title: The Dual Diagnosis Capability of Residential Addiction Treatment centres: priorities and confidence to improve capability following a review process.
abstract: OBJECTIVE
  The Dual Diagnosis Capability of Addiction Treatment (DDCAT) index is used to assess the capacity of substance abuse services to work with individuals with co-occurring mental health problems. The current study aimed to: (i) examine the dual diagnosis capability of residential substance abuse programs in Australia; (ii) identify managers' perceptions regarding both priorities and confidence for change following the completion of the DDCAT; and (iii) to examine the usefulness of the DDCAT to residential substance abuse programs.
  
  
  METHODS
  The DDCAT was completed across 16 residential substance abuse units. An external researcher administered and scored the DDCAT. A Unit Manager from each site completed the Comorbidity Priorities and Confidence Survey following the completion of the DDCAT review. This survey examined the usefulness of the DDCAT, and the unit's priorities to improve its capability, and confidence to improve its DDCAT score.
  
  
  RESULTS
  Across the services, program structure and staff training were the DDCAT domains that required the most improvement. While training was the highest endorsed priority area for improvement, program structure was the lowest priority. Overall the Unit Managers reported positive attitudes towards use of the DDCAT and were confident that their unit could improve their DDCAT scores.
  
  
  CONCLUSIONS
  DDCAT scores of Australian residential substance abuse programs are comparable with previous published results. However, there is still substantial work required to improve the capability of these programs. Future research should examine strategies to promote sustained improvements in the capability of residential substance abuse programs.
authors.affiliation: Illawarra Institute for Mental Health, University of Wollongong, Wollongong, Australia.
authors.forename: Harold
authors.initials: H
authors.lastname: Matthews
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Kelly
authors.forename: Frank P
authors.initials: FP
authors.lastname: Deane
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D003625:Data Collection / Q000379:methods; D017831:Diagnosis, Dual (Psychiatry) / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D012114:Residential Treatment / Q000379:methods / Q000592:standards*; D016320:Substance Abuse Treatment Centers / Q000379:methods / Q000592:standards*; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*