Forum Session

Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
April 14, 1998


Richard Hegner


This meeting coincided with the release of a report on co-occurring disorders by the National Advisory Council of the Substance Abuse and Mental Health Services Administration. Speakers reviewed the strategy suggested by that report as well as recent research into the dually diagnosed population. Particular attention was given to the sequencing of co-occurring disorders — mental illness typically sets in a number of years prior to the onset of substance abuse — and to the window of opportunity for intervention with mentally ill adolescents before they begin experimenting with alcohol and drugs. The perspectives of both consumers and providers of integrated services were presented, and the efforts of state and county agencies in California to overcome professional and categorical obstacles to integrated services were discussed.


Bert Pepper, MD, Executive Director, Information Exchange, Inc.; Darren Skinner, MSW, Social Worker/Chemical Dependency Counselor, Staten Island University Hospital; Jill, a teenaged consumer; Arthur Cox, DSW, Program Director, Florida Center for Addictions and Dual Disorders; Stephen Mayberg, PhD, Director, California Department of Mental Health; and Kevin Hennessy, PhD, Health Policy Analyst, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services

Related Materials

More information available in the accompanying publication, Issue Brief No. 718.

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