Ibero-American initiative for dual disorders to improve public treatment programs

Luis Alfonzo-Bello, Néstor Szerman, Rodrigo Marín-Navarrete, Elisabet Arribas-Ibar, Alejandro Pérez-Lopez, Francisco Babín, María Elena Medina-Mora

DOI: https://doi.org/10.17711/SM.0185-3325.2017.032

Abstract


Introduction. Dual disorders (DD) are defined as the co-occurrence of substance use disorders with other psychiatric disorders across the lifespan. DD represent a diagnostic dimension with clinical peculiarities and specific healthcare needs, which raises the need to implement integrative treatment algorithms. However, worldwide, most programs address this condition through serial or parallel approaches. In Latin America, as in the rest of the world, there is no health care network that adequately addresses this problem.

Objective. To describe the development of the initiative for the integral treatment of DD in Latin America.

Method. The Organización Panamericana de la Salud (Pan American Health Organization), together with other collaborating organizations, implemented a three-stage plan for developing a regional initiative: 1. meeting of DD experts, 2. review of the literature on DD, and 3. identification of services for DD care in Latin America.

Results. The creation of the Iniciativa Iberoamericana para la Patología Dual (Ibero-American Initiative for Dual Disorders) seeks to implement four lines of action to improve of public services: a) build a theoretical-conceptual consensus on DD, b) propose a treatment model, c) develop skills-based training, and d) create collaborative networks for research on DD.

Discussion and conclusion. The following actions include the formation of working groups to create a regional collaborative network, discuss the role of participating organizations and establish guidelines for the implementation of the initiative.


Keywords


Dual disorders; substance use disorder; mental disorders; addictions; Ibero-American countries

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References


Arias, F., Szerman, N., Vega, P., Mesias, B., Basurte, I., Morant, C., … Babín, F. (2013). Estudio Madrid sobre prevalencia y características de los pacientes con patología dual en tratamiento en las redes de salud mental y de atención al drogodependiente. Adicciones, 25(1), 191–200.

Bagby, R.M., Ryder, A.G., Schuller, D.R., & Marshall, M.B. (2004). The Hamilton Depression Rating Scale: has the gold standard become a lead weight? The American Journal of Psychiatry, 161(12), 2163-2177. doi: 10.1176/appi.ajp.161.12.2163

Blumenthal, D., Gokhale, M., Campbell, E. G., & Weissman, J. S. (2001). Preparedness for clinical practice: reports of graduating residents at academic health centers. JAMA : The Journal of the American Medical Association, 286(9), 1027–1034. doi.org/10.1001/jama.286.9.1027

Center for Behavioral Health Statistics and Quality (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH Series H-50).

Dansky, B. S., Roitzsch, J. C., Brady, K. T., & Saladin, M. E. (1997). Posttraumatic stress disorder and substance abuse: Use of research in a clinical setting. Journal of Traumatic Stress, 10(1), 141–148. doi: 10.1023/A:1024872800683

Drake, R. E., Mercer-McFadden, C., Mueser, K. T., McHugo, G. J., & Bond, G. R. (1998). Review of integrated mental health and substance abuse treatment for patients with dual disorders. Schizophrenia Bulletin. doi: 10.1093/oxfordjournals.schbul.a033351

Fixsen, D., Naoom, S., Blase, K., Friedman, R., & Wallace, F. (2005). Implementation Research: A synthesis of the Literature. Tampa, Fl: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).

Foster, S., LeFauve, C., Kresky-Wolff, M., & Rickards, L. D. (2010). Services and supports for individuals with co-occurring disorders and long-term homelessness. Journal of Behavioral Health Services and Research, 37(2), 239–251. doi: 10.1007/s11414-009-9190-2

Huang, S.L., Hsieh, C.L., Wu, R.M., & Lu, W.S. (2017). Test-retest reliability and minimal detectable change of the Beck Depression Inventory and the Taiwan Geriatric Depression Scale in patients with Parkinson’s disease. Plos One, 12(9), e0184823. doi: 10.1371/journal.pone.0184823

Kessler, R. C., Nelson, C. B., McGonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J. (1996). The epidemiology of co-occurring addictive and mental disorders: Implications for prevention and service utilization. American Journal of Orthopsychiatry, 66(1), 17–31. doi: 10.1037/h0080151

Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and Axis II Disorders (SCID II). Clinical Psychology & Psychotherapy, 18(1), 75-79. doi: 10.1002/cpp.693

Magán, I., Sanz, J., & García-Vera, M. P. (2008). Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in general population. The Spanish Journal of Psychology, 11(2), 626–40.

