ABSTRACT
The building of a national network of 2 × 4 Model clinics has the potential to decisively raise the standards of addiction and dual diagnosis care, while making behavioral health care as a whole far more accessible, efficient, and effective for a much wider portion of the general population. The addiction psychiatrist is the essential seed upon which any 2 × 4 Model clinic can be grown. It's not that cross-trained nurses or therapists cannot be critical catalysts and leaders in this effort, it is just that the most necessary human element is the addiction psychiatrist. If 2 × 4 Model clinics become more usual as training settings for addiction psychiatrists, and a strong system of such clinics is built, it is likely that these clinics and their physician workforces will be selfsustaining. Recruiting more graduated psychiatrists into addiction psychiatry fellowship slots is one of the more challenging chores for the addiction psychiatry training director.
