Dual Services

No special needs group strains the service capacity of community mental health/Intellectual disabilities services to a greater extent than people with dual diagnoses of developmental disabilities and psychiatric conditions. (National Association for the Dually Diagnosed, 2006)
The mission of the Dual Services Program is to insure the coordination and support for children (ages 3+) and adults with a diagnosis of a serious mental illness and an intellectual disability (including borderline intellectual functioning) in Clearfield and Jefferson Counties.
The Dual Services Program was developed in 2005 as a support for behavioral health case managers and intellectual disability supports coordinators, to give to them a venue through which they can better assist persons who are dually diagnosed, especially persons with extremely complex behavioral, emotional, medical, social and physical challenges. In 2006, a simple, non-clinical, Dual Assessment was developed to be used by case managers and anyone else who was involved with working with a dually diagnosed person. The areas that are assessed are: Self and Medical Care; Ability to Communicate; Psychiatric and Behavioral and Housing and Supports. The assessment takes about five minutes to complete, can be updated as needed, and is included as part of the initial referral information.

Also in 2006, the Systems Navigator and facilitator roles were implemented. The Systems Navigator, and facilitators, are individuals with experience in both the behavioral health and intellectual disabilities systems. The Systems Navigator receives referrals, sets the meeting and guides the meeting. Typical Dual Services meetings include the Systems Navigator, case manager and/or the supports coordinator, a psychiatric R.N., any providers who have been working with the individual, Community Care Behavioral Health Organization (MCO), family members and the individual for whom the meeting is being held. Every effort is made to have each attendee, and especially the individual, feel that they are part of supportive team that is working with the individual to help them overcome their challenges and to lead the life that they want.

Approximately 3% of the general population has some level of Intellectual disability defined as an I.Q. of 70 or below. Of that population, it is estimated that between 8% and 10% of the number of persons with an Intellectual Disability have a serious mental illness. In the Community Connections service area (Clearfield and Jefferson Counties) we have estimated that approximately 350 persons are dually diagnosed. There have been over 125 Dually Diagnosed individuals who have participated, and have been helped, by our Dual Services Program.

We welcome the opportunity to discuss with your our efforts to help dually diagnosed individuals and to offer consultation, guidance and support if you are planning on starting a dual service initiative.

We welcome input, and information, from other Counties, Providers or Organizations that have a Dual Services Program. We look forward to sharing information and ideas that can enhance the ability of our systems to provide the services and supports needed to help Dually Diagnosed individuals progress on their journey to Recovery and to achieve the Everyday Life to which they aspire.

If you have  questions or would like additional information on Dual Services, please contact Bob Fleming, Behavior Health Program Specialist/Systems Navigator at: 814-371-5100 ext.345(telephone), 814-771-3186(cell),  or send an e-mail to:
You can download a copy of the Dual Service Description by clicking here.
You can download the Dual Diagnosis Team Referral Form by clicking here.
You can download the Dual Service Assessment Form by clicking here.
You can download the Dual Service Assessment Instructions by clicking here.