Lessons from a Pilot Residential Treatment Program for People with Dual Diagnoses of Severe Mental Illness and Substance Use Disorder

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The authors describe a state residential treatment program for people with dual diagnoses of major mental illness and substance use disorder established to serve treatment-refractory persons. Three phases of treatment are identified with associated characteristics and treatment challenges. Based on evaluation findings, recommendations are made for programming in terms of (a) engagement in residential treatment, (b) integration with the community support program and the community, (c) length of treatment, and (d) program philosophy.

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