Integrated Dual Disorders Treatment

Integrated dual disorders treatment (IDDT) integrates mental health and substance abuse interventions on the same team, working in one setting, providing individualized treatment and rehabilitation for both disorders in a coordinated fashion. Contrary to traditional treatment for dual disorders, IDDT does not require abstinence as a prerequisite to pursuing housing or employment. Research has shown that having meaningful activities, social supports, safe housing, and a supportive therapeutic relationship to be strongly correlated with consumers' efforts to reduce substance use. IDDT is superior to nonintegrated approaches in producing positive outcomes in a variety of domains such as substance abuse, psychiatric symptoms, housing, hospitalization, arrests, functional status, and quality of life. The clinical interventions found to be most effective were those tailored to the consumer’s stage of treatment and readiness for change (e.g., motivational interviewing for consumers in persuasion stage of treatment), as well as other clinical and personal characteristics.

For more information, please visit the Ohio SAMI CCOE web site.

The toolkit is also available through the SAMHSA website.