Dual diagnosis and families
The lack of professional knowledge about dual diagnosis can be frustrating for those affected and their families. Common experiences may include:

• Health care providers may blame the client for being difficult and unresponsive to treatment, rather than questioning whether the health care system is failing to provide effective dual diagnosis treatment and support for people with dual diagnosis.
• If a dual diagnosis client first seeks addiction treatment for drug abuse, the drug and alcohol workers may consider their mental illness as a secondary issue or side effect. Similarly, if they first seek treatment for their mental illness, then the mental health professionals may also consider their drug abuse as a secondary issue or side effect. The two problems are often not seen as interdependent and equally important.
• Specialist and early intervention treatments are often not available for dual diagnosis.
• Health care professionals may not involve the family in dual diagnosis treatment, even though the family is frequently much more familiar with the problems and experiences of the person with dual diagnosis.

The future of dual diagnosis treatment
Alcohol rehab and drug rehab services and mental health services are developing ways in which to respond to people with a dual diagnosis. Integrated service delivery and collaborative treatment is becoming core business for most services.

Dual diagnosis treatment is now available in drug rehab programs and alcohol rehab programs throughout the United States. To locate a dual diagnosis treatment program call 1-800-511-9225, the dual diagnosis helpline or go to www.steppingstonecenter.com.