also available through CPI.

Integrating Substance Use and Mental Healthcare Slides created by the National Council for Behavioral Health to explain how substance use and mental health can be integrated in practice.

Dual Diagnosis Capability in Addiction Treatment Toolkit, Version 4.0 The Dual Diagnosis Capability in Addiction Treatment (DDCAT) toolkit was created in response to Treatment Improvement Protocol (TIP) 42 and contains guidance for addiction service providers.


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.

Integrating Co-occurring Disorders A free NAADAC webinar  designed to provide basic training for addiction counselors.