A study of provider perceptions of individuals with dual disorders.

Human service workers devote a great deal of time in preparing to serve clients. The majority of this preparation is focused in one direction, with exposure to a limited type of client. The growing population of individuals with dual disorders of mental illness and substance abuse challenges this tradition in training, in that these clients pose unique, multiple, and overlapping characteristics, symptomatology, and behaviors requiring a synthesis of training approaches. Based on survey data collected in a county in New York State, this study discusses how providers from various agencies view individuals with dual disorders and proposes coordination and training efforts that can be designed to respond to providers' treatment concerns.