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Residential care for adults with co-occurring mental health and substance use conditions.
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Dual diagnosis treatment at Villa Healing Center is a residential program in Woodland Hills, California for adults with co-occurring mental health and substance use conditions. Treatment follows the integrated-care model recommended by SAMHSA, addressing both conditions in one clinical plan. Staff are onsite 24 hours a day. We accept most major commercial insurance.
Dual diagnosis is the clinical pattern of a mental health condition and a substance use disorder occurring at the same time in the same person, also called co-occurring disorders. The Substance Abuse and Mental Health Services Administration estimated that 21.5 million adults in the United States had a co-occurring mental health and substance use disorder in 2022 based on the National Survey on Drug Use and Health.
Dual diagnosis is not a single DSM-5 entity. It is the pairing of two concurrent diagnoses, such as major depression with alcohol use disorder, post-traumatic stress disorder with opioid use disorder, or generalized anxiety disorder with cannabis use disorder. The National Institute on Drug Abuse research on comorbidity documents that mental health conditions and substance use disorders share genetic, neurological, and environmental risk factors, and either can precede the other.
Dual diagnosis covers a wide range of mental-health-plus-substance-use combinations, and our residential program treats the most common patterns documented in the National Institute on Drug Abuse research on comorbidity: anxiety and addiction, depression and addiction, trauma and substance use, ADHD and substance use, and suicidal ideation and substance use.
Each co-occurring condition has a dedicated clinical page:
Not sure if your situation fits our program? Call (888) 669-0661 to talk with admissions.
Co-occurring mental health and substance use conditions can be treated under three different clinical models, and integrated treatment is the standard of care identified by SAMHSA TIP 42.
Comparison table
Dimension | Sequential | Parallel | Integrated |
Definition | Treat one condition first, then the other | Treat both conditions at the same time, through separate providers and treatment plans | Treat both conditions at the same time, through one clinical team and one unified plan |
Typical setting | You enter one program for the first condition, then a different program for the second | You see a mental health provider and a substance use provider at the same time | You are seen by an integrated team trained in both mental health and substance use |
Coordination | Low; providers do not coordinate between programs | Moderate; providers share notes but plans remain separate | High; one team, one plan, one set of clinical goals |
Evidence base | Older model; SAMHSA notes higher dropout and relapse rates | Improvement over sequential but still fragmented | SAMHSA TIP 42 identifies integrated treatment as the standard of care for co-occurring disorders |
Where Villa Healing fits | Not used | Not used | Villa Healing Center uses the integrated model |
Integrated treatment is the model SAMHSA TIP 42 identifies as the standard of care for co-occurring disorders, because it removes the gaps in communication and treatment planning that drive higher dropout and relapse rates in sequential and parallel care. Villa Healing Center uses the integrated model. One clinical team holds both halves of the diagnosis, builds one treatment plan, and reviews progress on both conditions together.
Our dual diagnosis program combines mental health therapy, substance use treatment, medication management, and trauma-informed daily programming under one clinical plan, treating both conditions together rather than in sequence.
Treatment begins with a clinical assessment by a licensed therapist after admission. The assessment establishes the specific mental health diagnoses, the specific substance use pattern, the severity of each, and the right level of care. Your treatment team builds one plan covering both conditions, reviewed and updated as your clinical picture changes.
A typical week in residential includes individual therapy sessions, group therapy sessions including dedicated co-occurring-disorders groups, family therapy on a scheduled basis when clinically appropriate, medication management visits with a psychiatric provider, and integrative wellness programming. Behavioral health staff are onsite 24 hours a day.
Suicidal ideation and self-harm urges, which the National Institute of Mental Health identifies as a heightened risk in adults with co-occurring depression and alcohol use disorder and in adults with co-occurring PTSD and opioid use disorder, are assessed at admission, with heightened monitoring and safety planning maintained throughout the stay as clinically indicated.
Our dual diagnosis program uses cognitive behavioral therapy, dialectical behavior therapy, trauma-focused therapy, motivational interviewing, family therapy, and medication management.
Cognitive Behavioral Therapy (CBT) is foundational in dual diagnosis care because it addresses the thinking patterns that drive both mood symptoms and substance use, without requiring a separate course of treatment for each. CBT runs through individual and group sessions during your stay.
Dialectical Behavior Therapy (DBT), developed by Marsha Linehan, is integrated for adults whose dual diagnosis presents alongside emotional dysregulation, self-harm urges, or relationship instability. DBT teaches distress tolerance, emotional regulation, interpersonal effectiveness, and mindfulness, which apply directly to both the mental health and substance use sides of co-occurring conditions.
Trauma-focused therapy is included when trauma is part of the clinical picture, which is common in dual diagnosis. Eye Movement Desensitization and Reprocessing (EMDR) is recommended for PTSD by the American Psychological Association and the World Health Organization. Cognitive Processing Therapy, developed by Patricia Resick, and Prolonged Exposure, developed by Edna Foa, are also evidence-based first-line PTSD treatments recommended by the APA.
Motivational Interviewing is used to address ambivalence about substance use change. It is integrated alongside the mental health work rather than scheduled as a separate substance-only track.
Medication management is part of the clinical program, provided by a psychiatric prescriber. The FDA-approved medications for alcohol use disorder are naltrexone, acamprosate, and disulfiram. The FDA-approved medications for opioid use disorder are buprenorphine, methadone, and naltrexone. Mental health medication management for the diagnoses we treat, including SSRIs, SNRIs, and mood stabilizers, is provided in-house.
Villa Healing Center accepts most major commercial insurance for dual diagnosis care in Woodland Hills. Most commercial plans cover dual diagnosis care with prior authorization for residential treatment benefits. Initial residential authorizations require prior approval, with continued-stay reviews conducted based on medical necessity. Out-of-pocket cost depends on your plan deductible and coinsurance.
If your plan is out-of-network, we work with you on out-of-network reimbursement, single-case agreements, and self-pay options. Call (888) 669-0661 to discuss options.
Villa Healing Center’s facility is located at 23033 Ostronic Drive, Woodland Hills, California 91367, in the San Fernando Valley of Los Angeles County.
SAMHSA NSDUH data has consistently shown that only a small percentage of adults with co-occurring disorders nationally receive treatment that addresses both conditions in the same year. Adults across the San Fernando Valley face the same gap.
Our residence sits in Woodland Hills, accessible from the 101 and 405 Freeways. We serve adults from across the San Fernando Valley and coordinate admissions from across California. Adults from across Los Angeles County, Ventura County, Orange County, and the broader Southern California region travel to our Woodland Hills facility for integrated dual diagnosis care.
Clinically reviewed by Dr. Courtney Scott, MD, Medical Director at Villa Healing Center. Board eligibility: Emergency Medicine, Internal Medicine, Addiction Medicine.
Mental health admissions are open 24 hours a day, 7 days a week. Call (888) 669-0661 to speak with a clinical intake coordinator, or verify benefits to start.