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Principle #1: Dual diagnosis is an expectation, not an exception.  
View the Action Plan for Principle #1 |
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Principle #2: All ICOPSD (Individuals with co-occurring psychiatric and substance disorders) are not the same; the national consensus four quadrant model for categorizing co-occurring disorders (NASMHPD, 1998) can be used as a guide for service planning on the system level.
View the Action Plan for Principle #2 |
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Principle #3: Empathic, hopeful, integrated treatment relationships are one of the most important contributors to treatment success in any setting; provision of continuous integrated treatment relationships is an evidence based best practice for individuals with the most severe combinations of psychiatric and substance difficulties.
View the Action Plan for Principle #3 |
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Principle #4: Case management and care must be balanced with empathic detachment, expectation, contracting, consequences, and contingent learning for each client, and in each service setting.
View the Action Plan for Principle #4 |
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Principle #5: When psychiatric and substance disorders coexist, both disorders should be considered primary, and integrated dual (or multiple) primary diagnosis-specific treatment is recommended.
View the Action Plan for Principle #5 |
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Principle #6: Both mental illness and addiction can be treated within the philosophical framework of a "disease and recovery model" (Minkoff, 1989) with parallel phases of recovery (acute stabilization, motivational enhancement, active treatment, relapse prevention, and rehabilitation/recovery), in which interventions are not only diagnosis-specific, but also specific to phase of recovery and stage of change.
View the Action Plan for Principle #6 |
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Principle #7: There is no single correct intervention for ICOPSD; for each individual interventions must be individualized according to quadrant, diagnoses, level of functioning, external constraints or supports, phase of recovery/stage of change, and (in a managed care system) multidimensional assessment of level of care requirements.
View the Action Plan for Principle #7 |
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Principle #8: Clinical outcomes for ICOPSD must also be individualized, based on similar parameters for individualizing treatment interventions.
View the Action Plan for Principle #8 |
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Principle #9: The system of care operates in partnership with consumers, family members and concerned significant others and a continuous effort is made to involve the individual and the family at the system, program and individual levels.
View the Action Plan for Principle #9 |
