‘Monoay, May 5, 1997 Paces eral canoer) ess ae ort Seen enfcmndced emementand denned oar eee sees alone Sao Frovider of esbtane sue and mental health serves proved tobe opt tobe crosrirsined i implementing. extent for Terre yh mlipe door, Tring luded eduction, supervised experiental cation finial nkerventions and progamn implementation. For some the ex periential component took place inboth systems With a co-leader from the fess familiar system. that fins teatinent alow providers tse at sequins ene ders to aa {he severity of symptoms and to ‘eProp empathy. Kaowiedge ofthe hye loge apecte of mental liness ad substance buse and of the interaction effects buss fr this understanding. Moral dgments tnd sigma are. dopelled tnd replaced with Acceptance of al symptoms, Dscouragement is ‘placed with hope for recovery. confrontational manner. Consumers, including those unable to acknowledge their addictions, are engaged at al levels of motivation, “The group treatment process begins infor- sally wih he pregioup intervie prior to partkipationin group dsctssions. This necting ‘Btabithesa purpose forthe consumer's partic pation that may simply bean expressed intrest [Elcaring, orin providing support to others. ae ee sad Ben re ines pen ioral set teppei oak Se. econo copes cue sili emer fe shawl eetieenoa se wae nes cor neo Siac, nef ante is meet ee Cross-training yields continuity in dual-diagnosis programs In phase two, consumers become comfort- able to talk about their experiences with dual symptoms. This process each con- Sumer to explore and reach decisions about the effects that substance abuse has upon his or her ‘mental health and/or the effects of mental health symptoms on substance abuse symptoms. ‘A consumer who adverse effects and decides to workon the symploms does sos ‘vig partiapan vers one who say Be tajoled. This progress re ase three o ‘ecovery,Strtegies and inervenons now ine ‘ude atiting consumers with sya ‘agement, eymptom remission, eat itpee prevention. ‘This model hasbeen implemented across the county at integrated reatment since 1984, Cone Sumere may receive dual diagnosis treatment, Song with ter services, in te aster that they {ently or are comfortable with, Program est tings indude clic, halfway houses paral hospitalization, clubhouses, residential programs, Assertive community teamo, case martegement, {Inpatient units and services forthe homeless. Materials for program implementation in- chude 5; onwuimer readiness scales reviews and outcome measues; com Drehenive woeessment data collections end en- gement and treatment tools, These materia 1290) povilee stepeey sep guide for metal fealth'and substance abuse programs. Existing programs and trained staff are the necessary Fesources to develop comprehensive services Asa res the avaabty and quali really 1 m man ‘and re- of care for dual disorders is ‘Outcomes in all programs demonstrate that consumers who have never participated in sub- stance abuse treatment, and/or have avoided ‘mental health treatment, can engage in dual diagnosis treatment in a meaningfal way. Kate Sia conelat, program de per, trainer nd eutho, Mae ioc about ie ope Gavin eal doce Web st ipa s-duldgnoni. As, ou cn on tact Sls Secs Coreen Sree Dew {pmenifor MIDAA, 199 Rlrede Drive, New Yor, iP T0bt) phone G1) 8668935" The MIDAA rong epeired trademark of Satct Ne ace Ue Fs Conese Ln 1 manus Te Peso ot Ae mon rh Wi 9 me's Pee