Linking substance abuse and serious mental illness service delivery systems: Initiating a statewide collaborative

  • Paul Barreira
  • Barbara Espey
  • Ruth Fishbein
  • Deborah Moran
  • Raymond B. FlanneryJr.
Brief Reports


In the past, persons with serious mental illness and substance abuse often found themselves in parallel systems of care that inadequately addressed their needs. Recent advances have seen the development of an integrated approach to care for these disorders in both the public and private sectors. While some state departments of mental health have developed integrated systems of care for public sector patients, no department appears to have developed such a system for both public and private clients, and there appears to be no published journal report of a model to induce cooperation by all stakeholders. This article outlines a two-step approach by the Massachusetts Department of Mental Health to foster stakeholder cooperation in designing an integrated system of care for both public and private clients with co-occurring disorders.


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Copyright information

© Association of Behavioral Healthcare Management 2000

Authors and Affiliations

  • Paul Barreira
    • 1
  • Barbara Espey
    • 2
  • Ruth Fishbein
    • 3
  • Deborah Moran
    • 1
  • Raymond B. FlanneryJr.
    • 1
  1. 1.Clinical and Professional Services, Massachusetts Department of Mental HealthBoston
  2. 2.the Massachusetts Department of Public Health/Bureau of Substance AbuseUSA
  3. 3.the Quality Improvement Collaborative at Health and Addictions Research, Inc.USA

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