Dual diagnosis capability in mental health and addiction treatment services: An assessment of programs across multiple state systems
Open accessAbstract
Despite increased awareness of the benefits of integrated services for persons with co-occurring substance use and psychiatric disorders, estimates of the availability of integrated services vary widely. The present study utilized standardized measures of program capacity to address co-occurring disorders, the dual diagnosis capability in addiction treatment and dual diagnosis capability in mental health treatment indexes, and sampled 256 programs across the United States. Approximately 18 % of addiction treatment and 9 % of mental health programs met criteria for dual diagnosis capable services. This is the first report on public access to integrated services using objective measures.
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Sequential or parallel treatments have produced health improvements but are generally considered suboptimal and less effective than integrated care for A-SUD.
“These approaches have historically led to health improvement, but are not considered optimal and generally underperform relative to integrated care for A-SUD(Brewer et al., 2017; Fantuzzi & Mezzina, 2020; McGovern et al., 2014; Mueser, 2003; Spivak et al., 2020).”
From A systematic review and meta-analysis of psychosocial interventions for persons with comorbid anxiety and substance use disorders (2024) · cites this paper as McGovern et al., 2014
The introductory passage labeled Abstract (page unavailable) says integrated treatment for co-occurring mental health and substance use disorders is associated with improved patient outcomes. The Discussion, Summary of Findings (page unavailable) says integrated services should be in place. Neither passage establishes that sequential or parallel treatment historically improved health or directly compares its effectiveness with integrated care; the paper also does not make this claim specifically for A-SUD. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThis study supports calls for a more integrated treatment system.
“Consistent with these trends, this study clearly supports calls for a more integrated treatment system, where programs are focussed on SUD and co-occurring conditions, and clinicians are cross-trained on management of concurrent disorders (McGovern et al., 2014; Drake et al., 2010).”
From Optimizing screening for depression, anxiety disorders, and post-traumatic stress disorder in inpatient addiction treatment: A preliminary investigation (2021) · cites this paper as McGovern et al., 2014
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Cites
Higgins, S. M. F., Macken, A. P., Cullen, W., Saunders, J., Dunne, C. P., & O’Gorman, C. S. (2013) · PubMed · doi:10.34961/9953 · Cited by 4,806 · see citing works
Ezzati, M., López, A. D., Rodgers, A., & Murray, C. J. L. (2004) · Cited by 3,319 · see citing works
Results From the 2008 National Survey on Drug Use and Health: National Findings
(2009) · PsycEXTRA Dataset · doi:10.1037/e592592009-001 · Cited by 1,178 · see citing works
Rural Definitions for Health Policy and Research
Hart, L. G., Larson, E. H., & Lishner, D. M. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.042432 · Cited by 968 · see citing works
Implementing Dual Diagnosis Services for Clients With Severe Mental Illness
Drake, R. E., Essock, S. M., Shaner, A. L., Carey, K. B., Minkoff, K., Kola, L. A., Lynde, D., Osher, F. C., Clark, R. E., & Rickards, L. D. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.4.469 · Cited by 694 · see citing works
The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
Institute for Healthcare Improvement (2004) · Diabetes Spectrum · doi:10.2337/diaspect.17.2.97 · Cited by 526 · see citing works
Achieving the promise: Transforming mental health care in America
The President's New Freedom Commission on Mental Health (2007) · PsycEXTRA Dataset · doi:10.1037/e432262008-003 · Cited by 495 · see citing works
