This Treatment Improvement Protocol (TIP) identifies key elements of treatment planning and programming for co-occurring substance use (abuse or dependence) and mental disorders (COD) in substance abuse treatment. While the needs and functioning of substance abuse treatment are accentuated, the elements described have relevance for mental health clinicians and agencies that seek to coordinate mental health and substance abuse services for their clients who need both.

(The Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse. CSAT's Office of Evaluation, Scientific Analysis and Synthesis draws on the experience and knowledge of clinical, research and administrative experts to produce the TIPs).

Educational Objectives

Upon completion of this course, the clinician will be able to:

• Know the criteria for the correct diagnosis of a co-occurring disorder (COD).
• Be cognizant of the Quadrants of Care classification for service coordination by severity, in the process of treating COD.
• Be able to articulate the essential steps for effective treatment planning for substance abuse, mental health disorders and COD.
• Be more aware of strategies for the successful treatment of clients with COD.
• Understand the focus of two outpatient models (ACT and ICM) from the mental health field for clients with COD.
• Be able to assist clients in constructing a post-treatment strategy for their own continuity of care and recovery.

Syllabus / Course Instructions

• The Course consists of reading the article Key Elements of Treatment Planning for Clients with Co-Occurring Substance Abuse and Mental Health Disorders (COD) and successfully completing an online posttest and filling out a course evaluation.
• Purchasing your course will give you access to both a printable copy of the test and an online version. Print the test to use as a companion as you read the book and answer the questions.
• You cannot exit the online test once you begin, so have your answers available.

Additional Resources On This Site for CE

• Addiction and Grace
  by Gerald G. May, M.D.: 8 CE Credits
• Flourishing: Positive Psychology and the Life Well-Lived
  Edited by Corey L. M. Keyes and Jonathan Haidt: 13 CE Credits
• Hidden Addictions
  by Marilyn Freimuth: 8 CE Credits
• Treating Alcohol and Drug Problems in Psychotherapy Practice
  by Dr. Arnold M. Washton and Dr. Joan E. Zweben: 10 CE Credits
• Treating Patients With Alcohol And Other Drug Problems: An Integrated Approach
  by Robert D. Margolis, PhD and Joan E. Zweben, PhD: 10 CE Credits
• Creating a Life of Meaning and Compassion
  by Robert W. Firestone, PhD, Lisa A. Firestone, PhD, Joyce Catlett, MA: 15 CE Credits
• Caring for Ourselves
  By Ellen K. Baker: 6 CE Credits

Additional Resources Not On This Site

• Substance Abuse & Mental Health Services Administration (SAMHSA)
  www.samhsa.gov/centers/csat2002
• APA Division 50 -- Addictions
  www.apa.org/about/division/div50.html
• Hanley Center
  5200 East Avenue, West Palm Beach, FL 33407-2374
  Phone: 561-841-1000
  Toll Free 1-800-444-7008
  www.hanleycenter.org

Bio: Substance Abuse & Mental Health Services Administration: TIP 42

About the Treatment Improvement Protocols... Substance Abuse & Mental Health Services Administration (SAMHSA)

The Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse. TIP 42: Key Elements of Treatment Planning for Clients with Co-Occurring Substance Abuse and Mental Health Disorders (COD), addresses co-occurring disorders, i.e., when a substance use disorder and a mental health disorder are independently present and not a cluster of symptoms resulting from the one disorder.


(CSAT's Office of Evaluation, Scientific Analysis and Synthesis draws on the experience and knowledge of clinical, research and administrative experts to produce the TIPs.)