To foster the implementation of integrated approaches for New York State residents with co-occurring mental health and substance abuse conditions.

Tools & Links - For Agencies/Providers

Resources for mental health and substance abuse service providers are plentiful. While we have not attempted to include every source of relevant information, some of the more prominent and “user friendly” sites are represented below.

1. Co-occurring Disorders Resources and Information

SAMHSA’s Co-Occurring Disorders Initiative (CODI)
http://coce.samhsa.gov/
SAMHSA (Substance Abuse & Mental Health Services Administration) expects to launch a new website for CODI in Fall 2010 featuring resources, information, tools, interactive forums, and workshop and training opportunities. The link above leads to SAMHSA’s Co-Occurring Center of Excellence, which concluded in 2009. Until the new site launches, there are limited information, resources, links, and past presentations for agencies and providers.

SAMHSA’s National Clearinghouse for Alcohol and Drug Information (NCADI)
http://ncadi.samhsa.gov/
NCADI is SAMHSA’s information clearinghouse and serves as a central portal that connects with information compiled by many government agencies. The general link above will take you to the NCADI website where you can conduct your own searches.

Co-occurring Disorders Publications available from NCADI
http://ncadistore.samhsa.gov/catalog/results.aspx?h=drugs&topic=47
The link directly above will take you to a listing of all documents relating to co-occurring disorders that are available from the NCADI site. The report below is available through NCADI–

Co-Occurring Disorders: Integrated Dual Disorders Treatment Implementation Resource Kit
http://download.ncadi.samhsa.gov/ken/pdf/toolkits/
This resource package specifically targets clients with COD who have serious mental illness (SMI) and who are seeking care through mental health services available in their community. It was developed by the Psychiatric Research Center at New Hampshire-Dartmouth under the leadership of Robert E. Drake, MD, PhD, and is known simply as the “tool kit.”

SAMHSA’s Office of Applied Studies

  • Co-occurring Disorders Resources
    http://oas.samhsa.gov/dual.cfm
    http://www.oas.samhsa.gov/mh.cfm
    The links (above) provides access to the Office of Applied Studies (OAS) resources (publications, reports, data tables, etc.) relating to co-occurring disorders.
  • Results from the National Survey on Drug Use and Health (NSDUH) National Findings
    http://www.oas.samhsa.gov/nhsda.htm
    Use the link (above) to access the most recent information from the National Survey on Drug Use and Health (NSDUH)
    http://www.oas.samhsa.gov/nsduh/2k7nsduh/2k7Results.pdf
    Use the second link (above) to download a pdf report describing results obtained from the 2007 NSDUH (the most recent data available in September 2010).
  • The National Survey on Drug Use and Health (NSDUH) Report Adults with Co-occurring Serious Mental Illness
    http://oas.samhsa.gov/2k4/coOccurring/coOccurring.cfm
    The link (above) to this short report also provides access to more publications on co-occurring disorders originating with the Office of Applied Studies. http://oas.samhsa.gov/2k4/coOccurring/coOccurring.pdf
    This document (use the link above to download the pdf), “The NSDUH Report: Adults with Co-Occurring Serious Mental Illness and a Substance Use Disorder,” is based on the National Survey on Drug Use and Health conducted by SAMHSA’s Office of Applied Studies (OAS) in the Substance Abuse and Mental Health Services Administration). SAMHSA’s National Survey on Drug Use and Health (NSDUH) is the primary source of information on the prevalence, patterns, and consequences of drug and alcohol use and abuse and for selected mental health measures in the general U.S. civilian non-institutionalized population, age 12 and older.

Co-Occurring Dialogues Electronic Discussion List
http://www.treatment.org/Topics/DualDialogues.html
Co-Occurring Dialogues is an online Discussion List specifically focused on issues related to dual diagnosis (co-occurring disorders).

SAMHSA’s Dual Diagnosis Treatment Improvement Exchange
http://www.treatment.org/Topics/dual.html
Contains resources including publications, documents, reports and other information specific to Dual Diagnosis.

