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How is the DDCMHT administered? Dual diagnosis capability ratings are based upon observation, conversations with program personnel and clients, and record reviews. This section lays out the process of conducting a typical site visit, from scheduling to exit interview.

Straightforward in approach, the DDCMHT is most effectively administered by objective raters who have received appropriate training. When employed by objective raters, the DDCMHT provides reliable ratings tied to concrete steps to improve services for individuals and families with co-occurring disorders. The Index is useful for developing change plans, but treatment providers will learn here about the limits of accurate self-evaluation using the index. Finally, this section offers practical wisdom for training DDCMHT raters.

The methodology section is organized according to the following topics: