Helping People With Co-Occurring Mental Health and Substance Use Disorders
The Carlat Addiction Treatment Report, Volume 5, Number 5, August 2017
Kenneth Minkoff, MD
Senior system consultant, ZiaPartners, Inc, which provides consulting services for co-occurring disorders. Part-time assistant professor of psychiatry at Harvard Medical School.
Dr. Minkoff has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Patients with co-occurring disorders (COD, also known as “dual diagnosis”) are often regarded as among the most challenging patients to treat. You need to track two conditions that interact in unpredictable ways, with patients who may not be inclined to follow your recommendations. It’s no surprise that such patients typically have poorer outcomes than those with either disorder in isolation. And these patients are far from rare.