Integrated Co-Occurring Disorders Treatment (COD)
CO-OCCURRING DISORDERS TREATMENT (COD)
Co-occurring Disorders Treatment (COD) involves organizations responding simultaneously to a consumer's mental illness and substance use disorder. Integrated Dual Disorders Treatment is a highly rigorous approach to COD treatment and involves tailoring a provider's intervention system so that all staff are equally prepared to effectively work with mental illness and substance use disorders. Given that substance use disorders are very common with people diagnosed with a serious mental illness this approach seeks to enhance and expand the expertise of service providers to ensure appropriate intervention with dual disordered individuals. Integrated Treatment features cross-trained clinicians, stage-wise treatment, motivational interventions, a cognitive-behavioral approach, multiple service formats and integrated medication services to give the person with dual disorders the best possible chance at sustainable dual recovery.
Findings indicate that enhanced co-occurring capable interventions:
- Decrease substance use
- Decrease MI symptoms
- Increase housing stability
- Decrease arrests and incarceration
- Increase quality of life
Challenges for Providers:
- Decreases systemic costs of treatment
- Focused primarily on the highest-need recipients
- Very expensive and intensive
- Smaller caseloads leaves some consumers underserved
- Costs and benefits occur at different levels of the system
Upside for Providers:
- Decreases crisis work due to increased stability
- Easily integrated with ACT programs
- Untreated co-occurring disorders drain agency resources. IDDT can help
- Effective programming if done right
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