Chisholm, D. (2015) · Eastern Mediterranean Health Journal · doi:10.26719/2015.21.7.531 · Cited by 460 · see citing works
Integrated Treatment for Dual Disorders: A Guide to Effective Practice
Albanese, M. J. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.8.953 · Cited by 370 · see citing works
Multiple comparisons and multiple tests using SAS
Westfall, P. H., Tobias, R. D., & Wolfinger, R. D. (2011) · Medical Entomology and Zoology · Cited by 302 · see citing works
Measurement of Fidelity in Psychiatric Rehabilitation
Bond, G. R., Evans, L., Salyers, M. P., Williams, J., & Kim, H.-W. (2000) · Mental Health Services Research · doi:10.1023/a:1010153020697 · Cited by 302 · see citing works
McGovern, M. P., Xie, H., Segal, S. R., Siembab, L., & Drake, R. E. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2006.05.003 · Cited by 164 · see citing works
Self-citationWatkins, K. E., Hunter, S. B., Wenzel, S. L., Tu, W., Paddock, S. M., Griffin, A., & Ebener, P. (2004) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-200037538 · Cited by 146 · see citing works
O’Brien, C. P., Charney, D. S., Lewis, L., Cornish, J., Post, R. M., WOODY, G. E., Zubieta, J., Anthony, J. C., BLAINE, J. D., Bowden, C. L., et al. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.10.002 · Cited by 139 · see citing works
Brunette, M. F., Asher, D., Whitley, R., Lutz, W. J., Wieder, B., Jones, A. M., & McHugo, G. J. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.9.989 · Cited by 122 · see citing works
Evidence-based practices for substance use disorders
McGovern, M. P., & Carroll, K. M. (2003) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(03)00073-x · Cited by 112 · see citing works
Self-citationIntegrated versus parallel treatment of co-occurring psychiatric and substance use disorders
Mangrum, L. F., Spence, R. T., & Lopez, M. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2005.10.004 · Cited by 108 · see citing works
Minkoff, K., & Cline, C. A. (2004) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2004.07.003 · Cited by 90 · see citing works
Service Delivery in Substance Abuse Treatment: Reexamining “Comprehensive” Care
Ducharme, L. J., Mello, H. L., Roman, P. M., Knudsen, H. K., & Johnson, J. A. (2007) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-007-9061-7 · Cited by 77 · see citing works
Sacks, S., & Ries, R. K. (2005) · Cited by 69 · see citing works
McGovern, M. P., Matzkin, A. L., & Giard, J. (2007) · Journal of Dual Diagnosis · doi:10.1300/j374v03n02_13 · Cited by 67 · see citing works
Self-citationGotham, H. J., Claus, R. E., Selig, K., et al. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2009.07.005 · Cited by 58 · see citing works
Self-citationAvailability of Integrated Care for Co-occurring Substance Abuse and Psychiatric Conditions
Ducharme, L. J., Knudsen, H. K., & Roman, P. M. (2006) · Community Mental Health Journal · doi:10.1007/s10597-005-9030-7 · Cited by 48 · see citing works
McGovern, M. P., Lambert-Harris, C. A., McHugo, G. J., Giard, J., & Mangrum, L. F. (2010) · Journal of Dual Diagnosis · doi:10.1080/15504263.2010.537221 · Cited by 47 · see citing works
Self-citationBest Practices: A National Mental Health Learning Collaborative on Supported Employment
Becker, D. R., Drake, R. E., Bond, G. R., Nawaz, S., Haslett, W. R., & Martínez, R. A. (2011) · Psychiatric Services · doi:10.1176/ps.62.7.pss6207_0704 · Cited by 44 · see citing works
Treatment for Dual Diagnosis Patients in the Psychiatric and Substance Abuse Systems
Timko, C., Dixon, K., & Moos, R. H. (2005) · Mental Health Services Research · doi:10.1007/s11020-005-7455-9 · Cited by 38 · see citing works
Vannoy, S. D., Mauer, B. J., Kern, J. C., Girn, K., Ingoglia, C., Campbell, J., Galbreath, L., & Unützer, J. (2011) · Psychiatric Services · doi:10.1176/ps.62.7.pss6207_0753 · Cited by 35 · see citing works
Which Substance Abuse Treatment Facilities Offer Dual Diagnosis Programs?
