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Professionals' perceptions about healthcare resources for co-occuring disorders in Spain.
Int J Ment Health Syst 2014; 8(1):35IJ

Abstract

BACKGROUND

Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and other psychiatric disorders) constitutes an important challenge, this study compared the perceptions of health-care professionals with the existing, current state of specific resources for patients with dual pathology in Spain.

METHODS

Epidemiological, observational, cross-sectional, multicenter study with a large, representative sample of health care professionals attending patients with dual pathology in treatment resources throughout Spain. Participants completed a specifically designed ad-hoc on-line questionnaire about their perceptions on the existence of available resources and treatment needs for patients with dual pathology. To compare professionals' perceptions with existing available resources, the same on-line questionnaire was also completed by commissioners and managers responsible for national and regional healthcare plans on drug abuse.

RESULTS

A total of 659 professionals, mostly psychologists (43.40%) or psychiatrists (32.93%) agreed to participate in the study. The highest degree of concordance between the perceptions of professional and the actual situation was found regarding the existence of mental health and addiction networks (either separately or unified) (74.48%), followed by specific workshops (73.08%) and sub-acute inpatient units (67.38%), specific hospitalization units (66.26%), detoxification units (63.15%) and outpatient programs (60.73%). We detected a lower degree of agreement regarding specific occupational rehabilitation centers (59.34%) day hospitals (58.93%), day centers (57.88%), outpatient intermediate resources (48.87%), psychiatric acute admission units (46.54%) and therapeutic communities (43.77%). In addition, on average, health care professionals underestimated the number of resources present in their respective communities.

CONCLUSIONS

Relevant differences exist between the perceptions of professional and existing available resources for dual pathology patients in Spain, thus supporting the need of additional efforts and strategies to establish a registry and clearly inform about available resources for patients with dual diagnosis.

Authors+Show Affiliations

Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Outpatient Drug Clinic, Vall d'Hebron University Hospital - Public Health Agency, Barcelona (ASPB), CIBERSAM. Passeig de la Vall d'Hebrón, 119-129, 08035 Barcelona, EU Spain ; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Plaça Cívica, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Instituto de Adicciones, C/ Juan Esplandiú, 11-13, 28007 Madrid, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Unidad Docente de Psiquiatría y Psicología Medica, Hospital Universitario Dr. Peset y Universidad de Valencia, & Universidad CEU-UCH, 46017 Valencia, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Outpatient Drug Clinic, Vall d'Hebron University Hospital - Public Health Agency, Barcelona (ASPB), CIBERSAM. Passeig de la Vall d'Hebrón, 119-129, 08035 Barcelona, EU Spain ; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Plaça Cívica, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Hospital Universitario Gregorio Marañón, Calle Doctor Esquerdo, 46, 28007, EU Madrid, Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Outpatient Drug Clinic, Vall d'Hebron University Hospital - Public Health Agency, Barcelona (ASPB), CIBERSAM. Passeig de la Vall d'Hebrón, 119-129, 08035 Barcelona, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Instituto de Adicciones, C/ Juan Esplandiú, 11-13, 28007 Madrid, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Outpatient Drug Clinic, Vall d'Hebron University Hospital - Public Health Agency, Barcelona (ASPB), CIBERSAM. Passeig de la Vall d'Hebrón, 119-129, 08035 Barcelona, EU Spain ; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Plaça Cívica, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Outpatient Drug Clinic, Vall d'Hebron University Hospital - Public Health Agency, Barcelona (ASPB), CIBERSAM. Passeig de la Vall d'Hebrón, 119-129, 08035 Barcelona, EU Spain ; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Plaça Cívica, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, EU Spain.Sociedad Española de Patología Dual. Londres, 17 28028 Madrid, EU Spain ; Department of Psychiatry, Hospital Universitario Gregorio Marañón, Calle Doctor Esquerdo, 46, 28007, EU Madrid, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25206926

