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Co-occurring Disorders

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Handbook of Evidence-Based Day Treatment Programs for Children and Adolescents

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Abstract

This chapter describes the development and implementation of Bradley Vista, an intensive outpatient program (IOP) for adolescents struggling with co-occurring mental health and substance-related problems (i.e., co-occurring disorders). Most adolescents who present for SUD treatment struggle with a co-occurring non-substance psychiatric disorder. Integrated care that targets not only substance use but also comorbid mental health conditions is essential for maximizing treatment gains. Bradley Vista, which launched in late 2017, is considered a model treatment program by the Substance Abuse and Mental Health Services Administration. This chapter provides clinicians, health-care administrators, and other key stakeholders interested in implementing similar services with a proven road map for delivering developmentally tailored evidence-based care to youth with co-occurring disorders. Emphasis is placed on the integration of science and practice. Merging the latest scientific findings with the art of delivering empathetic client-centered services that consider the unique developmental, sociocultural, and clinical characteristics of each adolescent is key to our approach. Challenges to effective implementation along with ways to help ensure success are also discussed.

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This work was supported in part by a grant from National Institute on Alcohol Abuse and Alcoholism (AA026326).

The author has no conflicts of interest to disclose.

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  1. Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA

    Robert Miranda Jr

  2. Bradley Hospital, East Providence, RI, USA

    Robert Miranda Jr

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  1. Department of Psychiatry, Division of Child and Adolescent Psychology Virginia Commonwealth University, Children’s Hospital of Richmond and Virginia Treatment Center for Children, Richmond, VA, USA

    Jarrod M. Leffler

  2. Department of Psychiatry and Human Behavior, Bradley Hospital/Brown University, Providence, RI, USA

    Elisabeth A. Frazier

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Miranda, R. (2022). Co-occurring Disorders. In: Leffler, J.M., Frazier, E.A. (eds) Handbook of Evidence-Based Day Treatment Programs for Children and Adolescents. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-031-14567-4_17

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