A large and growing proportion of individuals with permanent and total disability are adults dually diagnosed with mental illness and substance-abuse disorders. These dually diagnosed individuals are frequently hospitalized, often unable to work, and thus are dependent on public systems for care. As the prevalence of clients with dual diagnosis continues to increase, states must examine how to best manage services for these individuals. This paper discusses some issues involved in serving this population, barriers to treatment, and program approaches for overcoming the barriers to providing effective services to individuals who are dually diagnosed.
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