Across the country States are addressing the issue of Co-Occurring Disorders (Mental Health and Substance Abuse) with their clients. Both Mental Health and Substance Abuse centers confront this issue on a daily basis. Addressing Co-Occurring issues, with adolescents can be challenging and often times frustrating. There are a limited number of treatment approaches that address this issue with clarity and many clinicians face barriers when confronting the often-complex issues young people bring to the therapy arena. The Division of Behavioral Health contracted with several local consultants with national expertise to develop practice guidelines for the care and treatment of youth with co-occurring disorders. These practice guidelines include sections that outline why it is important to address both issues at the same time, how common the problem is, guiding principles for integrated assessment and treatment, models of integration and issues of implementation.