Best of SAMHSA Resources for DDCAT and DDCMHT

"Best of SAMHSA Resources for DDCAT and DDCMHT" is a list of free materials produced by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) that are especially useful for the implementation of Dual Diagnosis Capability (DDCAT & DDCMHT), an organizational assessment and planning tool. The list below is produced by the consultants and trainers of the Center for Evidence-Based Practices at Case Western Reserve University and includes the following:

• Brief description of the utility of each resource
• Hyperlink to resource
• Components of DDCAT and DDCMHT that each resource addresses
• Referencing version 4.0 of DDCAT Index (get index)
• Referencing version 4.0 of DDCMHT Index (get index)

The following SAMHSA resources are highlighted below:

• TIP (Treatment Improvement Protocol) Series
• TAP (Technical Assistance Protocol) Series
• COCE Resources

TIP

TIP 13: The Role and Current Status of Patient Placement Criteria in the Treatment of Substance Abuse Use Disorders
Addresses DD-CAT/CMHT Scale Areas: I. III, IV, V

Explains the use of patient placement criteria (PPC) for people in alcohol abuse and drug abuse treatment. Discusses the role of PPC in managed care, ways to build support for national uniform PPC, implementation strategies, and ethical and legal issues.

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TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment
Addresses DDCAT/CMHT Scale Items: III, IV, VI, VII

Offers guidelines to help clinicians influence the change process in their clients by incorporating motivational interventions into substance abuse treatment programs. Describes different motivational interventions that can be used at all stages of change.

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TIP 40: Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction
Addresses DDCAT/CMHT Scale Items: I, IV, V, VI

Practice guidelines help medical professionals make decisions about using buprenorphine to treat opioid addiction. Includes information on patient assessment; protocols for opioid withdrawal; and the treatment of pregnant women, teens, and polysubstance users.

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TIP 42: Substance Abuse Treatment for Persons with Co-Occurring Disorders
Addresses DDCAT/CMHT Scale Items: All

Provides substance abuse treatment providers with updated information on co-occurring substance use and mental disorders and advances in treatment for people with co-occurring disorders. Discusses terminology, assessment, and treatment strategies and models.

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TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Addresses DDCAT/CMHT Scale Items: I, III, IV, V, VI

Gives a detailed description of medication-assisted treatment for addiction to opioids, including comprehensive maintenance treatment, detoxification, and medically supervised withdrawal. Discusses screening, assessment, and administrative and ethical issues.

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TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System
Addresses DDCAT/CMHT Scale Items: All

Offers guidelines to help clinicians address substance abuse treatment issues in various settings within the criminal justice system. Discusses screening and assessment, triage and placement, treatment planning, and treatment issues for specific populations. Includes program development guidance for administrators.

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TIP 45: Detoxification and Substance Abuse Treatment
Addresses DDCAT/CMHT Scale Items: I, III, IV, V

Educates substance abuse counselors and clinicians about detoxification and withdrawal. Addresses patient placement, detox services for specific substances, co-occurring medical and psychiatric conditions, financing issues, and screening and assessment tools.

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TIP 49: Incorporating Alcohol Pharmacotherapies into Medical Practice
Addresses DDCAT/CMHT Scale Items: II, IV, V, VI, VII

Provides clinical practice guidelines for using four medications in the medication-assisted treatment of alcoholism and alcohol abuse: acamprosate, disulfiram, oral naltrexone, and extended-release injectable naltrexone. Also discusses patient management.

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TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor
Addresses DDCAT/CMHT Scale Items: II, III, IV, V, VI, VII

Presents guidelines for clinical supervision in the substance abuse treatment field. Covers supervision methods and models, cultural competence, ethical and legal issues, and performance monitoring. Includes an implementation guide for program administrators.

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TAP

TAP 21: Addiction Counseling Competencies
Addresses DDCAT/CMHT Scale Items: II, III, IV, V, VI, and VII

Provides guidelines to enhance the competencies of substance abuse treatment counselors. Discusses patient assessment and screening, treatment planning, referral, service coordination, counseling, family and community education, and cultural competency.

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TAP 21-A: Competencies for Substance Abuse Treatment Clinical Supervisors
Addresses DDCAT/CMHT Scale Items: II, III, IV, V, VI, and VII

Lists competencies necessary for effective supervision in alcohol abuse and drug abuse treatment programs. Provides administrators with step-by-step guidelines for implementing a comprehensive supervisory training and workforce development component.

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TAP 30: Buprenorphine: A Guide for Nurses
Addresses DDCAT/CMHT Scale Items: III, IV, V

Gives nurses information about buprenorphine for medication-assisted treatment of addiction to opioids and guidelines for working with physicians to provide office-based screening, assessment, supervised withdrawal (detoxification), and maintenance treatment.

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TAP 31: Implementing Change in Substance Abuse Treatment Programs
Addresses DDCAT/CMHT Scale Items: All

Offers administrators guidelines on integrating evidence-based practices into alcohol abuse and drug abuse treatment programs. Suggests ways to assess organizational readiness, plan and implement changes, evaluate progress, and sustain change over time.

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COCE

COCE Overview Paper 1: Definitions and Terms Relating to Co-Occurring Disorders
Addresses DDCAT/CMHT Scale Items: All

Defines terms used for substance-related disorders, such as substance abuse; mental disorders, serious emotional disturbances, and serious mental illness; co-occurring disorders; and program types as well as integrated screening, assessment, and interventions.

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COCE Overview Paper 2: Screening, Assessment, and Treatment Planning for Persons With Co-Occurring Disorders
Addresses DDCAT/CMHT Scale Items: III, IV, V

Gives an overview of integrated screening, assessment, and treatment planning for persons with co-occurring disorders of substance abuse and mental illness. Discusses staffing, protocols, methods, systems issues, financing, and client-centered services.

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COCE Overview Paper 3: Overarching Principles to Address the Needs of Persons With Co-Occurring Disorders
Addresses DDCAT/CMHT Scale Items: All

Outlines 12 overarching principles for working with persons who have co-occurring disorders of substance abuse and mental illness. Discusses principles that are grounded in evidence-based practices for systems of care and individual treatment providers.

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COCE Overview Paper 5: Understanding Evidence-Based Practices for Co-Occurring Disorders
Addresses DDCAT/CMHT Scale Items: All

Discusses evidence-based practices (EBPs) and their role in the treatment of co-occurring disorders. Addresses criteria for evidence-based practices, examples of EPBs for co-occurring disorders, and issues to consider in the use of evidence-based practices.

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COCE Overview Paper 6: Services Integration
Addresses DDCAT/CMHT Scale Items: I, II, V

Defines services integration and explains how it is used to meet the substance abuse and mental health needs of persons with co-occurring disorders. Addresses the benefits, challenges, potential outcomes, design, and implementation of services integration.

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COCE Overview Paper 7: Systems Integration
Addresses DDCAT/CMHT Scale Items: I, II, V

Explains how systems integration supports integrated mental health and substance abuse services for persons with co-occurring disorders. Describes financing, evaluation, helpful organizational structures, and examples of systems integration for dual diagnosis.

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