History
The Missouri Alliance for Dual Diagnosis (MOADD) was established in 2018, as a collaborative effort between Department of Mental Health (DMH) staff and DMH providers with interest in developing expertise in supporting individuals with dual intellectual/developmental disabilities (I/DD) and behavioral health diagnosis. A taskforce was created to include a diverse interdisciplinary group of professionals from across the state of Missouri and was formed in recognition that individuals with co-occurring conditions face unique challenges in accessing appropriate care. This taskforce produced the content of the Missouri Alliance for Dual Diagnosis (MOADD) Guidebook, defining and describing best practice approaches to support individuals with co-occurring mental/behavioral health symptoms and a diagnosed intellectual/developmental disability (IDD).
After defining best practices included in the MOADD Guidebook, the remaining taskforce members continue to serve as an advisory committee to the Department of Mental Health until 2022.
BHIDD Best Practices
The Missouri Alliance for Dual Diagnosis (MOADD) Guidebook defines best practice clinical guidelines and approaches to support individuals with co-occurring intellectual, developmental and behavioral health diagnoses. Topics include General Safety Considerations, Medication Management Primer for Dual Diagnosis, Trauma, Autism Spectrum Disorder/Intellectual Disabilities and Anxiety, Autism Spectrum Disorder/Intellectual Disabilities and Aggression, Autism Spectrum Disorder/Intellectual Disabilities and Depression, and Autism Spectrum Disorder/Intellectual Disabilities and Substance Use/Problematic Risky Behavior.
2022 NEWS RELEASE: Missouri Taskforce releases Guide for Dual Diagnosis Best Practices
MOADD Research Article for Best Practices
Foundations in Best Practice Video Series
DMH has developed a series of videos on BHIDD best practices. View the entire playlist for helpful information.
- Therapeutic Supports for Intellectual Disabilities
- Adaptations to ACT for Individuals with IDD
- Adaptations to CBT for Individuals with IDD
- Adaptations to DBT for Individuals with IDD
- Adaptations to EMDR for Individuals with IDD
- Adaptations to MST for Individuals with ASD and IDD
- Adaptations to Trauma Focused CBT for Individuals with IDD
- Adaptations to Triple P for Individuals with IDD
- Trauma Informed Behavioral Interventions for IDD Learning Collaborative
Drawing on information from her two books, "Trauma and Healing in the Lives of People with Intellectual Disability" (2023) and "Trauma Informed Behavioral Interventions: What Works and What Doesn’t" (2012), Dr. Karyn Harvey shares didactic lessons, case examples and trauma sensitive behavioral interventions in this learning collaborative. Listen to the 6-part series to better support individuals with intellectual and developmental disabilities in need of trauma and behavioral health interventions. Visit her website KarynHarvey.org for free worksheets and interventions available for download.
Session 1 - Impact of Long-Term Institutionalization, Therapy Interventions - 2/20/25 (Video Unavailable)
Session 3 - "Little t" and Big "T" Trauma, Validation and Acceptance Interventions - 4/10/25 (Archived)
Session 4 - The Path to Healing, Healing Triangle Intervention - 5/22/25 (Archived)
- Additional Resources
Current BHIDD Efforts
In 2022, national efforts to support individuals with behavioral health and intellectual/developmental disabilities (BHIDD) including Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Institute of Mental Health (NIMH) focusing on research, treatment and service delivery. At this time, the Department of Mental Health partnered with the Missouri Behavioral Health Council (MBHC) to integrate services and create new support when appropriate.
Nine Missouri Behavioral Health and Developmental Disability providers, psychiatric stabilization services and one state stabilization unit have since worked to create BHIDD continuum of residential community programs to integrate behavioral health services, developmental disabilities services, positive behavior support and community resources.
Professional Development
General
- MOADD 101 Training
- Webinar held August 30, 2018 — MOADD Presents: Co-Occurring Intellectual/Developmental Disability-Behavioral Health Diagnoses 101
- Integrating a Trauma-Informed Approach within a PBIS Framework
- Module 1 - Observation and Documentation
- Module 2 - Some Positive Support Strategies
- Module 3 - Components to Successful Crisis Intervention
- Integrating a Trauma-Informed Approach within a PBIS Framework
Clinical Consultation
National Resources
- Administrative for Community Living
- National Association for Dual Diagnosis
- Mental Health and Developmental Disabilities Training Center
Past Summit Presentations
- Increasing Access to BH Services for Individuals with IDD and Co-Occurring BH Needs
- Learning Theory Across Disciplines: Helping Psychotherapists, Educators, & Behavior Analysts Understand One Another
- Trauma Informed Support and the Path to Healing
- Can Therapy Work for People with Intellectual/Developmental Disabilities
- MOADD Myth Busters & Modifications for Treatment (Archived)
- Toward Precision Health for Individuals with Dual Diagnosis (Archived)
- Project ECHO: Extension for Community Healthcare Outcomes (Archived)
- A Proposed Missouri road map For precision health in dual diagnosis
- Prevalence Data and Principles For Interventions For Dually Diagnosed
- Best Practices for Best Care The Importance of Interdisciplinary Teams
- Optimistic Beginnings Panel Presentation
- MOADD ACT-TAY
- BJC Behavioral Health Update
Past Summit Recordings
- MOADD Summit (Archived)
- Provider Panel (Archived)
- Family Panel (Archived)