1. Lesson Learned: Local control in a statewide project to change service infrastructure is critical.

How related to achievements: In each of the three models, local control was mentioned by key stakeholders as a key factor to ensuring success. Local strategies are needed to tailor ways for fractious service systems to collaborate more effectively.

2. Lesson Learned: Training is a critical component in implementing strategies for collaboration across different care systems.

How related to achievements: Providers across medical, substance abuse, and mental health care systems need a common language to communicate effectively. Permits expansion of the knowledge base so that appropriate care and referrals can be made for individuals triply-diagnosed with HIV/AIDS, substance abuse, and mental illness.

3. Lesson Learned: Case management is a key element in the coordination of care across HIV/AIDS, substance abuse, and mental health service systems.

How related to achievements: All three models used case management effectively to streamline the care of multiply-diagnosed individuals.