Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis

Selene Cordeiro Vasconcelos; Rafaella Viana Teixeira; Paulo Dias de Amorim Neto; Murilo Duarte da Costa Lima; Vânia Pinheiro Ramos; Iracema da Silva Frazão; Ana Márcia Tenório de Souza Cavalcanti

doi:doi:10.11648/j.ajns.20140306.14

Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis

Selene Cordeiro Vasconcelos, Rafaella Viana Teixeira, Paulo Dias de Amorim Neto, Murilo Duarte da Costa Lima, Vânia Pinheiro Ramos, Iracema da Silva Frazão, Ana Márcia Tenório de Souza Cavalcanti

Published in American Journal of Nursing Science (Volume 3, Issue 6)

Received: 25 November 2014 Accepted: 5 December 2014 Published: 16 December 2014

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Abstract

Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.

Published in	American Journal of Nursing Science (Volume 3, Issue 6)
DOI	10.11648/j.ajns.20140306.14
Page(s)	110-116
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Addiction, Dual Diagnosis, Mental Health, Nursing

References

[1]	WHO, Library cataloguing in publication data. Neuroscience consumption and dependence on psychoactive substances: summary, 2004.
[2]	Vasconcelos, S.C., Frazão, I.S., and Ramos, V.P. Contributions of the Therapeutic Health Education Group in motivation for life user of psychoactive substances. Enfermagem em Foco, 2012; 3(3):123-126.
[3]	OPAS - Organización Panamericana de la Salud. Epidemiología del uso de drogas en América Latina y el Caribe: um enfoque de salud pública. 2009. Available at: http://new.paho.org/hq/dmdocuments/2009/epidemiologia_drogas_ web.pdf. Accessed Mar 07, 2014.
[4]	Laranjeira et al. I National Survey on Alcohol Consumption Patterns in the Brazilian Population. Brasília: Secretaria Nacional Antidrogas/ SENAD, 2009, 76 p.
[5]	Galduróz, J.C.F., Noto, A.R., Nappo, A.S., and Carlini, E.A. Use of psychotropic drugs in Brazil: household survey in the 107 largest cities - 2001. Revista Latino-Americana de Enfermagem, 2005; 13(esp):888-895.
[6]	BRASIL. Ministério da Saúde. Secretaria Executiva. Coordenação Nacional de DST/AIDS. The policy of the Ministry of Health for comprehensive care to users of alcohol and other drugs. Ministério da Saúde, Secretaria Executiva, Coordenação Nacional de DST e AIDS. Brasília: Ministério da Saúde, 2003.
[7]	Nery Filho, A., Macrae, E., Tavares, L.A., and Rêgo, M. Organizers. Dependencies: socio-anthropological and clinical implications. Salvador: CETAD, 2009, 308 p.
[8]	Cohen, S.T., and Jacobson, N.A. Dual diagnosis: substance abuse and psychiatric illness. In: Jacobson, J. L., and Jacobson, A. M. Segredos em psiquiatria. Porto Alegre: Artes Médicas, 1997.
[9]	Zalesky, M. et al. Guidelines of the Brazilian Association of Studies on Alcohol and Other Drugs (ABEAD) for the diagnosis and treatment of comorbid psychiatric and dependence alcohol and other substances. Revista Brasileira de Psiquiatria, 2006; 2(28):142-148.
[10]	Lobiondo-Wood, G., and Harber, J. Nursing research: methods and critical appraisal for evidence-based practice. 6thr ed. St. Louis (USA): Mosby/Elsevier, 2006.
[11]	Mendes, K.D.S., Silveira, R.C.C.P., and Galvão, C.M. -Integrative review: research method for the incorporation of evidence in health care and nursing. Texto Contexto Enfermagem, 2008; 4(17):758-764.
[12]	Ursi, E.S. Prevention of skin lesions in the perioperative period: a literature review. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, 2005.
[13]	CASP - Critical Appraisal Skills Programme. Milton Keynes Primary Care Trust. All rights reserved, 2002.
[14]	Jonhson, M.E., Neal, D.B., Brens, C. and Fisher, D.G. Depression as measured by the Beck Depression Inventory-II among injecting drug users. Assessment, 2006; 13(2):168-177.
[15]	Mackesy-Amiti, M.E., Donenberg, G.R., and Ouellet, L.J. Prevalence of psychiatric disorders among young injection drug users. Drug and Alcohol Dependence, 2012; 124(1-2):70-78.
[16]	Havens, J.R. et al. The Effect of a Case Management Intervention on Drug Treatment Entry Among Treatment – Seeking Injection Drug Users Withand Without Comorbid Antisocial Personality Disorder. Journal of urban health: bulletin of the New York academy of medicine, 2007; 84(2): 267-261.
[17]	Ross, J. et al. The characteristics of heroin users entering treatment: findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Review, 2005; 24 (5):411–418.
[18]	Asher, C.J., and Gask, L. Reasons for illicit drug use in people with schizophrenia: Qualitative study. BMC Psychiatry, 2010; 10(94):2-15.
[19]	Laudet, A.B., Magura, S., Vogel, H.S., and Knight, E.L. Perceived reasons for substance misuse among persons with a psychiatric disorder. American Journal Orthopsychiatry, 2004; 74(3):365–375.
