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Evolving U.S. service model for patients with severe mental illness and co-occurring substance use disorder

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Drake RE, Morse G, Brunette MF, Torrey WC. Evolving U.S. service model for patients with severe mental illness and co-occurring substance use disorder.

Co-occurring severe mental illness and substance use disorder has been recognized as a common problem in the U.S. since the early 1980s (1–3). For these individuals with co-occurring disorders, research demonstrates the effectiveness of various forms of combining, blending, or integrating mental health and substance abuse treatments ( 4). The evolving U.S. service model for integrated dual disorders treatment emphasizes several key elements: implementation, leadership, training, engagement, assessment, counseling for all patients, ancillary treatments for those with multiple needs, secondary treatments for patients who are nonresponders, and quality assurance regarding process and outcomes.
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Keywords: co-occurring disorders; dual diagnosis; severe mental illness; substance abuse

Document Type: Research Article

Affiliations: Community Alternatives, and University of Missouri at St. Louis, St. Louis, Missouri, USA and

Publication date: 2004-02-01

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