2. Mental Health & Substance Use Education

U.S. Department of Health and Human Services (DHHS)
Substance Abuse and Mental Health Services Administration (SAMHSA)
http://www.samhsa.gov/
http://coce.samhsa.gov/
http://oas.samhsa.gov/
The SAMHSA site has extensive resources for substance use, and mental health. SAMHSA sponsors COCE, the “Co-occurring Center for Excellence,” which has compiled educational materials pertaining to co-occurring disorders. The National Registry of Evidence-based Programs and Practices (NREPP), another SAMHSA-sponsored site, presents a searchable database of interventions for the prevention and treatment of mental and substance use disorders; this resource was developed to help people, agencies, and organizations to implement programs and practices in their communities.

Report to Congress on the Prevention and Treatment of Co-occurring Substance Use Disorders and Mental Disorders
http://www.samhsa.gov/reports/congress2002/index.html
A comprehensive report on treatment and prevention of co-occurring substance abuse and mental disorders provided in response to a Congressional mandate in December 2002 by the Department of Health and Human Services.

U.S. Department of Health and Human Services (DHHS)
National Institutes of Health (NIH)
National Institute of Mental Health (NIMH)
http://www.nimh.nih.gov/
http://www.nimh.nih.gov/health/publications/index.shtml
The U.S. DHHS National Institutes of Health include several agencies with relevant information for service providers including current research findings. The National Institute of Mental Health offers many publications, videos, and curricula (most also available in Spanish) at no cost. The link above takes you to the publications home page.

NYS Office of Mental Health (OMH)
http://www.omh.state.ny.us/omhweb/resources/publications/
The New York State OMH offers a selection of educational publications on a variety of topics including co-occurring disorders.

National Alliance on Mental Illness (NAMI)
http://www.nami.org/
http://www.nami.org/template.cfm?section=inform_yourself
The National Alliance on Mental Illness (NAMI) is one of the major non-profit, non-governmental organizations (NGOs) that helps consumers to understand mental conditions, to navigate the mental health system, and to advocate for improvements in mental health treatment.

3. Evidence-based practices

Center for Practice Innovations – Evidence-based Practices
http://www.practiceinnovations.org/
The New York State Office of Mental Health (OMH) website dedicated to interventions for which there is consistent scientific evidence showing that they improve consumer outcomes.

National Registry of Effective Programs and Practices
http://www.nrepp.samhsa.gov/
A resource to review and identify effective programs derived primarily from existing scientific literature, effective programs assessed by other rating processes, SAMHSA, and solicitations to the field.

New York State Office of Alcoholism and Substance Abuse Services (OASAS) Gold Standard Initiatives – Best Practices – Tools and Resources
http://www.oasas.state.ny.us/GSI/BP/resources.cfm
Links to evidence-based practices for treatment of co-occurring disorders from New York State OASAS and OMH.

4. Training

US Department of Health & Human Services (DHHS)
Substance Abuse & Mental Health Services Administration (SAMHSA)
Center for Substance Abuse Treatment (CSAT)

CPI – FIT (Center for Practice Innovations – Focus on Integrated Treatment)
http://www.practiceinnovations.org/FocusonIntegratedTreatmentFIT
Currently accepting applications from interested programs who would like to participate in the Focus on Integrated Treatment (FIT) initiative. FIT’s free online modules are designed to help programs implement integrated treatment for co-occurring disorders (COD).

Institute for Research, Education, and Training in Addictions (IRETA) and the Northeast Addiction Technology Transfer Center (NeATTC)
http://ireta.org
http://ireta.org/ireta_main/distance_learning.html
IRETA provides distance learning training programs on substance abuse for addictions professionals who are in direct prevention, intervention or treatment roles in the provider community and interdisciplinary training targeted at a broad range of professionals in the addictions field or in program and policy development.
http://www.attcnetwork.org/
http://www.attcnetwork.org/regcenters/c1.asp?rcid=9&content=CUSTOM1
http://www.attcnetwork.org/regcenters/distanceeducation.asp?rcid=9...
An affiliate of IRETA, the NeATTC is part of a SAMHSA-sponsored network of Centers tasked with supporting technology transfer to the addictions treatment and recovery services field stay abreast of what works in order to enhance their skills and change their practice. The NeATTC serves the northeast states, including New York, and offers workforce development information and resources, as well as distance learning.

