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What does my DDCAT / DDCMHT score mean?

The Dual Diagnosis Capability in Addiction Treatment Index or the Dual Diagnosis Capability in Mental Health Treatment Index will help you categorize your treatment program into one of four primary categories. These categories are adopted from the ASAM Patient Placement Criteria for the Treatment of Substance-Related Disorders, second edition revised (ASAM PPC-2R), published in 2001.

Addiction Only Services (AOS)
These addiction treatment programs cannot accommodate patients with co-occurring mental health disorders that require ongoing treatment, no matter how stable or functional the patient.

Mental Health Only Services (MHOS)
These psychiatric treatment programs cannot accommodate patients with co-occurring substance use disorders that require ongoing treatment, no matter how stable or functional the patient.

Dual Diagnosis Capable (DDC)
Addiction treatment programs at the DDC level have a primary focus on treating substance use disorders. These programs are also capable of treating patients who have relatively stable diagnostic or sub-diagnostic co-occurring mental health disorders related to an emotional, behavioral, or cognitive disorder.

Mental health treatment programs at the DDC level have a primary focus on treating psychiatric disorders. These programs are also capable of treating patients who have relatively stable diagnostic or sub-diagnostic co-occurring substance use disorders.

Dual Diagnosis Enhanced (DDE)
Addiction treatment programs at the DDE level are designed to treat patients who have unstable or disabling co-occurring mental health disorders in addition to substance use disorders.

Mental health treatment programs at the DDE level are designed to treat patients who have unstable or disabling co-occurring substance use disorders in addition to psychiatric disorders.

Programs at the DDE level are often indistinguishable as either an addiction or mental health treatment program.

Who should evaluate your treatment program?

To avoid potential bias, it’s recommended that a person outside of your organization perform the DDCAT / DDCMHT evaluation. Studies have consistently shown that self-assessments yield inflated ratings of capability.

Numerous professionals have been trained in the DDCAT and DDCMHT methodology and are available to perform assessments. Nonetheless, most people who use the DDCAT and DDCMHT have not been formally trained and still find it simple and straightforward to use. You can determine your own approach to doing a DDCAT or DDCMHT assessment while considering all the pros and cons for each possibility.

 
DDCAT / DDCMHT Files

These instruments identify the scoring used and program areas assessed in the DDCAT or DDCMHT. Download these files (PDF):

Visit these pages at SAMHSA.gov for more information:

For the most accuracy, it is recommended that a person outside your organization perform the DDCAT / DDCMHT evaluation.

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