Developed by Christina M. Delos Reyes, Paul M. Kubek, and Patrick E. Boyle
This one-page mini poster summarizes strategies for pharmacological interventions as well as psychosocial interventions and service-team collaboration in each stage of Integrated Dual Disorder Treatment (IDDT), which include the following: engagement, persuasion, active treatment, and relapse prevention.
The poster is accompanied by an article by Christina M. Delos Reyes, MD, who provides a brief, easy-to-read introduction to IDDT's approach to psychiatric services for people with co-occurring mental and substance use disorders who are actively using alcohol and other drugs. Delos Reyes also provides a few tips from her clinical practice for psychiatrists and other medical professionals. For example, she writes:
"Many physicians and nurses wonder if they should prescribe psychotropic medication to people with severe mental illness who are actively using alcohol or other drugs. The short answer is yes. ... Co-occurring disorders are two distinct yet interacting diseases. Therefore, simultaneous treatment of both helps clients sort out, manage, and master all of their symptoms. In my practice, I prescribe medication to help clients minimize severe symptoms of mental illness such as disorganized thoughts, severe moods, and hallucinations so they can engage in therapeutic conversations about reducing and eliminating their substance use."