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Treatment for Patients with Co-occurring Disorders (COD)
Quadrants of Care Model 3
SUD More Severe
MD Less Severe
SUD treatment provider, in collaboration with MD treatment provider as needed. 4
MD More Severe
Intensive, comprehensive, integrated treatment for both disorders. Emergency care as needed. 1
SUD Less Severe
Primary healthcare setting, in collaboration with SUD/MD treatment providers as needed. 2
MD treatment provider, in collaboration with SUD treatment provider as needed. LOW
severity Mental Disorder (MD) HIGH
Substance Use Disorder (SUD) HIGH
severity Source: Center for Substance Abuse Treatment. Identifying and Helping Patients With Co-Occurring Substance Use and Mental Disorders: A Guide for Primary Care Providers. Substance Abuse in Brief Fact Sheet Fall 2006, Volume 4, Issue 2.