This Treatment Improvement Protocol (TIP) update is intended to
provide addiction counselors and other providers, supervisors, and
administrators with the latest science in the screening,
assessment, diagnosis, and management of co-occurring disorders
(CODs). For purposes of this TIP, CODs refer to co-occurring
substance use disorders (SUDs) and mental disorders. Clients with
CODs have one or more disorders relating to the use of alcohol or
other substances with misuse potential as well as one or more
mental disorders. A diagnosis of CODs occurs when at least one
disorder of each type can be established independent of the other
and is not simply a cluster of symptoms resulting from the one
disorder. Many may think of the typical person with CODs as having
a serious mental illness (SMI) combined with a severe SUD, such as
schizophrenia combined with alcohol use disorder (AUD).
General
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