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Co-occuring Disorders:     Integrated Dual Diagnosis     Treatment

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Evidence-Based Practices: Shaping Mental Health Services Toward Recovery

General Organizational Index (GOI)

Score Sheet

Program: _______________________ Date of Visit: _______________________

Informants – Name(s) and Position(s): _____________, ______________,

____________, ____________, _______________, _______________

Number of Records Reviewed: _______

Rater 1: _______________________

Rater 2: _______________________

    Rater 1 Rater 2 Rater 3
G1 Program Philosophy      
G2 Eligibility/Client Identification      
G3 Penetration      
G4 Assessment      
G5 Individualized Treatment Plan      
G6 Individualized Treatment      
G7 Individualized Treatment      
G8 Supervision      
G9 Process Monitoring      
G10 Outcome Monitoring      
G11 Quality Assurance (QA)      
G12 Client Choice Regarding Service Provision      
  TOTAL MEAN SCORE:      

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