What You'll Learn

By the end of this course, you will be better prepared to:

  • recognize signs that a client may be suffering from a severe mental illness (SMI);

  • begin to differentiate SMI from substance use disorders (SUD); and

  • consider treatment needs of those with SMI and co-occurring disorders.

Who This Course Is For

Mental health and addictions treatment providers and peer specialists across the globe, including:

  • Certified Alcohol and Drug Counselors (CADC);

  • Qualified Mental Health Associates (QMHA);

  • Certified Recovery Mentors (CRM);

  • Qualified Mental Health Professionals (QMHP);

  • family therapists, art therapists, mental health counselors, social workers, psychologists, and other mental health clinicians; and

  • those who work work in Oregon's approved Integrated Co-occurring Disorder treatment programs.

Who Will Benefit

This course is especially useful if you:

  • want to strengthen your ability to recognize signs that a client may be experiencing a severe mental illness;

  • want greater confidence distinguishing mental health symptoms from substance-related concerns;

  • support people with complex behavioral health needs across multiple systems of care; or

  • provide integrated or collaborative behavioral health care.

What Is Included

This on-demand, online training explores the complexities of working with people who experience SMI and SUDs. You will strengthen your ability to recognize signs of SMI, distinguish mental health symptoms from substance-related concerns, and consider appropriate risk assessment, service planning, and treatment adaptations for people with co-occurring needs.

  • The course includes presentations, readings, immersive case studies, and skill demonstrations.

  • We suggest you take your time, view content as many times as you like, and access suggested readings and resources when possible.

  • It is not necessary to complete the course in a single sitting. You are free to open and close the course as many times as you like.

  • Once you have reviewed and mastered the content, you will be required to pass short quizzes before you are eligible for verification that you have successfully completed the course.

Learn from immersive case studies

Who Developed This Course

Instructor Haven Taylor

Haven Taylor, MA has over 15 years of experience in the behavioral health field, including leadership in team and program development. Her work focuses on advancing whole-person, recovery-oriented systems of care and improving services for individuals with co-occurring behavioral health needs. She has experience across correctional, residential, and community-based treatment settings and was recognized with a Director’s Award for contributions to Special Housing at the Oregon State Penitentiary.

Instructor Blanca Fernandez

Blanca Fernandez, MSW is a bilingual, bicultural Latina social worker serving as a Co-Occurring Treatment Specialist with the Oregon Health Authority’s Intensive Services Unit. Her work focuses on the Aid and Assist population and advancing integrated care for individuals with complex dual diagnoses. Blanca earned her Master of Social Work from New York University in 2016, with a focus on integrated behavioral health. She previously worked as a medical social worker supporting Medicaid recipients transitioning from hospitalization to community care. A native Portlander, Blanca is committed to reducing disparities through culturally responsive, collaborative systems of care.

Senior Instructor Teresa McDowell

Teresa McDowell, EdD, LMFT is professor emerita at Lewis & Clark, where she served as department chair and co-founded the college’s Problem Gambling Services. With over 40 years of experience as a clinician, educator, administrator, and consultant, Teresa focuses on workforce development, equity-based clinical practice, integrated treatment for problem gambling, and clinical supervision. She is a social researcher, program evaluator, and consultant with Partners in Social Research and Senior Instructor for ACORN. Dr. McDowell has authored more than 50 scholarly publications and is lead author of Socioculturally Attuned Family Therapy: Applying Third Order Thinking to Theory and Practice (3rd Ed., 2026).

What Others Are Saying

5 star rating

Severe Mental Illness and Co-Occurring Disorders

L J

It was presented well and I like that there was a response as to why the other answer was correct so that we learn and can retain the material even more

It was presented well and I like that there was a response as to why the other answer was correct so that we learn and can retain the material even more

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5 star rating

Lots of good information

Deanna Wilson

Gives a good overview of SMI's and co-occuring SUD's.

Gives a good overview of SMI's and co-occuring SUD's.

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5 star rating

Severe Mental illness and Co-occurring Disorders

Kristin Pereyra

Great course

Great course

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5 star rating

Excellent course

Tanya Pritt

Good, basic education. The vignette at the end was great. The attached learning documents supported the course.

Good, basic education. The vignette at the end was great. The attached learning documents supported the course.

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5 star rating

It was to the point.

Bobby Benton, CADC II. QMHA I

Informative.

Informative.

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5 star rating

Learned a great deal to help in my current position

Michelle Dix

What About CE Hours

Certificate of completion will be made available on the Student Dashboard after you complete all required course activities and the course evaluation survey.

ACORN is approved by the Mental Health & Addiction Certification Board of Oregon (MHACBO), Provider ID: 26-0044, to provide continuing education courses. Additionally, ACORN is approved by the National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider, ACEP No. 7274. Programs that do not qualify for NBCC credit are clearly identified. ACORN is solely responsible for all aspects of the programs.

Start Learning Today

Free of charge, courtesy of Oregon Health Authority. For questions about Oregon’s Integrated Co-occurring Disorders Program contact OHA program support at [email protected].

Oregon Health Authority (OHA) logo
Mental Health and Addiction Certification Board of Oregon logo
National Board for Certified Counselors logo
Oregon Council on Problem Gambling logo