title: Dual diagnosis capability in mental health and addiction treatment services: an assessment of programs across multiple state systems.
abstract: Despite increased awareness of the benefits of integrated services for persons with co-occurring substance use and psychiatric disorders, estimates of the availability of integrated services vary widely. The present study utilized standardized measures of program capacity to address co-occurring disorders, the dual diagnosis capability in addiction treatment and dual diagnosis capability in mental health treatment indexes, and sampled 256 programs across the United States. Approximately 18 % of addiction treatment and 9 % of mental health programs met criteria for dual diagnosis capable services. This is the first report on public access to integrated services using objective measures.
authors.affiliation: Department of Psychiatry, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, NH, 03766, USA, mark.p.mcgovern@dartmouth.edu.
authors.forename: Mark P
authors.initials: MP
authors.lastname: McGovern
authors.forename: Chantal
authors.initials: C
authors.lastname: Lambert-Harris
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Gotham
authors.forename: Ronald E
authors.initials: RE
authors.lastname: Claus
authors.forename: Haiyi
authors.initials: H
authors.lastname: Xie
mesh_terms: D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014481:United States