The Mental Health and Mental Retardation Act of 1963, created administrative structures for two service systems, with separate responsibilities, budgets, and service missions, along with different treatment and care philosophies (Menoscalino, Gilson, & Levitas, 1986).
The separation between the mental health and mental retardation service systems creates several barriers to service delivery for individuals with dual diagnosis.
In addition, ENCOR is committed to active treatment of people with dual diagnosis and continually works to link professionals from local mental health and mental retardation programs (Fletcher, 1993).
The Interface Program is composed of three dual diagnosis specialists and one coordinator with responsibilities in the development and implementation of individualized service plans, provision of necessary mental health and mental retardation services, maintenance of effective interdisciplinary team characteristics, data collection on dual diagnosis subgroups, and local and regional educational programs (Davidson et al, 1999; Woodward, 1993).
The mental health and mental retardation service systems have separate budgets, missions, and philosophies.
Earlier regulations adopted in compliance with Title 37.1-84.1 delineate rights of patients of psychiatric hospitals and other psychiatric facilities (1980), and residents of facilities operated by the Department of Mental Health and Mental Retardation (DMHMR) (1978 and 1983 revised).
Following revision in response to December public hearings, the State Board for Mental Health and Mental Retardation will consider these regulations in February 1984.
The Institute of Law, Psychiatry and Public Policy, in cooperation with the Virginia Department of Mental Health and Mental Retardation, the Department of Social Services, and the Department of Rehabilitative Services, will soon provide training to clinicians and advocates in the Social Security mental disability process.
The course is expected to improve the capacity of state and local mental health and mental retardation professionals to perform skilled clinical evaluations of mental disability.
The National Association for the Dually Diagnosed promotes national and local conferences, training materials, and bibliographies on mental health and mental retardation
. Researchers have developed psychopathology rating scales designed specifically for this population (Hurley, et al.
Funds used to support adult day activity centers and programs are available through state departments of mental health and mental retardation
. These funds, which have been traditionally used for sheltered workshop and day activity programs, are now being utilized to support workers in the follow-along phase in supported employment.