Certified Co-occurring Disorders Specialist (CCDS)

Breining Institute credentials are held by addiction professionals in 47 U.S. States and 14 countries.


3 years general AOD/SUD experience, and
Pass the CDS Exam or
Qualify for exam waiver by completing the CD Education Course

“Test-in” Option
You may “test-in” by passing comprehensive CDS Exam. Exam and Answer Sheet are both available online. You must pass the exam with at least 70% correct answers. Exam fee is $89 (no charge until you pass the exam). Exam is based upon the material contained within the US Department of Health and Human Services publication Substance Abuse Treatment for Persons with Co-occurring Disorders, Treatment Improvement Protocol (TIP) Series 42, also known as TIP 42 (may be downloaded at this link: TIP 42).

40-hour Education Course
Complete the 40-hour online CD Ed. Course, and the Exam is waived. Based upon Substance Abuse Treatment for Persons with Co-occurring Disorders (TIP 42), this 40-hour Co-occurring Disorders Education Course may be completed entirely on-line.

CCDS Application
No application fee.
No membership dues.
Renewal is every 2 years.

40-hour online CD Education Course (successful completion waives exam)
CDS Exam Questions (use only if you are using the “test-in” option)
CDS  Answer Sheet (use only if you are using the “test-in” option)
CCDS Application (must be submitted by all candidates)