Since 2008, Segue has been licensed with the State of Michigan as a Substance Abuse/Mental Health Integrated Treatment Provider, and provides Integrated Dual Disorders Treatment (IDDT). Segue’s IDDT program is integrated into the Assertive Community Treatment (ACT) Program. It contains all of the elements of the ACT program with specialized services specific to consumers with co-occurring disorders incorporated into the treatment. The primary focus is to treat consumers with a long standing substance abuse disorder that has lead to serious problems in achieving the goals that they identify as important. Members of an IDDT team have the same credentials as those of the ACT team, but must include specialized training in substance abuse.
Admission Criteria:
- Same as the ACT Criteria, with the addition of a dual diagnosis.
Consumers enrolled in IDDT will work with a team of staff. Mental health and substance abuse treatment are integrated to meet the needs of consumers with co-occurring disorders. Integrated treatment staff is trained to treat both substance use disorders and serious mental illnesses. Co-occurring disorders are treated in a stage-wise fashion with different services provided at different stages. The stages are engagement, persuasion, active treatment, and relapse prevention. Segue staff work with the consumer to identify which stage they are in and to provide the treatment that will be most helpful to the person in each stage. Motivational interventions are used to treat consumers in all stages, but especially early on in treatment. Motivational interventions are used to help consumers identify goals that are important to them and to overcome the feelings that they are unable to control their use of alcohol or illegal substances. Substance abuse counseling is used to treat consumers in the active treatment and relapse prevention stages. The counseling focuses on helping consumers learn skills to cope with their illnesses and disorders and to be more effective in their relationships with others including with their families and at work. Multiple formats for services are available, including individual, group, self-help, and family. Medication services are integrated and coordinated with psycho-social services.
The services are targeted to help individuals to develop quality, functional and satisfying lives. This includes helping individuals to stay out of the hospital, to reduce or stabilize symptoms, and to pursue their own personal recovery.