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In Their Own Words: How Fragmented Care Harms People with Both Mental Illness and Substance Use Disorder

For the 8.9 million American adults — about 500,000 Californians — with a dual diagnosis of mental illness and substance use disorder, it can be difficult to receive fully coordinated and effective care. For people with low incomes, the barriers can be even higher and lead to unnecessary suffering and poor health outcomes. To better understand how Californians with dual diagnoses experience treatment, CHCF commissioned interviews with 54 people insured through Medi-Cal who have both mental illness and substance use disorder (SUD), as well as additional interviews with the family ...