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Similar to the population at large, a certain percentage of persons with developmental disabilities also have formal diagnoses of mental illness (MI). Many persons with MR/MI are among the persons supported by Community Systems, Inc. Persons with dual diagnoses (MR/MI) can experience a full range of mental illnesses and accompanying symptoms. Diagnosis is sometimes challenging for clinicians, because persons' intellectual disabilities may impair their insight and accurate reporting of symptoms.

Persons with dual diagnoses are helped with a variety of strategies, including positive behavioral supports; psychiatrists and psychologists who specialize in MR/MI; well trained CSI staff; approved psychotropic medications; and community supports.

Persons with MR/MI live and work successfully in their community with residential and employment supports provided by CSI. A few may require infrequent and brief inpatient hospitalization but, if so, return to their CSI-supported homes thereafter.