Citation

Roncero, Carlos, et al. "Professionals' Perceptions About Healthcare Resources for Co-occuring Disorders in Spain." International Journal of Mental Health Systems, vol. 8, no. 1, 2014, p. 35.
Roncero C, Vega P, Martínez-Raga J, et al. Professionals' perceptions about healthcare resources for co-occuring disorders in Spain. Int J Ment Health Syst. 2014;8(1):35.
Roncero, C., Vega, P., Martínez-Raga, J., Barral, C., Basurte-Villamor, I., Rodríguez-Cintas, L., ... Szerman, N. (2014). Professionals' perceptions about healthcare resources for co-occuring disorders in Spain. International Journal of Mental Health Systems, 8(1), p. 35. doi:10.1186/1752-4458-8-35.
Roncero C, et al. Professionals' Perceptions About Healthcare Resources for Co-occuring Disorders in Spain. Int J Ment Health Syst. 2014;8(1):35. PubMed PMID: 25206926.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Professionals' perceptions about healthcare resources for co-occuring disorders in Spain. AU - Roncero,Carlos, AU - Vega,Pablo, AU - Martínez-Raga,Jose, AU - Barral,Carmen, AU - Basurte-Villamor,Ignacio, AU - Rodríguez-Cintas,Laia, AU - Mesías,Beatriz, AU - Grau-López,Lara, AU - Casas,Miguel, AU - Szerman,Nestor, Y1 - 2014/08/28/ PY - 2014/07/12/received PY - 2014/08/17/accepted PY - 2014/9/11/entrez PY - 2014/9/11/pubmed PY - 2014/9/11/medline KW - Co-occurring disorders KW - Drug abuse KW - Dual disorders KW - Dual pathology KW - Mental health KW - Professionals’ perception KW - Resources SP - 35 EP - 35 JF - International journal of mental health systems JO - Int J Ment Health Syst VL - 8 IS - 1 N2 - BACKGROUND: Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and other psychiatric disorders) constitutes an important challenge, this study compared the perceptions of health-care professionals with the existing, current state of specific resources for patients with dual pathology in Spain. METHODS: Epidemiological, observational, cross-sectional, multicenter study with a large, representative sample of health care professionals attending patients with dual pathology in treatment resources throughout Spain. Participants completed a specifically designed ad-hoc on-line questionnaire about their perceptions on the existence of available resources and treatment needs for patients with dual pathology. To compare professionals' perceptions with existing available resources, the same on-line questionnaire was also completed by commissioners and managers responsible for national and regional healthcare plans on drug abuse. RESULTS: A total of 659 professionals, mostly psychologists (43.40%) or psychiatrists (32.93%) agreed to participate in the study. The highest degree of concordance between the perceptions of professional and the actual situation was found regarding the existence of mental health and addiction networks (either separately or unified) (74.48%), followed by specific workshops (73.08%) and sub-acute inpatient units (67.38%), specific hospitalization units (66.26%), detoxification units (63.15%) and outpatient programs (60.73%). We detected a lower degree of agreement regarding specific occupational rehabilitation centers (59.34%) day hospitals (58.93%), day centers (57.88%), outpatient intermediate resources (48.87%), psychiatric acute admission units (46.54%) and therapeutic communities (43.77%). In addition, on average, health care professionals underestimated the number of resources present in their respective communities. CONCLUSIONS: Relevant differences exist between the perceptions of professional and existing available resources for dual pathology patients in Spain, thus supporting the need of additional efforts and strategies to establish a registry and clearly inform about available resources for patients with dual diagnosis. SN - 1752-4458 UR - https://www.unboundmedicine.com/medline/citation/25206926/Professionals'_perceptions_about_healthcare_resources_for_co_occuring_disorders_in_Spain_ L2 - https://ijmhs.biomedcentral.com/articles/10.1186/1752-4458-8-35 DB - PRIME DP - Unbound Medicine ER -