Marín-Navarrete, R., Benjet, C., Borges, G., Eliosa-Hernández, A., Nanni-Alvarado, R., Ayala-Ledesma, M., … Medina-Mora, M. E. (2013). Comorbilidad de los trastornos por consumo de sustancias con otros trastornos psiquiátricos en Centros Residenciales de Ayuda-Mutua para la Atención de las Adicciones. Salud Mental, 36(6), 471–479. doi: 10.17711/SM.0185-3325.2013.057

Marín-Navarrete, R., Magis-Rodríguez, C., & Strathdee, S. A. (2017). Sexually transmitted infections and substance use disorders: evidence and challenges in Mexico. Salud Mental, 40(1), 1–4. doi: 10.17711/SM.0185-3325.2017.001

Marín-Navarrete, R., Medina-Mora, M. E., Horigian, V. E., Salloum, I. M., Villalobos-Gallegos, L., & Fernández-Mondragón, J. (2016a). Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use. Journal of Dual Diagnosis, 12(3–4), 261–270. doi: 10.1080/15504263.2016.1220207

Marín-Navarrete, R., & Szerman, N. (2015). Repensando el concepto de adicciones: Pasos hacia la patología dual. Salud Mental, 38(6), 395–396. doi: 10.17711/SM.0185-3325.2015.060

Marín-Navarrete, R., Szerman, N., Toledo-Fernández, A., Villalobos-Gallegos, L., Pérez-López, A., Brzezinski, A., & Lezama-Bautista, A. (2016b, diciembre). Estado de la Evidencia sobre Patología Dual en Latinoamérica. Póster presentado en el 18° Congreso Internacional en Adicciones de Centros de Integración Juvenil, Acapulco, México.

Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D. (2016). Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review. Journal of Substance Abuse Treatment, 61, 47–59. doi: 10.1016/j.jsat.2015.09.006

Robins, L. N., Wing, J., Wittchen, H. U., Helzer, J. E., Babor, T. F., Burke, J., … Towle, L. H. (1988). The Composite International Diagnostic Interview. Archives of General Psychiatry, 45(12), 1069. doi: 10.1001/archpsyc.1988.01800360017003

Substance Abuse and Mental Health Services Administration & Center for Substance Abuse Treatment (2005). Substance Abuse Treatment for Persons With Co-Occurring Disorders. Treatment Improvement Protocol (TIP) Series 42. DHHS Publication No. (SMA) 05-3992. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Sheehan, D. V., Lecrubier, Y., Harnett Sheehan, K., Janavs, J., Weiller, E., Keskiner, A., … Dunbar, G. (1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry, 12(5), 232–241. doi: 10.1016/S0924-9338(97)83297-X

Szerman, N., Martinez-Raga, J., Peris, L., Roncero, C., Basurte, I., Vega, P., … Casas, M. (2013). Rethinking Dual Disorders/Pathology. Addictive Disorders & Their Treatment, 12(1), 1–10. doi: 10.1097/ADT.0b013e31826e7b6a

Teesson, M., Degenhardt, L., Proudfoot, H., Hall, W., & Lynskey, M. (2005). How common is comorbidity and why does it occur? Australian Psychologist, 40(2), 81–87. doi: 10.1080/00050060500094605

Torrens, M., Mestre-Pintó, J.I., & Domingo-Salvany, A. (2015). Comorbidity of substance use and mental disorders in Europe. Luxembourg: European Monitoring Centre for Drugs and Drug Addiction. ISBN 978-92-9168-834-0. doi:10.2810/532790

Vega, P., Szerman, N., Roncero, C., Grau-López, L., Mesías, B., Barral, C., … Casas, M. (2015). Recursos y Necesidades Asistenciales en Patología Dual. Madrid: Sociedad Española de Patología Dual.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–70.