5. Regulations, Advisories, Guidelines & forms

NYS Office of Mental Health (OMH)
http://www.omh.state.ny.us/

New York State Office of Alcoholism and Substance Abuse Services (OASAS)
http://www.oasas.state.ny.us/
The New York State OASAS website offers an entry points for members of the public, administrators, addiction professionals, and providers. In addition the website summarizes and links to more information regarding laws and regulations concerning providers and it provides links to relevant, downloadable forms for providers.

6. NYS OMH and OASAS – Integrated Care

This section includes information available on New York State OMH and OASAS websites relating to co-occurring disorders and the State initiatives to improve the integration of services statewide. Much of this material can be found elsewhere on this site in associated areas (Target Areas and Services, particularly). Links to access recommended screening instruments have been included here, although not all are available on the OASAS or OMH sites.

Improving Care For Co-Occurring Disorder Patients in NY – Press Release
http://www.oasas.state.ny.us/pio/press/pr-12-31-07cod.cfm

OMH/OASAS Task Force on Co-occurring Disorders – Background & Opening Phase Recommendations, December 2007
http://www.oasas.state.ny.us/pio/collaborate/documents/CODTFReport.pdf
http://www.omh.state.ny.us/omhweb/news/...

Interagency Initiative Commissioners’ letter – June 20, 2008
http://www.omh.state.ny.us/omhweb/news/colleague_ltr_june2008.html

OMH/OASAS Letter to Clinic Directors [from Commissioners]
http://www.omh.state.ny.us/omhweb/resources/...
Download PDF
http://www.omh.state.ny.us/omhweb/resources/...

OMH/OASAS Co-occurring Disorders Initiative –
Task Force; Commissioners’ Approval and Implementation Change; Current Workgroups; New York State Health Foundation Initiative; Campaign for Integrated Treatment
http://www.omh.state.ny.us/omhweb/mh%5Fservices%5Fcouncil/...
Download PDF
http://www.omh.state.ny.us/omhweb/mh%5Fservices%5F...

OMH/OASAS Memorandum of Agreement re Co-occurring Disorders
http://www.omh.state.ny.us/omhweb/resources/providers/
Download PDF
http://www.omh.state.ny.us/omhweb/resources/providers/

Screening for Co-occurring Disorders Screening Guidance Document
http://www.omh.state.ny.us/omhweb/resources/providers/...
http://www.oasas.state.ny.us/gsi/BP/documents/CODScreening.pdf

Consent for Screening Forms (OMH recommended)
http://www.omh.state.ny.us/omhweb/forms/
to access forms in English, Spanish, Creole, Russian, and Chinese

Screening for Mental Health in Addiction Settings
Three instruments are recommended for use in mental health treatment settings to screen for substance use disorders: the Modified Simple Screening Instrument for Substance Abuse (MSSI-SA); CAGE-AID; and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST).

Modified Mini Screen (MMS)
OASAS Clinical & Administrative Practice Improvement (CAPrI) on the MMS
http://www.oasas.state.ny.us/mis/bulletins/lsb200501capi.cfm

Mental Health Screening Form III (MHS-III) MHS-III User’s Guide & Instrument (English only)
http://www.fadaa.org/services/events/2004_FIS/MHSF3ProjectReturn.pdf

K6 (Kessler) Mental Health Screening Tool

Screening for Substance Use in Mental Health Settings
Three instruments are recommended for use in mental health treatment settings to screen for substance use disorders: the Modified Simple Screening Instrument for Substance Abuse (MSSI-SA); CAGE-AID; and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST).

Substance Use Screening Instruments

CAGE-AID (Concerned, Annoyed, Guilty, Eye-opener Adapted to Include Drugs)
CAGE-AID Questionnaire for Alcohol & Illicit Drug Use
http://www.cqaimh.org/pdf/tool_cageaid.pdf
https://www.mhn.com/static/pdfs/CAGE-AID.pdf

Contact Info

General /
Technical Assistance

Michael Chaple, Ph.D.
Project Coordinator
(212) 845-4539
chaple@ndri.org