Mojtabai, R. (2004) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-200032281 · Cited by 30 · see citing works
Gil‐Rivas, V., & Grella, C. E. (2005) · Community Mental Health Journal · doi:10.1007/s10597-005-5000-3 · Cited by 28 · see citing works
Addiction Treatment Services and Co-Occurring Disorders
McGovern, M. P., Xie, H., Acquilano, S. C., Segal, S. R., Siembab, L., & Drake, R. E. (2007) · Journal of Addictive Diseases · doi:10.1300/j069v26n03_04 · Cited by 26 · see citing works
Self-citationResponding to the challenge of co-occurring disorders: Suggestions for future research
Sacks, S., Chandler, R. K., & Gonzales, J. J. (2007) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.03.008 · Cited by 26 · see citing works
Differences in self and independent ratings on an organisational dual diagnosis capacity measure
Lee, N., & Cameron, J. (2009) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2009.00116.x · Cited by 26 · see citing works
The Availability of Psychiatric Programs in Private Substance Abuse Treatment Centers, 1995 to 2001
Knudsen, H. K., Roman, P. M., & Ducharme, L. J. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.3.270 · Cited by 23 · see citing works
Gotham, H. J., Brown, J. L., Comaty, J., McGovern, M., & Claus, R. E. (2013) · Journal of Behavioral Health Services & Research · doi:10.1007/s11414-012-9317-8 · Cited by 23 · see citing works
Self-citationThe status of addiction treatment research with co-occurring substance use and psychiatric disorders
McGovern, M. P., & McLellan, A. T. (2007) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.03.007 · Cited by 18 · see citing works
Self-citation
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Research works printed but not linked: 1
- Substance Abuse and Mental Health Services Administration 2002 Report to congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders (November edition) Rockville, MD SAMHSA, U.S. Department of Health and Human Services
Cited by
Sorted by citations
Kikkert, M., Goudriaan, A., de Waal, M., Peen, J., & Dekker, J. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.09.005 · Cited by 67 · see citing works
Levitt, E. E., Syan, S. K., Sousa, S., Costello, M. J., Rush, B., Samokhvalov, A. V., McCabe, R. E., Kelly, J., & MacKillop, J. (2021) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106649 · Cited by 35 · see citing works
Green, J., Bagge, A. S. L., Olausson, S., Andiné, P., Wallinius, M., & Karlén, M. H. (2023) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108899 · Cited by 9 · see citing works
Nardi, W. R., Kelly, P., Roy, A., Becker, S., Brewer, J., & Sun, S. (2024) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2024.209442 · Cited by 11 · see citing works
Carrà, G., Bartoli, F., Galanter, M., & Crocamo, C. (2019) · Postgraduate Medicine · doi:10.1080/00325481.2019.1546533 · Cited by 9 · see citing works
Reilly, J., Meurk, C., Sara, G. E., & Heffernan, E. (2025) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674241312790 · Cited by 4 · see citing works
- Authors
- McGovern, M. P., Lambert-Harris, C., Gotham, H. J., Claus, R. E., & Xie, H.
- Affiliations
- Dartmouth College (US)
- University of Missouri–Kansas City (US)
- Westat (United States) (US)
- Corresponding author
- McGovern, Mark P.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2012-11-27
- Volume
- 41
- Issue
- 2
- Pages
- 205-214
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC3594447
- OpenAlex
- W2079686590
- Cited by
- 126
- References
- 35
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 8 · 2023: 10 · 2022: 5 · 2021: 24 · 2020: 14 · 2019: 16 · 2018: 6 · 2017: 3 · 2016: 10 · 2015: 6 · 2014: 6 · 2013: 1
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Robert Wood Johnson Foundation
- Substance Abuse and Mental Health Services Administration
- National Institute on Drug Abuse (R01DA027650)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- dual diagnosis, co-occurring disorders, addiction treatment programs, program capacity, service availability, substance use disorders, mental illness
- MeSH terms
- Mental Disorders, Community Mental Health Services, Humans, Mental Health Services, United States, Substance Abuse Treatment Centers, Diagnosis, Dual (Psychiatry), Delivery of Health Care, Integrated, Substance-Related Disorders
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