Access to Care for Dual Diagnosis
Access to Care for Dual Diagnosis
Who will be screened and who will qualify for services? A high prevalence of dual disorders is found in either addiction or mental health populations. This fact suggests that all persons who present at either doorstep should receive an adequate screening for the other problem. This immediately raises two important issues discussed later in this article the issue of the database to be used and the training of the screener.
Currently, most integrated dual disorder treatment programs focus on the most severely mentally ill clients; that is, persons with severe and persistent mental illness and co-occurring drug rehab dallas/alcohol disorder. However, what type of client is appropriate for treatment in a “dual disorder program”? Should a person in recovery from severe alcoholism who then develops an episode of major depression be treated in this type of program? Or can this person be treated in a primary addiction-oriented program that also provides episodic psychiatric consultation? On the other hand, does someone with severe, chronic, disabling mental illness, who has infrequent alcohol abuse (not dependence), qualify as dually disordered? Does this person require dual disorder treatment in the same way as a person with severe mental illness who has daily, dependent alcohol and cocaine intoxication?
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