Benchmark items and estimated cost range

The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index and the Dual Diagnosis Capability in Mental Health Treatment (DDCMHT) Index evaluate organizations on their capacity to deliver treatment for co-occurring disorders based on more than thirty benchmarks. Most agencies will not be able to take every step to enhance their treatment services. Choices need to be made. Some of the benchmark items have costs attached to them, whereas others do not. The following scale gives the potential cost range for implementation.

• $ - No cost - $0 to $99
• $$ - Low cost - $100 to $9,999
• $$$ - Moderate cost - $10,000 and $39,999
• $$$$ High cost - $40,000 or more

Benchmark item	Est. cost range
Program structure
Mission statement	$$
Licensure/certification	$$$
Relationship with mental health service provider	$$
Financial incentives	$$
Program milieu
Social environment	$
Physical environment	$
Assessment
Standardized screening	$
Routine assessment	$
Routine diagnosis	$
Psychiatric and substance use history	$
Acceptance based on acuity	$$$
Acceptance based on severity	$$
Stage-wise assessment	$
Treatment
Routine treatment plans	$
Monitoring of both disorders	$
Procedures for psychiatric emergencies	$
Stage-wise treatment	$$
Medication management	$$$$
Psychosocial treatments	$$
Patient education	$
Family education and support	$
Facilitation to peer recovery support groups	$
Continuity of care
Discharge plan	$
Capacity to maintain continuity	$$
Co-occurring recovery focus	$
Connection to peer support in community	$
Medication continuity	$$$$
Staffing
Physician or prescriber	$$$$
Mental health license or expertise	$$$
Clinical supervision	$$
Case review	$
Peer recovery mentors	$
Training
Basic	$
Cross-training/advanced	$$$