2009, Number 1
<< Back Next >>
Rev Mex Neuroci 2009; 10 (1)
The treatment of co-morbidity disorders in addictions
Souza MM
Language: Spanish
References: 13
Page: 30-33
PDF size: 41.52 Kb.
ABSTRACT
We describe the documented link between substance use disorders and severe mental disorders; population that suffers and
the characteristics of its heterogeneity (type and severity of the disorder, skills for coping, psychosocial support available
and other factors involved). We review the recommendations of the National Project of Evidence Based Practice to encourage
its use in organizations that provide management against addictions in Mexico, as unstructured groups, whose schemes
approach reduced not assume yet the therapeutic strategies combined psychotherapeutic interventions, social and
pharmacological, which aggravates co-morbid disorders, representing a serious challenge to any health care system. Such
conditions in most of the services related, not even contemplate the management of this interaction, limiting most of the patients
access to simultaneous handling of their disorders. It describes the goals of rehabilitation based interventions to promote to
improve personal skills and appropriate use of support systems. It is intended to facilitate the affected its confrontation with the
pathology to overcome his disability, the goal of achieving individual process of generating hope and autonomy. It concludes by
noting some actions which together represent the management of comorbidity in favour of a custom process, at the hands of
qualified personnel prepared ad hoc, and guided by programs that use sites and systems to promote abstinence, with support
from psychoeducation programs and family system.
REFERENCES
Caton CLM. The new chronic patient and the system of community care. Hosp Commun Psychiatry 1981; 32: 475-8.
Polcin DL. Issues in the treatment of dual diagnosis clients who have chronic mental illness. Prof Psychol Res Pract 1992; 23: 30-7.
McHugo GM, Drake RE, Whitley R. Fidelity outcomes in the national implementing evidence-based practices project. Psychiatr Serv 2007; 58(10): 1279-84.
Souza y MM. Trastornos por ansiedad y comórbidos del consumo de psicotrópicos y otras sustancias de abuso. Rev Mex Neuroci 2008; 9(3): 215-26.
Ruggeri M, Leese M, Thornicroft G. Definition and prevalence of severe and persistent mental illness. Br J Psychiatry 2000; 176: 149-55.
Drake RE, Mueser KT, Brunette MF. Tratamiento de las personas afectadas simultáneamente por una enfermedad mental grave y un trastorno relacionado con sustancias: implicaciones programáticas. World Psychiatry (Ed. Esp.) 2007; 6: 131-6.
Souza y MM. Adicciones: Clínica y Terapéutica. México: Editorial Alfil; 2007.
Souza y MM. Acerca del alcohol y su dependencia. Rev Mex Neuroci 2008; 9(3): 177-9.
Essock S, Mueser KT, Drake RE. Comparison of ACT and standard case management for delivering integrated treatment for co-occurring disorders. Psychiatr Serv 2006; 57: 185-96.
Mueser KT, Bennett M, Kushner MG. Epidemiology of substance abuse among persons with chronic mental disorders. In: Lehman AF, Dixon L (eds.). Double jeopardy: chronic mental illness and substance abuse. New York: Harwood Academic Publishers; 1995, p. 9-25.
Maslin J, Graham HL, Cawley M. Combined severe mental health and substance use problems: what are the training and support needs of staff working with this client group? J Ment Health 2001; 10: 131-40.
Graham HL, Copello A, Birchwood MJ. Cognitive-behavioural integrated treatment (C-BIT): a treatment manual for substance misuse in people with severe mental health problems. Chichester: Wiley; 2004.
Rapp CA, Gosche RJ. The strengths model: case management with people with psychiatric disabilities. New York: Oxford University Press; 2006.