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New York Trains Counselors to Treat Dual Diagnosis
January 14, 2009

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New York's Medicaid program has long hindered comprehensive treatment for people with co-occurring addiction and mental-health problems, but now the state is training more counselors to provide services to dually diagnosed patients, the Associated Press reported Jan. 11.

The state's Office of Alcohol and Substance Abuse Services and the Office of Mental Health are working together to address a problem that affects 90 percent of individuals with both addiction and mental illness. Medicaid won't pay for both types of treatment simultaneously, so a $3.2-million grant from the National Development and Research Institutes is being used to train addiction counselors to address mental illness, and vice-versa.

"It is finally taking a person-centered approach to care, and saying emphatically, 'If you need treatment for a dual diagnosis, you will get it,'" said Karen Carpenter-Palumbo, commissioner of the state Office of Alcohol and Substance Abuse Services.

New York's addiction and mental-health screening, assessment, rehabilitation, discharge and aftercare programs also are being overhauled. Services will be integrated at 1,223 licensed addiction and mental-health outpatient programs statewide.

COMMENTS ON THIS ARTICLE:

Posted by Hans on 15 Jan 09 11:29 AM EST
This sounds like a wonderful step forward! I am familiar with and have worked in systems where mental health and substance abuse are separated and where access to all services needed is thus limited. This article brings hope that more systems will address the needs of clients in a comprehensive way.

Posted by Riley on 15 Jan 09 09:49 PM EST
How interesting. New York has continued to block Licensed Professional Counselors from practicing in their state (Qualified to trear dual-diagnosis) but will train addictions counselors to work with the population (many of whom grandfathered in without degrees). Train the Adiction Counselors AND allow LPCs to practice in New York!

Posted by Jose on 15 Jan 09 11:05 PM EST
This is for Riley. While I get your point about letting more LPCs practice in New York. How interesting that you bring in the "D" word, degree, as if you need that to be an effective counselor! I know some LPCs who have thier "Degree" and do not know anything about counseling treatment dual or otherwise.

Posted by Deirdre on 20 Jan 09 06:23 PM EST
If you are truly giving both types of treatment simultaneously why do you have to bill twice? Aren't we saying that one practitioner should be able to see individuals and run groups for people with both disorders? That doesn't mean we have to increase the number of groups or individual sessions they go to. If it does, then you are still giving parallel treatment not integrated treatment as Evidence Based Practice shows.

Posted by John on 21 Jan 09 09:52 AM EST
As a recovering person who is degreed and certified I have seen the harm that "counselors" who are just in recovery do. The standard has been raised-get out of the past.

Posted by CC on 02 Apr 09 09:07 AM EDT
Interesting comments. As someone who is both licensed in mental health and addictions, allows social workers to work in healthcare systems with no training in addictions, but just because they are an LMSW, they are allowed to work in various areas. I currently work at a VA facility, and, MSWs with minimal experience are working in addictions with no experience or minimal training - yikes !Now, I do think that addiction counselors, often with a bachelor degree tend to get into a quandry about treating addiction and mental health. Many addiction counselors seem to think that if the person stop using, they will clear up. My thinking is that many people self-medicate for various reasons. Wow, we need a class on this subject matter. Thanks for allowing me to express my opinion.

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