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Integrated Dual Disorder Treatment Implementation in a Large State Sample

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Abstract

Individuals with co-occurring illnesses are at risk for poor outcomes related to criminal justice, hospitalization, housing, and employment. High fidelity evidence-based models, including integrated dual disorder treatment (IDDT), are associated with significant outcome improvements. A descriptive analysis of secondary datasets including the full sample of IDDT fidelity reviews completed from 2006 to 2012 in one state was completed. Total IDDT fidelity significantly improved from baseline fidelity review (68) to second review (40) [t(38) = 35.00, p < .001], and from second review to third review (13) [t(12) = 22.60, p < .001], with adequate inner-rater reliability by the second review. Individual items that were lower across reviews included practice penetration and family interventions, and higher individual items included multi-disciplinary team, integrated treatment specialist, and time-unlimited services, and treatment measures are higher than organizational measures in baseline and subsequent reviews. In this large state-wide sample, IDDT took time to implement, and improved fidelity occurred from baseline to third review, and variance between components of the practice was significant.

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Authors and Affiliations

  1. School of Social Work, Western Michigan University, 1903 W. Michigan, Kalamazoo, MI, 49008, USA

    Jennifer Harrison

  2. Interdisciplinary Health Sciences PhD Program, Western Michigan University, Kalamazoo, USA

    Amy Curtis

  3. Department of Anthropology, Western Michigan University, Kalamazoo, USA

    Linwood Cousins

  4. Department of Educational Leadership, Research, and Technology, Western Michigan University, Kalamazoo, USA

    Jessaca Spybrook

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  1. Jennifer Harrison
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Correspondence to Jennifer Harrison.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Human Subjects Institutional Research Board (HSIRB) of Western Michigan University (Approval 13-02-53 Exempt Approval) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Harrison, J., Curtis, A., Cousins, L. et al. Integrated Dual Disorder Treatment Implementation in a Large State Sample. Community Ment Health J 53, 358–366 (2017). https://doi.org/10.1007/s10597-016-0019-1

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