UCSD Co-Occurring Disorders
Integrated Treatment and Research Program

Treatment Program

The UCSD Co-Occurring Disorders (COD) Integrated Treatment and Recovery provides intensive integrated services for individuals with co-occurring substance abuse and other mental disorders. Services are provided by a multi-disciplinary team consisting of psychiatrists, psychologists, social workers, marriage and family therapists, and mental health professionals in training. Staff are trained in empirically based “Best Practices” treatment modalities that address both addiction and mental disorders and the interaction between. Outpatient services include care coordination, recovery counseling, relapse prevention, individual and group therapy, pharmacotherapy, psychoeducation, advocacy and community linkages to health, housing, self-help groups and vocational services.

Patients participate in a comprehensive assessment and collaborate with staff in designing an individualized treatment plan. The Program utilizes a harm reduction approach that helps the patient work towards sobriety by using motivational interviewing principles and “stages of change” model. Treatment approaches include Dialectical Behavior Therapy, Seeking Safety, Cognitive Behavioral Therapy, Schema-Focused and Mentalization based therapies and art therapy. A Mindfulness-Based approach toward daily living is emphasized. Family and significant others are included as an integral part of the recovery process.

The Program implements a six month to one-year stage-wise approach to recovery and rehabilitation based on individual capacities and needs followed by an individualized aftercare plan. Individuals typically participate in weekly psychotherapy and 3 groups a week. The initial phase engages the patient in a constructive working alliance; helps to stabilize a safe and stable home situation when needed and assures that basic needs are met. This phase also addresses beginning stabilization of psychiatric symptoms while working toward or maintaining sobriety. The middle phase works toward maintaining stabilization of symptoms and sobriety, strengthening bonds to family and community and developing interpersonal, emotional and behavioral regulation skills. The final phase focuses on developing or strengthening vocational goals and community connections while continuing to build on earlier gains.

Research Program

The UCSD COD Research Program seeks to improve the efficacy of treatment and better understand the causes and correlates of Co-Occurring Disorders. Participation in the research program is entirely voluntary and does not impact acceptance into the Program. Areas under study include attachment, dissociation, cognitive functioning, and childhood maltreatment, symptoms of post-traumatic stress and personality variables.

Director and Clinical Professor of Psychiatry
Patricia A. Judd, Ph.D.

Program Manager
Amelia Roeschlein, MFT

Fiza Singh, MD


Keren Bogin, MSW

Maiken Gale, Ph.D.
Rachael Hatton, IMF
Jennifer Lindsley, BA
Hais Nguyen, MA
 Susan Orgera, Psy.D.
Ashley Reynolds, MSW

Admission Procedures: Interested individuals should call 619-543-7625.

University of California, San Diego, Department of Psychiatry, 9500 Gilman Drive, Mail Code 0603 La Jolla, CA 92037-0603
Telephone: (858) 534-3684, Fax: (858) 534-7653, Electronic Mail: psychiatry@ucsd.edu