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Mowoay, Octosen 25, 1999 ee alk D.C. reports progress with dual diagnosis integration initiative estate seaman ornate’ qo and RRR he caldera Eves DC Gee apa ach) srpracings conmgneznent craneca Nov J Papier me Conn oe per eat Re tbr hie stro nna OP ee gee eee ete ioe ne faPatty geen aca tein cera aor ee rome ser Le comes te pee sha ged mental el tere Progr ander the wren plot de eho Nace roe eal She og ee ee seams “"Many of our consumers have both mental illness and addiction,” said Scott Nelson, M.D., rezevror the Discs mental health commis Sion. "[The] Addiction Treatment for the Men tally program) is bulding mere competent and sensitive res to these individuals ‘cross our entire public mental health system,” Objectives of inter ram develo ment Include ‘lent Wentécation, access, fo Eervices at various eves of eadiness;consstent interventions, integrated. service tac, edu tated and trained providers and cients im= proved participation and functioning and fe- Suced symptoms As a result of unyielding administrative suppor and dedeated provides the Washing: ton, DLC, pilot has met these objectives, Pree sain are employing similar philosophies and Etterentions nce eystem. Interventions in acute cre, long-term care and pre-dscharge unte att Eizabeths Hospi. tal Which is pat of the plot, now include dual diagnos grup and naval itrventons Clients selfdiaclose at their own pace. At the time of discharge, lente pro ness to address their dual community are measured. ‘The substance abuse system has established dual dagnoris track within methadone maintsr nance programs. Screening in one programm denied 160 cients in nee of mental health ‘and readi- orders in the services. Dual diagnosis groups are oversub- a registered trademark of Scace’s Pace 5 PyAccrn car a=) scribed. Group content includes a dual focus on emotional well-being and interactions with ad- dictions, and more specifics about mentaliliness fas clients approach treatment readiness. Dual diagnosis services also are being inte- grated intoclubhouse programs, day treatment, Fesidential care, adolescent services, services for the hearing-impaired, community mental health, casemanagement, services for tehome- less, detoxification and learning centers. qaQuome,mewsures ae showing marked nt inprovement, Case cramples ince Sens who have had mpc hogabeations wrhoutimerrentonforsutsance Sethe Senta now show improvement under dual diagnosis netnent. Providers are seing candid participation in sratment reduced, lpement” abstinence a times of nity, and. cooperation an: interest in Shercare among iets. Improve: ments in substance abuse’ programs include dent partipation in mental health services, Sbstinence, changein sodal network, vocational fnctoning and symptom reduction. According to Johnny Aller, director of apgrations af the mental heath commission, rr fers in oth the mental heath and fon treatment systems ae fesing much fore conident in their bit to provide qual {Sis not ony ih ari dew Gun dagen {echfigues, but by learning from each other in sroup leamning experiences.” Thenextsegmentof the program, which wil expand into two new regions will begin with two introductory seminars tentatively sched- led for December, Its exciting to be involved in this projec and fo work toward continued | improvements forthe dually diagnosed. Kathlen Sciacca is consultant, program deel and trier apecng tn ual digo eraning. Enmore infront fhe Web Et tht pb com! ao fon atot be Mashtngon D.G. froje iat {fram Scacon Compréhensive Serbce Development ‘Sor MIDAA, 99 Riversie Drive, New York, NY 10025 phore(212) 8665555. The MIDAA arom (Mert ness, Drug Addiction and Aloha)