—by Paul M. Kubek and Matthew K. Weiland
Lebanon, NH—Psychiatrist Robert E. Drake, MD, PhD, knows a few things about the Integrated Dual Disorder Treatment (IDDT) model—why it's necessary, how it works, and which treatment components produce the most positive outcomes. He is one of the original creators of IDDT, the evidence-based practice for people who have been diagnosed with co-occurring severe mental illness and substance use disorders. He has also been instrumental in the ongoing development and dissemination of Supported Employment (SE), the evidence-based practice.
Dr. Drake is the Andrew Thomson Professor of Psychiatry and Community and Family Medicine at Dartmouth Medical School. He is also director of the Dartmouth Psychiatric Research Center (PRC). He is known internationally as a researcher, writer, and consultant. He has written and published 15 books and over 400 journal articles.
The Conversation
Dr. Drake was a keynote speaker at the 2008 IDDT/ Ohio SAMI Coordinating Center of Excellence (CCOE) Conference, hosted by the Center for Evidence-Based Practices at Case Western Reserve University. The event took place in Columbus on September 16 & 17. Dr. Drake sat down with us after the plenary to chat a bit about his experiences.
What Current Research Says about IDDT (2m 38s)
There is increasing evidence that treatment groups, peer-support groups, and evidence-based Supported Employment (SE) services make recovery from co-occurring disorders more effective and sustainable.
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Boston in the 1970s: Mean Streets and Bad Outcomes (1m 50s)
Drugs were rampant, treatment was fractured, and failures of addiction-services and mental-health services systems were more dominant than successes. With these challenges came opportunities for innovation.
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Addiction Treatment Meets Mental Health, Part 1 (1m 32s)
In the 1970s and 1980s, a small group of behavioral healthcare providers began to realize that addiction treatment needed to be brought into the mental health system.
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Addiction Treatment Meets Mental Health, Part 2 (2m 38s)
Separate service systems created frustration and dysfunction in the treatment of addictions and mental health.
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People Who Inspire (1m 25s)
Friends, family members, patients: People recovering from addictions and mental health issues have been some of the most inspiring people in Dr. Drake's 30-plus years of work in the field of dual disorders.
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IDDT in the Buckeye State (2m 20s)
Ohio has been among the pioneers in IDDT implementation, bringing the model to the Midwest with a blend of pragmatism, hope, and genuine commitment.
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True Heroes of Innovation (58s)
Clinicians are also some of the most inspiring people who do incredibly hard work, saving lives on any given day.
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Consumer Optimism (1m 54s)
Three decades of research and practice in the field have produced many changes for the better, creating a sense of can-do in consumers.
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The National Scene
Integrated Dual Disorder Treatment (IDDT)
IDDT is an evidence-based practice that was developed and continues to be studied by researchers at the Dartmouth Psychiatric Research Center (PRC) of Dartmouth Medical School in Lebanon, New Hampshire. The researchers include Robert E. Drake, MD, PhD, and his colleagues.
The Dartmouth PRC has provided leadership for national implementation of IDDT via the Substance Abuse and Mental Health Services Administration. The State of Ohio and the Center for Evidence-Based Practices at Case Western Reserve University—through its Ohio SAMI Coordinating Center of Excellence—have participated and continue to participate in these national initiatives.
Supported Employment (SE)
SE is an evidence-based practice that was created by researchers Deborah R. Becker, MEd, CRC, Robert E. Drake, MD, PhD, Gary Bond, PhD, and their colleagues at the Dartmouth PRC. They have provided leadership for national implementation of SE via the Johnson & Johnson-Dartmouth Community Mental Health Program. The State of Ohio and the Center for Evidence-Based Practices at Case Western—through its Ohio SE Coordinating Center of Excellence—are participating in this national initiative.
Paul M. Kubek, MA, is director of communications and Matthew K. Weiland, MA, is senior writer, producer, and new-media specialist at the Center for Evidence-Based Practices at Case Western Reserve University.