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