State Efforts to Improve Practice and Policy for Individuals with Co-Occurring Mental and Addictive Disorders

by Harold Alan Pincus, M. Audrey Burnam, Jennifer Magnabosco, Jake 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 implementing practices and policies to improve the quality of and access to services for this population. This paper documents these efforts and discusses the challenges and opportunities states face as they attempt to better serve people suffering from both mental and addictive disorders.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Methods

  • Chapter Three

    Alaska

  • Chapter Four

    Arizona

  • Chapter Five

    California

  • Chapter Six

    Connecticut

  • Chapter Seven

    Delaware

  • Chapter Eight

    Georgia

  • Chapter Nine

    Illinois

  • Chapter Ten

    Indiana

  • Chapter Eleven

    Iowa

  • Chapter Twelve

    Massachusetts

  • Chapter Thirteen

    Missouri

  • Chapter Fourteen

    Montana

  • Chapter Fifteen

    New Mexico

  • Chapter Sixteen

    New York

  • Chapter Seventeen

    Ohio

  • Chapter Eighteen

    Oregon

  • Chapter Nineteen

    Pennsylvania

  • Chapter Twenty

    South Carolina

  • Chapter Twenty-One

    Tennessee

  • Chapter Twenty-Two

    Texas

  • Chapter Twenty-Three

    Washington

  • Chapter Twenty-Four

    Wisconsin

  • Chapter Twenty-Five

    Wyoming

  • Chapter Twenty-Six

    State Trends and Themes

  • Chapter Twenty-Seven

    Next Steps

  • Appendix A

    Definitions

  • Appendix B

    Solicitation Letter

  • Appendix C

    Mental Health/Substance Abuse Director Interview Guide

The research descibed in this report was funded by the Robert Wood Johnson Foundation and the John D. and Catherine T. MacArthur Foundation and was performed under the auspices of RAND Health.

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