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Integrated Treatment for Co-Occurring Disorders Evidence-Based Practices KIT

SAMHSA is committed to closing the gap that persists between research and practice. To achieve this, SAMHSA has developed a series of KITs to helps states, communities, and organizations interested in moving best practices into the field.

In January 2010, SAMHSA released the Integrated Treatment for Co-Occurring Disorders KIT. In evidence-based Integrated Treatment programs, consumers receive combined treatment for mental illnesses and substance use disorders from the same practitioner or treatment team. Key elements of integrated treatment include:

  • Integrated services
  • Cross-trained practitioners
  • Stage-wise treatment
  • Motivational interventions
  • Cognitive-behavioral approach
  • Multiple formats
  • Integrated medication services

SAMHSA's KIT delivers information in multiple ways including guidelines, videos, PowerPoint slides, and practice workbooks. It includes six core components, highlighted below:

Getting Started with EBPs

  • Consensus building: Build support for change
  • Integrate the EBP into policies and procedures
  • Assess training needs
  • Monitor and evaluate regularly
  • Maximize effectiveness by making services culturally competent

Building Your Program

  • What is integrated treatment for co-occurring disorders?
  • Tips for mental health and substance abuse authorities
  • Tips for agency administrators and program leaders

Training Frontline Staff

  • Basic elements and practice principles
  • Practical knowledge of common substances
  • Stages of treatment and core processes
  • Practical skills for integrated treatment
  • Service formats

Evaluating Your Program

  • Why evaluate your integrated treatment program?
  • Conduct a readiness assessment
  • Conduct process assessments
  • Conduct outcomes monitoring
  • Use data to improve your integrated treatment program

Using Multimedia to Introduce Your EBP

  • Introductory video
  • Sample brochure
  • Introductory PowerPoint presentation

The Evidence