• DOI:10.1176/APPI.PS.52.5.597
• Corpus ID: 10828194

Developing standards of care for individuals with co-occurring psychiatric and substance use disorders.

@article{Minkoff2001DevelopingSO,
  title={Developing standards of care for individuals with co-occurring psychiatric and substance use disorders.},
  author={Kenneth Minkoff},
  journal={Psychiatric services},
  year={2001},
  volume={52 5},
  pages={
          597-9
        }
}

• K. Minkoff
• Published 1 May 2001
• Medicine
• Psychiatric services

entire system of care and that require integrated system planning involving both mental health and substance abuse treatment agencies. Second, recent research on the implementation of clinical demonstration projects indicates that better outcomes are related to system-level changes that establish formal structures for interprogram collaboration at the administrative level that, in turn, support the work of the frontline clinicians at the program level. Thus the success of a particular demonstration model depends on the extent to which this support at the system level is provided (5). Third, managed care initiatives require that service planning, quality monitoring, and outcome evaluation for all populations be implemented at the system level, whether by contracting with outside managed care organizations or through internal implementation of managed care strategies. Thus a focus on best practices at the program level is being replaced by a greater interest in the need for best practices at the system level. This paper describes a national consensus report that builds on programlevel data to propose national standards for best practices for treatment of patients with dual diagnoses at the system level. These consensus standards can, in turn, guide future re search on best practices for implementation of comprehensive , inte grated systems of care for individuals with co-occurring disorders.