title: Improving service delivery to the dually diagnosed in Los Angeles County.
abstract: Service delivery to dually diagnosed individuals remains problematic in many communities because of entrenched administrative structures that maintain the separation of mental health and substance abuse treatment systems. This article describes efforts to improve service delivery to dually diagnosed individuals in Los Angeles County by increasing communication, coordination, and collaboration across the two treatment systems. Findings are presented on the relationships among program models of service delivery, treatment orientations of programs, and interactions with other service providers to the dually diagnosed. Results showed that drug treatment programs that adhered more closely to an integrated model of service delivery received more patient referrals from case management outreach teams and that programs with a stronger counseling approach to treatment had more linkages with other service providers. Knowledge gained from research on these differing models of service delivery can be combined with new clinical advances to improve service delivery to the dually diagnosed.
authors.affiliation: UCLA Integrated Substance Abuse Programs, 1640 South Sepulveda Boulevard, Suite 200, Los Angeles, CA 90025, USA. grella@ucla.edu
authors.forename: Christine E
authors.initials: CE
authors.lastname: Grella
authors.forename: James
authors.initials: J
authors.lastname: Gilmore
mesh_terms: D000704:Analysis of Variance; D003376:Counseling; D003625:Data Collection; D003695:Delivery of Health Care / Q000592:standards*; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D007373:Interinstitutional Relations; D015141:Los Angeles; D017146:Models, Organizational; D010353:Patient Education as Topic; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000534:rehabilitation*