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Change in Dual Diagnosis Capability diagram suggests improvement on a scale of one to five between year one and year two as follows: Program Structure moves from 2.5 to 3.75, Program Milieu moves from 2.8 to 4.8, Assessment moves from 3.2 to 3.9, Treatment moves from 2.25 to 3, Continuity of Care moves from 2.25 to 3, Staffing moves from 2.9 to 3.2, and Training moves from 2.5 to 3.5.

Change in Dual Diagnosis Capability

The DDCAT measures an addiction treatment program’s co-occurring capability in seven domains that are rated on a continuum from Addiction Only Services to Dual Diagnosis Capable to Dual Diagnosis Enhanced. The measure can be used to plan for and track improvement over time.

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Levels of Program Capacity for Co-Occurring Disorders diagram shows two bands of information pointing to a common center point representational of fully integrated COD programs. The left side items illustrate more treatment for mental disorders and progress towards the center, moving from beginning SA only, intermediate COD capable, to advanced COD enhanced. The right side items illustrate more treatment for substance abuse disorders and progress towards the center, moving from beginning MH only, intermediate COD capable, to advanced COD enhanced.

Levels of Program Capacity for Co-Occurring Disorders

Individuals with co-occurring substance use and mental health disorders respond to integrated treatment that addresses both problems at once. Programs can increase their ability to welcome consumers with co-occurring disorders and provide effective screening, assessment, and treatment.

Learn More About: Levels of Program Capacity for Co-Occurring Disorders
States Using Dual Diagnosis Capability Assessment Measures, as of April 2011. The 32 States, District of Columbia, and Navajo Nation are shown in the map image using DDCAT/DDCMHT/DDCHCS in 2011 are: Alaska, Arizona, Arkansas, California, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Navajo Nation, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, and Washington.

States Utilizing the DDCAT

Treatment providers, policymakers and researchers in over 30 States are using the Dual Diagnosis Capability measures to improve care for individuals with co-occurring disorders. The DDCAT and DDCMHT Toolkits provides practical steps for program change and offers benchmarks to measure progress.

Learn More About: States Utilizing the DDCAT

About the DDCAT Toolkit

The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index is a program-level assessment used to inform addiction treatment agencies and others about a program’s ability to provide co-occurring services. The DDCAT examines seven areas: program structure, program milieu, assessment, treatment, continuity of care, staffing and training. Programs are ranked along a continuum from Addiction Only Services, Dual Diagnosis Capable, and Dual Diagnosis Enhanced. This measure is being used in over 30 states to improve services for individuals with co-occurring mental health and substance use disorders.

Is the DDCAT right for me?

Two co-occurring capability measures described on this site: the Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index and the Dual Diagnosis Capability in Mental Health Treatment (DDCMHT) Index. If your program has a long history of providing addiction treatment services, the DDCAT site will provide the best guidance for increasing the co-occurring capability of your program. If your program has a history of providing mental health treatment services, see the DDCMHT site.