Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use

Marín-Navarrete, Rodrigo; Medina‐Mora, María Elena; Horigian, Viviana E.; Salloum, Ihsan M.; Villalobos-Gallegos, Luis; Fernández-Mondragón, José

doi:10.1080/15504263.2016.1220207

Cited by 28 publications

(15 citation statements)

References 30 publications

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“…Individual disorders can progress to more complex disorders or to the development of comorbid disorders which are more difficult to treat, and untreated disorders tend to become more frequent and treatment refractory (Post & Weiss, 1998; Goi et al 2015; Kvitland et al 2016). Dual pathology, defined as the comorbidity of a mental health problem with a substance abuse disorder, is common in Latin American countries (Borruel et al 2010; Marín-Navarrete et al 2016) and creates a public health challenge. Dual pathology is difficult to treat and more likely to recur than less complex conditions (Serfaty, 2001).…”

Section: Introductionmentioning

confidence: 99%

Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology

Stagnaro

Cía²,

Vommaro

et al. 2018

Epidemiol Psychiatr Sci

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Section: Introductionmentioning

confidence: 99%

Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology

Stagnaro

Cía²,

Vommaro

et al. 2018

Epidemiol Psychiatr Sci

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“…To address these issues, we evaluated individuals with polysubstance use in community-based residential care facilities, characterized by high prevalence of CODs ( 19 , 20 ) with the ultimate goal of evaluating the heterogeneity of the associations between internalizing and externalizing CODs on severity of substance use across impulsivity subtypes. To accomplish this, we also carried out the following preliminary steps: (1) to determine the existence of latent impulsivity subtypes of individuals diagnosed with SUD, using LCA; (2) to describe clinical profiles for the different latent classes in two categories: presence of internalizing and externalizing CODs, and severity of substance use (e.g., age of onset, related problems).…”

Section: Introductionmentioning

confidence: 99%

Latent Impulsivity Subtypes in Substance Use Disorders and Interactions with Internalizing and Externalizing Co-Occurring Disorders

et al. 2018

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This study explored the clinical importance of latent impulsivity subtypes within a sample of individuals with substance use disorders (SUDs) and high rates of co-occurring disorders (CODs) receiving residential treatment, aiming to assess the heterogeneity of the associations between SUDs and CODs across such impulsivity subtypes. The abbreviated Barratt impulsiveness scale was used to assess motor and cognitive (attentional and nonplanning) impulsivity, a structured interview for diagnosis of SUD and CODs, and other clinimetric measures for severity of substance use. Latent class analysis was conducted to extract subgroups of impulsivity subtypes and Poisson regression to analyze effects of interactions of classes by CODs on severity of substance use. 568 participants were evaluated. Results featured a four-class model as the best-fitted solution: overall high impulsivity (OHI); overall low impulsivity; high cognitive-low motor impulsivity; and moderate cognitive-low motor impulsivity (MC-LMI). OHI and MC-LMI concentrated on most of the individuals with CODs, and individuals within OHI and MC-LMI showed more severity of substance use. The expression of this severity relative to the impulsivity subtypes was modified by their interaction with internalizing and externalizing CODs in very heterogeneous ways. Our findings suggest that knowing either the presence of trait-based subtypes or CODs in individuals with SUDs is not enough to characterize clinical outcomes, and that the analysis of interactions between psychiatric categories and behavioral traits is necessary to better understand the expressions of psychiatric disorders.

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“…However, scientific evidence has shown that the cases of individuals with DDs are the rule rather than the exception (Marín-Navarrete Szerman et al, 2013). Studies performed on the general population estimate a lifetime prevalence of DDs in between 20% and 50% of the cases (Kessler et al, 1996), while studies on the clinical population report lifetime prevalences ranging from 50% to 75% (Marín-Navarrete et al, 2013), and of 40% to 65% in the past 30 days (Substance Abuse and Mental Health Services Administration & Center for Substance Abuse Treatment, 2005;Arias et al, 2013;Marín-Navarrete et al, 2016a).…”

Section: Introductionmentioning

confidence: 99%

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

Alfonzo-Bello

Szerman²,

Marín-Navarrete

et al. 2017

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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.

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Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use

Cited by 28 publications

References 30 publications

Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology

Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology

Latent Impulsivity Subtypes in Substance Use Disorders and Interactions with Internalizing and Externalizing Co-Occurring Disorders

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

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