Missouri provides 3 key evidence-based programs to high need individuals identified within our various contracted community mental health agencies. These include Assertive Community Treatment (ACT), Integrated Treatment for Co-occurring Disorders (ITCD) and Dialectical Behavior Therapy (DBT). These services are provided to acute, vulnerable individuals to ensure they remain productive and functional in their own homes and communities. These services are provided at a fraction of the cost of treatment than in longer term hospitalization or intensive residential services.
DMH goal: To ensure that high quality services, which are shown to increase positive individual outcomes, are available to more eligible individuals in Missouri.
Integrated Treatment for Co-occurring Disorders (ITCD) is an evidence-based practice with research to support its effectiveness for people with a serious mental illness and a co-occurring substance use disorder. Over 50% of people with the most serious mental illnesses have a co-occurring substance use disorder within their lifetime.
Integrated treatment teams are comprised of a physician or advanced practice nurse, a registered professional nurse, a qualified mental health professional, a qualified substance use professional and community support staff. With integrated treatment, the same practitioners or treatment team, working in one setting, provide mental health and substance use disorder treatment in an integrated fashion. Individuals receiving integrated treatment receive one consistent message about treatment and recovery.
Missouri has 49 teams that provide integrated treatment and serve approximately 3,100 individuals.
- Policy Memos
DMH Memos and Policies for Integrated Treatment for Co-occurring Disorders (ITCD)
- ITCD Provider Program Manual and Processes
- ITCD Guidance Document
- Attachment A - Requirements to Provide Integrated Treatment Services
- Attachment C - Integrated Treatment Service Definitions
- Link to Integrated Treatment toolkit
- ITCD Staff Qualification Guide
SAMHSA Evidence Based Practice Toolkits
- Resources
Team Information
Helpful Links
- ITCD Training Library
- 2025 ITCD Role Training Schedule
- ITCD for Managers
- ITCD GOI Protocol
- ITCD Peer Role
- ITCD Prescriber Role
- ITCD RN Role
- ITCD Specialist Role
- ITCD CSS, I.H.S. Role
- ITCD Non Response to Treatment
- ITCD Quality Assurance Processes
- ITCD Interventions to Promote Health
- Working with Psychosis
- General Effective Leadership Styles
- Stages of Change & Treatment
- Supported Employment Overview
- WRAP Overview
- Family Interventions
- General Harm Reduction
- Psychiatric Rehabilitation
- DBT Overview Part 1
- DBT Overview Part 2
- DBT Overview Part 3
- DBT Overview Part 4
- CBT Overview Part 1
- CBT Overview Part 2
- CBT Overview Part 3
- Newsletters
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- Department of Mental Health Contact Information
DMH staff provide technical assistance, consultation, support, and training to ITCD Teams. DMH staff also conduct annual fidelity reviews for each ITCD team. Fidelity reviews consist of interviews with team members and individuals served, clinical record reviews, and meeting and group observation to measure adherence to the ITCD evidence-based treatment model.
Bobbi Good, LCSW
3505 Frederick Avenue
St. Joseph, MO 64772
Bobbi GoodErin Hahs, MSW, LCSW
1101 Weber Rd., Suite 106
Farmington, MO 63640
573-218-5015
Erin HahsLaila Griffith
1515 E. Pythian Street
Springfield, MO 65802
Laila GriffithSara Bellew
1101 Weber Road, Suite D
Farmington, MO 63640
(573) 218-5010
Sara Bellew