Co-Occurring Disorders
Co-Occurring Disorders Case Management — Addressed Together, Not Separately
When substance use and mental health conditions exist together, treating one without the other is the most common reason treatment fails. We hold both.
Overview
Why integrated case management matters
The majority of people with a substance use disorder also live with a mental health condition. Depression, anxiety, PTSD, bipolar disorder, and psychosis frequently co-occur with addiction. When these conditions are treated in isolation — an addiction program that sidelines mental health, or a psychiatrist who ignores the substance use — the treatment plan has a structural flaw. That flaw is why relapse and re-hospitalization rates stay high.
Co-occurring disorders case management exists to close that gap. A case manager with expertise in both substance use and mental health builds a single, unified care plan that addresses both conditions as interconnected — because they are. At Holistic Solutions, this is not a specialty add-on. It is the norm in the cases we see.
Our clinical foundation spans substance use and psychosis — the two areas where co-occurrence is most complex and most dangerous. Jack Foley, LMFT, built this practice around the intersection. Every case manager on our team is a licensed clinician with training in both domains.
If you or someone you love is navigating both addiction and mental health, call us. (702) 494-7641. All inquiries are confidential.
How It Works
What integrated case management looks like
Integrated Assessment
A comprehensive evaluation that examines substance use and mental health simultaneously — not as two separate problems. We identify how each condition influences the other and what has failed in prior treatment.
Unified Care Plan
One coordinated plan that addresses both conditions. Not two plans that don't communicate. Treatment goals, provider selection, and medication management are aligned from the start.
Dual-Track Provider Coordination
We manage relationships across both specialties — psychiatrists, addiction medicine physicians, therapists, treatment programs — ensuring they are aligned and sharing information. We are the thread that connects the system.
Ongoing Monitoring
Co-occurring conditions shift. Substance use destabilizes mental health. Psychiatric symptoms trigger relapse. We track progress across both dimensions and adjust the plan in real time as your situation evolves.
“Co-occurring presentations are not a specialty add-on for us. They are the norm in the cases we see. Our clinical team is trained to hold both the substance use and the psychiatric complexity in view at all times.”— Jack Foley, LMFT · Founder, Holistic Solutions
Common Presentations
What co-occurring disorders look like in practice
Co-occurring disorders is a broad term. In practice, the most common — and most complex — combinations we manage include:
Each of these requires a different clinical approach. A case manager who understands both the substance use and the psychiatric side can identify the right combination of programs and providers — and prevent the pattern of fragmented care that leads to repeated failure.
Who We Work With
Families, individuals, and referral sources
Families. If your loved one has been through treatment before and it hasn't held, co-occurring conditions are often the reason. We help families understand what went wrong, build a plan that addresses the full clinical picture, and coordinate every step.
Individuals. If you are managing both addiction and a mental health condition, the system was not built to make this easy. We are. One case manager, one plan, both conditions addressed from day one.
Providers. Psychiatrists, therapists, hospitals, and EAPs refer dual diagnosis cases to us when they need a clinical partner who can hold both sides of the picture and keep the care plan aligned across providers.
Nationwide
Co-occurring disorders case management across the US
We are headquartered in Los Angeles and work with clients and families in all 50 states. Co-occurring disorder case management is conducted remotely — integrated assessments, provider coordination, family communication, and care plan management do not require proximity. Our national network includes dual-diagnosis treatment programs, psychiatrists, and therapists across the country.
Frequently Asked Questions
Common questions, honest answers.
What are co-occurring disorders?
Co-occurring disorders — also called dual diagnosis — refers to the presence of both a substance use disorder and a mental health condition at the same time. Common combinations include addiction with depression, anxiety, PTSD, bipolar disorder, or psychosis. The conditions influence each other and must be addressed together for treatment to be effective.
Why does co-occurring disorder treatment fail so often?
Most treatment failures happen because the conditions are treated separately — a substance use program that ignores the mental health component, or a mental health provider who minimizes the addiction. Integrated treatment addresses both simultaneously. A case manager ensures that happens by coordinating between providers and keeping the full picture in view.
How is co-occurring disorders case management different from standard case management?
Standard case management may focus on one condition. Co-occurring case management requires a clinician who understands both substance use and mental health simultaneously — how they interact, which symptoms belong to which condition, and how to build a unified care plan. It requires clinical depth in both areas, not just coordination skills.
What does a dual diagnosis case manager do?
A dual diagnosis case manager conducts an integrated assessment, builds a unified care plan addressing both conditions, identifies treatment programs equipped for co-occurring disorders, coordinates between mental health and substance use providers, manages transitions between levels of care, and provides ongoing advocacy throughout the process.
Can co-occurring disorders be managed remotely?
Yes. Holistic Solutions provides co-occurring disorder case management nationwide. Assessments, care planning, provider coordination, and family communication are conducted remotely. Our network of treatment programs and providers spans all 50 states.
How do I know if someone has co-occurring disorders?
If someone is struggling with substance use and also experiencing persistent mental health symptoms — depression, anxiety, mood instability, paranoia, psychosis, or trauma responses — co-occurring disorders are likely. A clinical assessment is the only way to confirm. Contact us at (702) 494-7641 for a confidential consultation.
Get Started
Reach out. We'll take it from here.
All inquiries are confidential. A member of our team will respond within one business day, wherever you are in the US.