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Integration

Define Integrated Services and Treatment

Once systems agree on a shared vision, it is important to define how services and treatment will be provided in an integrated way. Many states have found the following tools and resources helpful in defining integrated services and treatment:

  • Integrated Treatment for Co-Occurring Disorders is a part of SAMHSA's Evidence-Based Practices KIT Series. Formerly called Integrated Dual Disorders Treatment, the model and corresponding benchmark measures are used in many states to guide mental health agencies in developing co-occurring capability. Dartmouth Psychiatric Research Center continues to test and enhance the model. Dartmouth has partnered with Hazelton to produce additional resources on this model.
  • Substance Abuse Treatment For Persons with Co-Occurring Disorders TIP 42 is a part of SAMHSA's Treatment Improvement Protocol (TIP) series. The protocol is used in many states to guide substance abuse treatment agencies in developing co-occurring capability and training practitioners.
  • Dual Diagnosis Capability in Addiction Treatment (DDCAT) and Mental Health Treatment (DDCMHT) are process measures to guide addiction treatment settings in developing co-occurring capability. Parallel measures are available for mental health treatment settings. Agencies use these measures and the corresponding guides to identify strengths and weaknesses, create action plans and implement changes.
  • Comprehensive, Continuous, Integrated System of Care (CCISC) is a model that can be used by either mental health or substance abuse service organizations seeking to become co-occurring capable. The model is based on eight principles and includes 12 steps that promote systems, services and treatment integration. The guide for this model includes tools for assessing organizational and practitioner competencies.

Establish Benchmarks and Measure Progress

States have used these resources and tools to develop specific guidance and criteria for agencies and practitioners. Many states have adopted or adapted a combination of measures to set benchmarks and assess progress over time.

States have used measures to:

  • Determine which aspects of integrated treatment are already in place
  • Define priorities for change
  • Determine training needs
  • Inform service planning by comparing progress between agencies
  • Target resources

Agencies use measures to:

  • Guide quality improvement
  • Establish concrete action steps
  • Provide feedback to practitioners
  • Gauge progress over time

Defining integrated services and setting benchmarks helps states and agencies maintain a focus on the goals of integration. Demonstrating results using standardized measures also helps when building wide-spread consensus for integration and seeking new funding streams.


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