State Activities to Improve Service Delivery Systems for Individuals with Co-Occurring Mental and Addictive Disorders

by Harold Alan Pincus, M. Audrey Burnam, Jennifer Magnabosco, Jacob W. Dembosky, Michael D. Greenberg

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Over 10 million individuals in the United States are estimated to suffer from co-occurring mental and substance abuse-related disorders. Many states are actively planning and implementing strategies to improve service delivery systems for this population. This paper investigates the programmatic, financing, organizational, and related strategies that nine states are pursuing, as well as practices and models that local programs in those states are employing to better serve people with co-occurring mental and addictive disorders.

The research described in this report was prepared for the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration and conducted by RAND Health.

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