Pilot study on the prevalence of dual pathology in community mental health and substance misuse services in Madrid

Authors

  • Néstor Szerman Bolotner Unidad de Psiquiatría, Hospital Virgen de la Torre, Madrid.
  • Francisco Arias Horcajadas Unidad de Psiquiatría Hospital Universitario Fundación Alcorcón. Madrid. Enviar correspondencia a: Francisco Arias Horcajadas. Unidad de Psiquiatría. Hospital Universitario Fundación Alcorcón. Avda. Budapest s/n. 28922 Alcorcón. Madrid.
  • Pablo Vega Astudillo Instituto Adicciones, Madrid-Salud. Madrid.
  • Francisco Babín Vich Instituto Adicciones, Madrid-Salud. Madrid.
  • Beatriz Mesías Perez Instituto Adicciones, Madrid-Salud. Madrid.
  • Ignacio Basurte Villamor Unidad de Psiquiatría. Hospital Universitario Gregorio Marañón. Madrid.
  • Consuelo Morant Oficina Regional Salud Mental, Madrid.
  • Enriqueta Ochoa Mangado Unidad de Psiquiatría Hospital Universitario Ramón y Cajal. Madrid.
  • Félix Poyo Calvo Unidad de Psiquiatría Hospital Rodriguez Labora. Madrid.
  • Grupo de Investigación Grupo de Investigación del Estudio Piloto sobre la Prevalencia de Patología Dual en la Comunidad de Madrid

DOI:

https://doi.org/10.20882/adicciones.149

Keywords:

dual pathology, prevalence, mental health services, substance misuse services

Abstract

Aim: To evaluate retrospectively the comorbidity of mental and addictive disorders in community mental health and substance misuse services in Madrid. Methods: The medical records of 400 patients from mental health and substance misuse services in Madrid were evaluated. Records were examined for the last 20 patients from each service unit. Results: Dual pathology was constituted when a current diagnosis of mental and addictive disorders, excluding nicotine addiction, appeared on the patient’s records. Prevalence of dual pathology was 34%. There were differences in the prevalence figures for the two kinds of service: 36.78% in substance misuse services, and 28.78% in mental health services. There was an association of dual diagnosis with alcohol or cocaine dependence, but not with opioid dependence. The mental disorders more prevalent in dually diagnosed than in non-dually diagnosed patients were mood disorders, personality disorders, and schizophrenia. Conclusion: There is a high prevalence of dual pathology in those seeking treatment, being higher in substance misuse services than in mental health services, and higher in patients with alcohol or cocaine dependence. These findings could be of help in the planning of care resource policies for these patients.

Author Biography

Néstor Szerman Bolotner, Unidad de Psiquiatría, Hospital Virgen de la Torre, Madrid.

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Published

2011-09-01

Issue

Vol. 23 No. 3 (2011)

Section

Originals