ABSTRACT

This separation of addiction and psychiatric services is so commonplace that practitioners have come to accept it as “normal”. Clinicians are often trained in addiction or mental health, but not both, and rarely experience themselves as competent in treating both types of disorders. Moreover, the two systems of care have distinct-and apparently irreconcilable treatment philosophies or techniques (Ridgely,

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Goldman & Talbott, 1987), and practitioners rarely feel comfortable operating in both systems.