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Course: Treating Co-Occurring Disorders
by Substance Abuse & Mental Health Services Administration: TIP 42

CE Credit Hours: 1
Fee: $0

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This Treatment Improvement Protocol (TIP) identifies key elements of treatment planning and programming for co-occurring substance use (abuse or dependence) and mental disorders (COD) in substance abuse treatment. While the needs and functioning of substance abuse treatment are accentuated, the elements described have relevance for mental health clinicians and agencies that seek to coordinate mental health and substance abuse services for their clients who need both.

(The Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse. CSAT’s Office of Evaluation, Scientific Analysis and Synthesis draws on the experience and knowledge of clinical, research and administrative experts to produce the TIPs).

Educational Objectives

Upon completion of this course, the clinician will be able to:

  • Know the criteria for the correct diagnosis of a co-occurring disorder (COD).
  • Be cognizant of the Quadrants of Care classification for service coordination by severity, in the process of treating COD.
  • Be able to articulate the essential steps for effective treatment planning for substance abuse, mental health disorders and COD.
  • Be more aware of strategies for the successful treatment of clients with COD.
  • Understand the focus of two outpatient models (ACT and ICM) from the mental health field for clients with COD.
  • Be able to assist clients in constructing a post-treatment strategy for their own continuity of care and recovery.

Syllabus / Course Instructions

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Bio: Substance Abuse & Mental Health Services Administration: TIP 42

About the Treatment Improvement Protocols... Substance Abuse & Mental Health Services Administration (SAMHSA)

The Treatment Improvement Protocols (TIPs) are best practice guidelines for the treatment of substance abuse. TIP 42: Key Elements of Treatment Planning for Clients with Co-Occurring Substance Abuse and Mental Health Disorders (COD), addresses co-occurring disorders, i.e., when a substance use disorder and a mental health disorder are independently present and not a cluster of symptoms resulting from the one disorder.


(CSAT's Office of Evaluation, Scientific Analysis and Synthesis draws on the experience and knowledge of clinical, research and administrative experts to produce the TIPs.)