Critical Interventions and Tasks in Delivering Dual-Diagnosis Services

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Future service delivery systems for dual-diagnosis consumers will feature a synthesized technology which combines features of both alcohol/drug treatment and psychiatric rehabilitation services. This article is based on the experience of a National Institute of Mental Health Dual Diagnosis Demonstration Project in Oregon which provided such “blended” services to 35 young adults over a 2 1/2-year period. Ten examples of dual-diagnosis services are defined and then described in terms of the critical tasks and skills involved in delivering them. These descriptions will be useful in clarifying the nature of “blended” dual-diagnosis technology, in providing a set of models for shaping the services of new programs, and in developing skills-oriented training and evaluation of dual-diagnosis staff members.

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