Individualized Assessment and Treatment

The assessment for COD is integrated by analyzing and using data concerning one disorder in light of data concerning the other disorder.  Chapter 4 in TIP 42 (CSAT, 2005) there are 12 specific steps in the integrated assessment process.

The 12-Step Assessment Process:

1. Engage the Client
2. Upon receipt of appropriate client authorization(s), identify and contact collaterals (family, friends, other treatment providers) to gather additional information
3. Screen for and detect COD
4. Determine severity of mental and substance use disorders
5. Determine appropriate care setting (e.g., inpatient, outpatient, day-treatment)
6. Determine diagnosis
7. Determine disability and functional impairment
8. Identify strengths and supports
9. Identify cultural and linguistic needs and supports
10. Identify additional problem areas to address (e.g., physical health, housing, vocational, educational, social, spiritual, cognitive, etc.)
11. Determine readiness for change
12. Plan Treatment

As with integrated screening and assessment, integrated treatment planning addresses both mental health and substance abuse, each in the context of the other disorder.  Like assessment, treatment planning should be client-centered, addressing clients' goals and using treatment strategies that are acceptable to them.

From COCE Overview Paper #2:  Screening, Assessment, and Treatment Planning for Persons With Co-Occurring Disorders (Adobe Acrobat PDF, 284 KB)