On an even broader level, the monograph touches on some of the philosophical and ideological features of the newly developed community-based developmental disability sector as it evolved in the setting of the large-scale deinstitutionalization that started more than 30 years ago and that continues today. In useful introductory chapters, the series editors touch on the manner in which the sector often emphasized specific habilitation or rehabilitation needs, rather than focusing on the provision of treatment for mental disorders. The editors outline the manner in which systems of care that were separate from the mental health sector were developed, which furthered the process of separation of persons with dual diagnoses from mental health providers and which inevitably resulted in poor clinical outcomes and intolerable strains on the care delivery system. The awareness among professionals that persons with mental retardation could be affected by psychiatric conditions, just like everybody else, has developed slowly. The recognition that there is a need for an array of clinical services is what prompted the establishment of many of the services described in the monograph. This monograph can be seen as a review of the history of the field of dual diagnosis treatment as it has developed over the past 20 years, although this was not an objective of the authors.