Co-Occurring Disorders

Compiled by Kenneth Minkoff, MD and Christie A. Cline, MD, MBA 2007. Abridged by Barbara Meyers.

Webinar about Co-Occurring Disorders

Webinar: Integrated Treatment: A Recipe for Success. To see this excellent free webinar that gives a lot of informative information about Integrated Treatment for Co-Occurring Disorders, you need to first register at: Vendome Webinars, and click on “Addiction Professional Webinars”. You can then access the webinar charts or listen to the recorded webinar. Well worth the trouble!

Co-Occurring Disorders Publications

A co-occurring disorder happens when a person has both a mental disorder and an addiction. It was formerly called Dual Diagnosis

Bellack AS , Bennett ME, & Gearon JS. Behavioral treatment for substance abuse in people with Serious and Persistent Mental Illness, 2007, Routledge, New York.

Bucciarelli C. Addicted and Mentally Ill. Stories of courage, hope, and empowerment. Binghamton, Haworth Press. 2005.

Burton Donna, Cox Arthur, Fleisher-Bond Margo, Cross Training for Dual Disorders; A Comprehensive Guide to Co-occurring Substance Use and Psychiatric Disorders. New York, NY. Vantage Press. 2001.

Cline, C and Minkoff K, Substance Abuse and Mental Health Services Administration. A Strength Based Systems Approach to Creating Integrated Services for Individuals with Co-occurring Psychiatric and Substance Abuse Disorders-A Technical Assistance Document. NMDOH/BHSD Dec. 2002.

Daley Dennis, Moss Howard, Dual Disorders: Counseling Clients with Chemical Dependency and Mental Illness, 3rd ed. Center City, MN. Hazelden. 2002.

Daley Dennis, Coping with Dual Disorders: Addiction and Psychiatric Illness, Center City, MN. Hazelden. 2003.

Daley DC & Spears J. A family guide to coping with dual disorders. Center City, MN: Hazelden. 2003

Drake RE, Burnette, Mary, eds. Integrated Dual Disorders Treatment (IDDT) Toolkit. SAMSHA. 2001.

Ekleberry, SC. Co-occurring Disorders: Personality Disorders and Addiction, Routledge, 2008.

Evans K & Sullivan JM. Treating Addicted Survivors of Trauma. Guilford, New York. 1995.

Evans K & Sullivan JM. Dual diagnosis: Counseling the Mentally Ill Substance Abuser. 2nd Edition. Guilford, New York. 2001.

Geppert C, Minkoff K, Psychiatric Medications and Recovery from Co-Occurring Disorders, Center City, MN. Hazelden. 2003.

Hendrickson, EL, Schmal MS, & Ekleberry SC. Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals 2005.

Hendrickson EL. Designing, implementing, and managing treatment services for individuals with co-occurring disorders. Binghamton ; Haworth Press. 2006.

Mercer-McFadden C, Drake RE, et. al.. Substance Abuse Treatment for People with Severe Mental Disorders: a program manager’s guide. NH-Dartmouth Psychiatric Research Center, Concord, NH. 1998.

Miller, WR & Rollnick S. Motivational Interviewing, 2nd Edition.] Guilford Press, New York, 2002.

Minkoff, K & Drake, RE. Homelessness and dual diagnosis. In Lamb, HR (ed). Treating the Homeless Mentally Ill. Washington, DC, APPI. 1994. 221-35.

Penn PE, et al. ADMIRE Plus: a treatment program for persons with co-occurring disorders. La Frontera Center: Tucson. 2004.

Peters RH & Hills HA. Intervention strategies for offenders with co-occurring disorders. What works?. National GAINS Center, Delmar, NY. 1997.

On Line Information about Co-Occurring Disorders

Co-occurring Center for Excellence: Overview Papers: SAMHSA, Rockville, MD. 2006-2007.
a. Definitions and Terms relating to Co-occurring disorders.
b. Screening, Assessment, and Treatment Planning.
c. Overarching Principles to Address Co-occurring Disorders.
d. Addressing Co-occurring Disorders in Non-Traditional Settings.
e. Understanding Evidence Based Practice for Co-occurring Disorders.

Dual Recovery Anonymous.

Federation of Families for Children’s Mental Health. Blamed and ashamed: the treatment experiences of youth with co-occurring disorders and their families. October, 2000. Available on line at

Fiscal Tiger.  Excellent compendium of information on How to Access and Pay for Mental Health and Addiction Recovery Services.

Lakeview Health. Mental Health and Dual Diagnosis.

McKillip, R. The Basics: a curriculum for co-occurring mental health and substance use disorders. 2004.

Mee-Lee, D. Tips and Topics: an on-going series on co-occurring disorders.

Mental Health Resources for Veterans: Comprehensive list of resources available from the Veterans Administration.

National Center for Trauma-Informed Care A SAMHSA organization that works to eliminate the use of seclusion, restraints, and other coercive practices and to develop the knowledge base on trauma-informed care.

National Institute of Alcohol Abuse and Alcoholism. Helping patients who drink too much: a clinician’s guide. NIAAA. 2005.

National Institute on Drug Abuse. The science of addiction, drugs, brains, behavior. Rockville, MD, NIH Publication 07-5605, 2007.

Sciacca, Kathleen. Dual Diagnosis website and articles

SMART Recovery.

Substance Abuse and Mental Health Services Administration.
a. Transforming Mental Health Care in America, 2005.
b. Substance Abuse Treatment for Persons with Co-Occurring Disorders, 2008.

Women for Sobriety

Video Materials about Co-Occurring Disorders

Gerald T. Rogers Productions has a number of important videos about co-occurring disorders, including:

  • The Promise of Recovery series of videos. Solid, current information about psychiatric illness for in-patient or out-patient settings. It is useful for consumers, family education or staff training; helping viewers understand many aspects of mental health and how to implement a successful recovery plan. 800-227-9100.
  • Double Trouble A two-part series about the complicated relationship between
    chemical dependency and mental illness.

Out of the Tunnel; Into the Light Hazelden 800-328-9000.

12 Steps and Dual Disorders Hazelden 800-328-9000.

Co-Occurring Disorders Series, Hazelden 800-328-9000.
– Understanding Bipolar Disorder and Addiction
– Understanding Depression and Addiction
– Understanding Major Anxiety Disorders and Addiction
– Understanding Personality Problems and Addiction
– Understanding Posttraumatic Stress Disorder and Addiction.

Dual Diagnosis: An Integrated Model for Treatment. Kenneth Minkoff, MD. Mental Illness Education Project. 800-343-5540

Recovery Stories, DVD or VHS, (Co-Occurring Consumer Stories) CCSME/NAMI Maine, 207-878-6170