<p>No special needs group among people with mental retardation and developmental disabilities strains the service capacity of community and residential services to a greater extent than do people with dual diagnoses of developmental and psychiatric conditions. During the past decade many provider agencies have developed specialized services for people with dual diagnosis. Some have specialized in a primary focus of service for such people, including residential or housing and day services. Although these programs incorporate mental health services and heightened clinician presence and influence on everyday activities compared to other developmental services programs, progressive specialized programs also include key elements typical of the most progressive nonspecialized settings. The program models for residential and day services in this book include the entire range of residential and housing options available for people with dual diagnosis. These program models share common features that are responsive to the prevailing philosophy of individualized service, tempered by important differences in service mix and approaches that reflect differing needs of different subgroups of people with dual diagnosis.</p>

Contemporary Dual Diagnosis: MH/MR Service Models Volume I: Residential and Day Services (1) (Monograph series)

Health, Fitness & Dieting

Jacobson PhD BCBA, John W.

Holburn PhD, Steve

Mulick PhD, James A.

Mental Health

NADD

One of the major challenges to the integrity of individualized developmental services in community systems for the past two decades has been the assurance of timely, accessible, and high quality partial and periodic or intermittent services. For people with dual diagnosis of psychiatric and developmental conditions, this challenge is heightened by the need for conventional developmental services combined with community mental health services, in addition to social and health services. Although partial and intermittent service approaches are intended, generally, to be conducive to supportive living and compatible with group home living, in fact these goals have not been readily achieved.This volume represents the interactionist position that has become more common in service design and development today. It is our hope that the dissemination of effective models of services and support for people with dual diagnoses, such as those presented in this volume, will accelerate the development of sufficient partial services for people with dual diagnoses. As pioneering efforts in organizing partial dual diagnosis service provision, some of the models presented are still in development, and it is hoped that their breadth and scope will inspire programmatic and evaluative innovation.

Contemporary Dual Diagnosis: MH/MR Service Models Volume II: Partial and Suportive Services (2) (Monograph series)

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