Integrated Dual Disorders Treatment (IDDT)
INTEGRATED DUAL DISORDERS TREATMENT (IDDT)
Integrated Dual Disorders Treatment (IDDT) (also referred to as enhanced co-occurring capable) involves tailoring a provider's intervention system so 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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