Implementation of the Integrated Dual Disorders Treatment Model: Stage-Wise Strategies for Service Providers

ABSTRACT

Since the year 2000, Ohio has seen the development of Integrated Dual Disorders Treatment (IDDT) model teams grow from 9 SAMHSA funded pilot sites, to 35 teams and an adaptation to the model implemented in seven of nine State Hospitals in 2005. The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence (SAMI CCOE) has played a role in assisting the development of most of these programs and has been applying a “stage wise” approach to technical assistance that has demonstrated successful implementation and maintenance with a number of high fidelity IDDT teams. While the IDDT model itself has been found to be effective in clinical trials, the factors influencing successful implementation of the evidence based practice model in community treatment settings are still being explored.

In its role as a provider of technical assistance to those who want to deliver IDDT services, the Ohio SAMI CCOE seeks to advance the science of implementation technology. This article offers an overview of what has been learned about successful methods that contribute to the development of IDDT in community settings.

KEYWORDS:

• Best practices
• co-occurring
• coordinating center
• dual diagnosis
• evidence-based practice
• fidelity
• integrated treatment
• substance-abuse/mental illness
• integrated dual disorders treatment
• implementation