Robert E. (Bob) Drake, MD, PhD, Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School and co-creator of IDDT.
 


Robert E. (Bob) Drake, MD, PhD, Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School and co-creator of IDDT.
 

 
 
 
 
December 14, 2008

DRAKE TIME

IDDT pioneer Bob Drake reflects upon the ongoing evolution of integrated treatment and the importance of supported employment

—by Paul M. Kubek and Matthew K. Weiland

Lebanon, NH—Psychiatrist Robert E. Drake, MD, PhD, knows a few things about the Integrated Dual Disorder Treatment (IDDT) model—why it's necessary, how it works, and which treatment components produce the most positive outcomes. He is one of the original creators of IDDT, the evidence-based practice for people who have been diagnosed with co-occurring severe mental illness and substance use disorders. He has also been instrumental in the ongoing development and dissemination of Supported Employment (SE), the evidence-based practice.

Dr. Drake is the Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School. He is also director of the Dartmouth Psychiatric Research Center (PRC). He is known internationally as a researcher, writer, and consultant. He has written and published 15 books and over 400 journal articles.


THE CONVERSATION

Dr. Drake was a keynote speaker at the 2008 IDDT/ Ohio SAMI Coordinating Center of Excellence (CCOE) Conference, hosted by the Center for Evidence-Based Practices at Case Western Reserve University. The event took place in Columbus on September 16 & 17 (click here). Dr. Drake sat down with us after the plenary to chat a bit about his experiences. Listen to the conversation below.


1.) What Current Research Says about IDDT (2m 38s)
There is increasing evidence that treatment groups, peer-support groups, and evidence-based Supported Employment (SE) services make recovery from co-occurring disorders more effective and sustainable.
Download this audio file (right-click and 'Save As')


2.) Boston in the 1970s: Mean Streets and Bad Outcomes (1m 50s)
Drugs were rampant, treatment was fractured, and failures of addiction-services and mental-health services systems were more dominant than successes. With these challenges came opportunities for innovation.
Download this audio file (right-click and 'Save As')


3.) Addiction Treatment Meets Mental Health, Part 1 (1m 32s)
In the 1970s and 1980s, a small group of behavioral healthcare providers began to realize that addiction treatment needed to be brought into the mental health system.
Download this audio file (right-click and 'Save As')


4.) Addiction Treatment Meets Mental Health, Part 2 (2m 38s)
Separate service systems created frustration and dysfunction in the treatment of addictions and mental health.
Download this audio file (right-click and 'Save As')


5.) People Who Inspire (1m 25s)
Friends, family members, patients: People recovering from addictions and mental health issues have been some of the most inspiring people in Dr. Drake's 30-plus years of work in the field of dual disorders.
Download this audio file (right-click and 'Save As')


6.) IDDT in the Buckeye State (2m 20s)
Ohio has been among the pioneers in IDDT implementation, bringing the model to the Midwest with a blend of pragmatism, hope, and genuine commitment.
Download this audio file (right-click and 'Save As')


7.) True Heroes of Innovation (58s)
Clinicians are also some of the most inspiring people who do incredibly hard work, saving lives on any given day.
Download this audio file (right-click and 'Save As')


8.) Consumer Optimism (1m 54s)
Three decades of research and practice in the field have produced many changes for the better, creating a sense of can-do in consumers.
Download this audio file (right-click and 'Save As')


THE NATIONAL SCENE

Integrated Dual Disorder Treatment (IDDT)

IDDT is an evidence-based practice that was developed and continues to be studied by researchers at the Dartmouth Psychiatric Research Center (PRC) of Dartmouth Medical School in Lebanon, New Hampshire. The researchers include Robert E. Drake, MD, PhD, and his colleagues.

"People who work on the front lines in mental health and are trying to help folks who are the most disenfranchised are really the people I admire the most. ... They really save lives.

—Robert E. Drake, MD, PhD

The Dartmouth PRC has provided leadership for national implementation of IDDT via the Substance Abuse and Mental Health Services Administration. The State of Ohio and the Center for Evidence-Based Practices at Case Western Reserve University—through its Ohio SAMI Coordinating Center of Excellence—have participated and continue to participate in these national initiatives.

Supported Employment (SE)

SE is an evidence-based practice that was created by researchers Deborah R. Becker, MEd, CRC, Robert E. Drake, MD, PhD, Gary Bond, PhD, and their colleagues at the Dartmouth PRC. They have provided leadership for national implementation of SE via the Johnson & Johnson-Dartmouth Community Mental Health Program. The State of Ohio and the Center for Evidence-Based Practices at Case Western—through its Ohio SE Coordinating Center of Excellence—are participating in this national initiative.


Paul M. Kubek, MA, is director of communications and Matthew K. Weiland, MA, is senior writer, producer, and new-media specialist at the Center for Evidence-Based Practices at Case Western Reserve University.
 

RELATED RESOURCES

 

RELATED STORIES