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Co-Occurring Psychiatric and Substance Use Disorders (COPSD) Services  

Substance use disorders — the repeated misuse of alcohol and/or drugs — often occur simultaneously in individuals with mental illness, usually to cope with overwhelming symptoms. The combination of these two illnesses has its own term: dual diagnosis, or co-occurring disorders. Either disorder (substance use or mental illness) can develop first.

The best treatment for dual diagnosis is integrated intervention, when a person receives care for both their diagnosed mental illness and substance use disorder. The idea that “I cannot treat your depression because you are also drinking” is outdated — current thinking requires both issues be addressed.  BTCRO will treat the WHOLE person. 

The COPSD (co-occurring psychiatric and substance use disorders) Program provides additional services for adult women and men with co-occurring mental health and substance use disorders. The program ensures that participants receive integrated treatment for both mental health and substance use disorders, seeing both disorders as primary. Staff members ensure that case management services are delivered within the existing mental health and substance use disorder treatment services and ensure that participants remain engaged in both treatments.

Many individuals receiving substance abuse treatment do not know they have an underlying mental health condition. Therefore, during the treatment process participants are assessed for the presence of mental health disorders and linked to mental health assessment and treatment if symptoms are identified. For clients already diagnosed with a mental health disorder, the program ensures that they are re-linked to mental health treatment. The program also ensures that participants are linked to other services that can meet the overall needs such as health care, employment, social services etc.

Texas Health and Human Services (HHSC) funds the COPSD Program.  Based on income of the family, a person may be eligible for state funded services on a sliding scale. Medicaid and private health insurance are also accepted.