THE COMMUNITY SUPPORT PROGRAM DEMONSTRATIONS OF SERVICES FOR YOUNG-ADULTS WITH SEVERE MENTAL-ILLNESS AND SUBSTANCE USE DISORDERS, 1987-1991

Between 1987 and 1991, 13 Community Support Program demonstration proj ects served I, 157 young adults with co-occurring severe mental illnes s and substance use disorder The service demonstrations and related pr ogram evaluations provided a watershed in the development of dual-diso rder services and research. The service demonstrations showed that sub stance abuse treatments could be integrated with components of outpati ent mental health services and that motivational interventions were fu ndamental. The Program evaluations showed that clients could be engage d in integrated community-based services, with the possibility of conc omitant reductions in hospital use, improvements in severity of substa nce abuse, and gains in other areas. The program evaluations also eluc idated several assessment issues for future dual disorder services res earch.