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Co-Occurring Psychiatric and Substance Abuse Disorders (COPSD) Services
Historically, the State of Texas has provided mental health services for persons with severe and persistent mental illness through the Texas Department of Mental health Mental Retardation (TDMHMR) and the treatment services for persons with substance abuse/chemical dependence through the Texas Commission on Alcohol and Drug Abuse (TCADA). These services to the mentally ill and chemically dependent are provided in parallel, separate systems of care. TDMHMR and TCADA acknowledge that evidence now exists to support the philosophy that, models of care which integrate mental health and substance abuse treatment for persons with co-occurring mental illness and substance abuse disorders can succeed where our parallel, separate systems of care have historically failed.
Therefore, the 74th Legislature, Pursuant to SCR 88, mandated that TDMHMR and TCADA cooperate in the design, implementation, and evaluation of Integrated Treatment. The pilot project has now ended and currently DSHS is funding contractors in Texas to provide services to people with co-occurring disorders using COPSD Specialists. List of contractors
Integrated Treatment is defined as the concurrent and coordinated provision of mental health and substance abuse/dependence treatment. Integrated Treatment will include the enhancement of existing mental health and substance abuse services and funding streams. Dual Diagnosis specific services will be developed to address gaps in traditional services and service systems. To ensure the integrated provision of services, working coalitions between local mental health and substance abuse providers will be established through the pilot project.
The provision of dual diagnosis services will incorporate the following principles of treatment:
- Assertiveness - Assertive and flexible outreach to potential consumers/clients.
- Close Monitoring - Intensive supervision during the early phases of treatment.
- Integration - Mental health and chemical dependency providers render concurrent and coordinated services to the consumer/client.
- Comprehensiveness - Treatment interventions are modified for each individual dependent upon the clients/consumers mental illness, phase of recovery, level of acuity, severity, disability, and motivation.
- Stable Living Situation - Secure safe, affordable, and drug free housing options.
- Flexibility and Specialization - Mental health and substance abuse professionals must modify their traditional beliefs, skills, approaches, and training.
- Stages of Treatment - Clinical strategies are modified dependent upon the consumers/clients readiness for change.
- Longitudinal Perspective - Recovery occurs over years and relapse is a part of the recovery process.
- Optimism - Service providers must provide emotional support as the client/consumer overcomes the stigmas associated with both disorders.
- Client progress through treatment will be monitored according to the following Stages of Treatment:
- Pre-engagement - Service provider works toward establishing trust and rapport with potential client/consumer.
- Engagement - Consumer/client has irregular contact with service providers as trust and interest in services builds.
- Early Persuasion - Regular contact with service providers and discussion of reduction of non-prescribed drug use.
- Late Persuasion - Established relationship with service providers and actual reduction of non-prescribed drug use.
- Early Active Treatment - Continued reduction of non-prescribed drug use as client/consumer works toward abstinence.
- Late Active Treatment - No use (or controlled use without associated problems) for one to six months.
- Relapse Prevention - No use (or controlled use without associated problems) for at least six months.
- Recovery - No use of over one year and formal substance abuse treatment ceases.
TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders (387K, PDF)
Contractors
Aliviane
P.O. Box 371710
El Paso, TX. 79937
(915)782-4000
(915) 7824040 (Fax)
rperkins@aliviane.org
Amarillo Council on Alcoholism and Drug Abuse
803 S. Rusk
Amarillo, TX. 79106
(806) 374-6688
director@acada.org
Austin Travis County MHMR
P.O. Box 3548
Austin, TX 78764
512-440-4056
512-440-4084 (Fax)
Blues Management, Inc.
Greg Kuras
6260 Westpark,Ste. 150
Houston, TX 77057
713-783-8889
713-7830001 (Fax)
greg@gkuras.com
Center for Health Care Services
3031 IH 10 West
San Antonio, TX 78201
210-731-1320
210-731-9661 (Fax)
dmedina@chcs.hhscn.org
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Central Plains Center, Reed Adolescent Center
2700 Yonkers
Plainview, TX 79072
806-293-2636
806-2965804 (Fax)
ron@clplains.org
Central Texas Council on Alcoholism and Drug Abuse
202 E. Beeline Lane
Harker Heights, TX 76548
254-690-4455
254-690-3456 (Fax)
jmoffitt@hot.rr.com
Central Texas MHMR dba
The Center for Life Resources
P.O. Box 250
Brownwood, TX 76804
325-646-9574
325-6435136 (Fax)
ghasem@ctmhmr.hhscn.org
The Freeman Center
P.O. Box 128
Waco, TX 76703-0128
254-753-8251
254-753-5881 (Fax)
dworley@thefreemancenter.org
Gulf Coast Center
P.O. Box 2490
Galveston, TX 77553
409-7632373
409-7635538 (Fax)
mikew@gcmhmr.com
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Homeward Bound, Inc.
233 West 10th. Street
Dallas, TX 75208
214-941-3500 ext. 224
214-941-3517 (Fax)
ddenton@homewardboundinc.org
MHMR Authority of Brazos Valley
P.O. Box 4588
Bryan, TX. 77805
(979) 822-6467
(979) 3609806 (Fax)
lbawcom@mhmrabv.org
MHMR of Tarrant County
3840 Hulen Tower North
Fort Worth, TX 76107
817-5694300
817-569-4496 (Fax)
stevieh@mhmrtc.org
Northeast Texas MHMR
P.O. Box 5637
Texarkana, TX 75501-4159
903-831-3646
903-831-4823 (Fax)
The Patrician Movement
222 E. Mitchell Street
San Antonio, TX 78210
210-532-3126
210-534-3779 (Fax)
pclancey@thepm-sa.org
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Pecan Valley MHMR Services
P.O. Box 973
Stephenville, TX 76401
254-965-7806
254-965-4308 (Fax)
tmulloy@ntmhmr.org
Permian Basin Community Center
509 North Loraine
Midland, TX 79701
915-432-3390
915-432-3375 (Fax)
anneplumee@pbmhmr.com
Phoenix House
2345 Reagan St.
Dallas, TX. 75219
(214) 999-1044
(214) 999-1058 (Fax)
Santa Maria Hostel, Inc.
2005 Jacquelyn, Ste. 205
Houston, TX 77055
713-957-2413
713-957-1898 (Fax)
kaustin@santamariahostel.org
So. TX. SA Recovery Services
907 Antelope St.
Corpus Christi, TX 78401
361-882-9979
361-882-4469 (Fax)
Paz_norma@yahoo.com
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South East Regional Planning Commission
2210 Easttex Freeway
Beaumont, TX 77703
409-7297692
409-729-7034 (Fax)
South Texas Council on Alcohol And Drug Abuse
P.O. Box 3090
Laredo, TX. 78044
(956) 791-6131
(956) 7914072 (Fax)
STAR Council on Substance Abuse
P.O. Box 976
Stephenville TX 76401
254-965-5515
254-965-7416 (Fax)
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This page was last modified August 09, 2007
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