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Statewide Implementation of Integrated Dual Disorders Treatment: The Psychiatrist's Role

ABSTRACT An emerging role for a psychiatric consultant is to advance the implementation of evidence-based practices in mental health. The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence employs a psychiatrist to assist in and enhance the statewide implementation of the integrated dual disorders treatment (IDDT) model. The primary consultees include IDDT treatment teams at mental health agencies, county mental health boards, and the state department of mental health. Six roles of the psychiatric consultant are described, including trainer/educator, consultant to teams, consultant to physicians, fidelity reviewer, linkage resource, and role model. Commonly encountered barriers and strategies for success in this psychiatric consultant role are reviewed.