scholarly journals Dual diagnosis: a paradigm shift for addiction treatment

2017 ◽  
Vol 5 (9) ◽  
Author(s):  
Rafael A. Gómez Benumea
Keyword(s):  
Substance Use ◽  
Dual Diagnosis ◽  
Mixed Models ◽  
Paradigm Shift ◽  
Addiction Treatment ◽  
Public Health Problem ◽  
Progressive Increase ◽  
The Family ◽  
Drugs And Crime ◽  
Physical Spaces

Dual diagnosis is defined as the comorbidity of a substance use problem and a psychiatric disorder of a person. Drug addiction is a growing public health problem. The United Nations Office on Drugs and Crime (UNODC) reported a progressive increase in the prevalence of a substance use problem from 3.5% to 5.7% from 2008 to 2010; a new increase from 5.7% to 7% between 2010 and 2012, which represents 324 million consumers worldwide. About 60% to 80% of this population presents this dual diagnosis. Prevalence of a personality disorder and a substance use problem comprises 20% to 50%. Prevalence between a depressive disorder and a substance use problem goes from 12% to 88%. Prevalence between anxiety disorders and substance use problems is from 10% to 24% and between bipolar disorder and substance use from 51% to 60%. The importance of the paradigm shift in the addiction treatment includes mixed models of intervention where substance use disorders and comorbid psychiatric disorders are contemplated. They are necessary because they help preventing a relapse, the increase of costs for the family, that the attention gets divided in different physical spaces, the application of different therapeutic techniques and that the pharmacological treatment is not oriented to treat substance use disorder as it is oriented to treat psychiatric comorbidities. Therefore it is necessary to implement a comprehensive vision and a specific approach for each disorder of the patient.

scholarly journals Treatment of Dual Diagnosis in Denmark

2018 ◽  
Vol 5 (2) ◽  
pp. 125-139 ◽  
Author(s):  
Katrine Schepelern Johansen
Keyword(s):  
Substance Use ◽  
Effective Treatment ◽  
Dual Diagnosis ◽  
Power Relations ◽  
Addiction Treatment ◽  
Psychiatric Treatment ◽  
Treatment System ◽  
Substance Use Treatment ◽  
The Many

Treatment for dual diagnosis in Denmark is divided between a medically based psychiatric treatment system and a socially oriented substance use treatment system; consequently, in order to deliver the most effective treatment to people with dual diagnosis, the two need to cooperate. A number of projects have been initiated to try out different models for cooperation, yet, on a larger, societal scale, we have not solved the puzzle of how it can be made to work in practice. My focus in this article is to suggest some reasons why it is so difficult to introduce cooperation between psychiatry and addiction treatment despite the many projects directed explicitly towards this. I suggest that at least part of the answer lies in the unequal power relations between psychiatry and substance use treatment.

Engaging the Family in the Care of Young Adults With Substance Use Disorders

PEDIATRICS ◽  
2021 ◽  
Vol 147 (Supplement 2) ◽  
pp. S215-S219
Author(s):  
Sarah M. Bagley ◽  
Alicia S. Ventura ◽  
Karen E. Lasser ◽  
Fred Muench
Keyword(s):  
Substance Use ◽  
Young Adults ◽  
Substance Use Disorders ◽  
The Family

Substance Use Portrayal in Oscar-nominated Movies

2020 ◽  
Vol 12 ◽  
Author(s):  
João Mauricio Castaldelli-Maia ◽  
Felipe Gil ◽  
Antonio Ventriglio ◽  
Julio Torales ◽  
Ligia Florio ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Epidemiological Studies ◽  
Progressive Increase ◽  
Media Content ◽  
Media Content Analysis ◽  
Monitoring Drug ◽  
And Gender ◽  
Multiple Drugs ◽  
Gender Convergence

Background: As one of the forms of media and art most consumed in the world, Oscar-nominated movies should have their drug use representation monitored because of possibly influencing but also reflecting society’s behavior. Objective: To investigate drug use representation in scenes from movies nominated for the Academy Awards (Oscar) from 2008-2011, through media content analysis. Methods: 437 scenes from Oscar-nominated movies (best film, best actor and best actress categories) showing drug consumption and/or its effects were assessed. Each drug represented and identified in a given scene (i.e., drug use incident) was counted as a unit for the present study (n = 515). Survey settings were used to control for over- or under-estimation of the prevalence of a variable in a given year or movie. Results: All the Oscar-nominated movies portrayed at least one scene of drug use. There was a massive predominance of alcohol and tobacco in movies, with a high use among men who also use drugs, habitually or occasionally, but related to stress/tension, predominantly at home. However, there was a significant progressive increase in the use of drugs other than alcohol and tobacco, multiple drugs, and by women. Conclusion: These findings echo epidemiological studies on substance use in western countries, an overall trend towards greater home drug use representation and gender convergence since 1970, which increased since 2000. Monitoring drug use representation in Oscar-nominated movies may represent an important public health tool.

Diagnoses, Dimensions, and DSM-5

2010 ◽  
pp. 254-279
Author(s):  
Thomas A. Widiger ◽  
Maryanne Edmundson
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Paradigm Shift ◽  
Empirical Support ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dimensional Classification ◽  
Diagnosis And Classification

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) is often said to have provided a significant paradigm shift in how psychopathology is diagnosed. The authors of DSM-5 have the empirical support and the opportunity to lead the field of psychiatry to a comparably bold new future in diagnosis and classification. The purpose of this chapter is to address the validity of the categorical and dimensional models for the classification and diagnosis of psychopathology. Considered in particular will be research concerning substance use disorders, mood disorders, and personality disorders. Limitations and concerns with respect to a dimensional classification of psychopathology are also considered. The chapter concludes with a recommendation for a conversion to a more quantitative, dimensional classification of psychopathology.

The Predictive Validity of the Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index

2013 ◽  
Vol 9 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Michael Chaple ◽  
Stanley Sacks ◽  
Gerald Melnick ◽  
Karen McKendrick ◽  
Susan Brandau
Keyword(s):  
Predictive Validity ◽  
Dual Diagnosis ◽  
Addiction Treatment

Alcohol use and bipolar disorder comorbidity: Synthesis and perspectives

2017 ◽  
Vol 41 (S1) ◽  
pp. S470-S470
Author(s):  
A. Dahdouh ◽  
B. Semaoune ◽  
A. Tremey ◽  
L. Samalin ◽  
V. Flaudias ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Alcohol Use ◽  
Dual Diagnosis ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Systematic Screening ◽  
Electronic Search ◽  
Clinical Interest ◽  
Competing Interest ◽  
The Relationship

ObjectiveAlcohol use disorders and bipolar disorder commonly co-occur and both are associated with more pejorative outcomes, thus constituting a major public health problem. We undertook this synthetic review to provide an update on this issue in order to clarify the nature of the relationship between the two disorders, improve clinical outcomes, prevent complications and therefore optimize management of patients.MethodsWe conducted an electronic search by keywords in databases MEDLINE, EMBASE, PsychINFO, published in English and French from January1985 to December 2015.ResultsThe AUD prevalence is important among BD patients in whom the effects of alcohol are more severe. However, in terms of screening, it appears that the comorbidity is not systematically sought. The concept of co-occurrence finds its clinical interest in the development of specific screening and therapeutic strategies. To date, there are only few recommendations about the management of dual diagnosis and the majority of them support “integrated” approaches.ConclusionsRecommendations should emphasize this strong co-occurrence and promote systematic screening and offered integrated cares.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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