[20]	Behbahani Z.R., Kakavand, A. R. Comparison of ego strength between addicted and non addicted people from Karaj and Tehran cities of Iran. American Journal of Applied Psychology, 2014; 3(1):1-3.
[21]	Brook, J.S., Pahl, K. and Rubenstone, E. Epidemiology of Addiction. In: Galanter, M.; Kleber, H. D. (org.). Textbook of Substance Abuse Treatment. 4 ed. Washington: The American Psychiatric Publishing, 2008, pp 29-44.
[22]	Hall, S.M., and Prochaska, J.J. Treatment of smokers with co-occurring disorders: emphasis on integration in mental health and addiction treatment settings. Annual Review of Clinical Psychogy, 2009; 5,409-431.
[23]	Oliveira, E.B., Bittencourt, L.P., and Carmo, A.C. La importancia de la familia en la prevención de consumo de drogas en niños y adolescentes: El papel maternal. Investigación en Enfermería: Imagen y Desarollo, 2010; 2(12): 9-23.
[24]	Garcia, J.J., Pillon, S.C. and Santos, M.A. Relationships between family context and drug use in adolescents secondary education. Revista Latino-Americana de Enfermagem, 2011; 19(esp):753–761.
[25]	Dietz, G. et al. The interpersonal relationships and drug use by teens. Revista Eletrônica Saúde Mental Álcool e Drogas, 2011; 2(7),85–91.
[26]	Torrens, M., Gilchrist, G. and Domingo-Salvany, A. Psychiatric comorbidity in illicit drug users: substance induced vesus independence disorders. Drug and Alcohol Dependence, 2010; 113(2-3):147-156.
[27]	Magura, S., Rosenblum, A., and Betzler T. Substance use and mental health outcomes for comorbid patients in psychiatric day treatment. Substance Abuse: Rearchand Treatment, 2009; (3):71-78.
[28]	Frisher, M. et al. Substance misuse and psychiatric illness: prospective observational study using the general practice research database. Journal Epidemiology e Community Health, 2005; 59(10):847–850.
[29]	Wobrock, T. et al. Comorbid substance abuse in first-episode schizophrenia: effects on cognition and psychopathology in the EUFEST study. Schizophrenia Research, 2013; 147(1):132-139.
[30]	Willis, O.J. et al. Estudio de la comorbilidad entre el distrés psicologico y abuso de drogas en pacientes en centros de tratamiento, ciudad de panamá – Panamá. Texto Contexto Enfermagem, 2012; 21(esp):159-167.
[31]	Whetten, K. et al. A brief mental health and substance abuse screener for persons with HIV. AIDS Patient Careand STDs, 2005; 19(2):89-99.
[32]	Nnadi, C.U., Better, W., Hernig, R.I., and Cadet, J.L. Contribution of substance abuse and HIV infection to psychiatric distress in nainner-city african-american population. Journal of the National Medical Association, 2002; 94(5):336–343.
[33]	Arias, F. et al. Abuso o dependencia a la cocaína y otros transtornos psiquiátricos. Estudio Madrid sobre la prevalencia de la patología dual. Revista de Psquiatría y Salud Mental, 2013; 3(6):121–128.
[34]	Grangeiro, A. et al. Prevalence and Vulnerability to Infection By HIV Homelessness in São Paulo, SP. Revista de Saúde Pública, 2012; 4(46):674–684.
[35]	Santos, N.J.S. et al. Contexts of vulnerability to HIV among brazilian women. Caderno de Saúde Pública, 2009; 25(supl. 2):321–333.
[36]	Malbergier, A., and Stempliuk, V.A. Physicians before the patient with AIDS: attitudes, prejudices and difficulties. Jornal Brasileiro de Psiquiatria, 1997; 46(5):265-273.
[37]	Frisher, M. et al. Prevalence of comorbid psychiatric illness and substance misuse in primary care in England and Wales. Journal Epidemiology e Community Health, 2004; 58(12):1036-1041.
[38]	Adamson, S.J. et al. Coexisting psychiatric disorders in a New Zealand out patient alcohol and other drug clinical population. Australian and New Zealand Journal of Psychiatry, 2006; 40(2):164-170.
[39]	Johansen, I.H., Morken, T. and Hunskaar, S. Contacts related to mental illness and substance abuse in primary health care: A cross-sectional study comparing patients' use of daytime versus out-of-hours primary care in Norway. Scand J Prim Health Care, 2010; 28(3):160–165.
[40]	Wetzel, C., Pinho, L.B., Olshowsky A. Schneider, J.F., Camatta, M.V., and Guedes, A.C. (2014). Matrix support as a method of mental health care in family health strategy. Journal of Nursing UFPE, 2014; 8(6):1702-1708.
[41]	Azevedo, D.M., Gondim, M.C.S.M. and Silva, D.S. Matrix support in mental health: the perception of professional in territory. Revista pesquisa cuidados fundamentais, 2013; 5(1):3311-3322.
[42]	Hughes, E. et al. Training in dual diagnosis interventions (the COMO Study): Randomised controlled trial. BMC Psychiatry, 2008; 8(12).
[43]	Manley, D. Dual diagnosis: co-existence of drug, alcohol and mental health problems. British Journal of Nursing, 2005; 14(2):100-106.
[44]	Sacks, S. et al. Improving the capability to provide integrated mental health and substance abuse services in a state system of outpacient care. Journal of Substance Abuse Treatment, 2013; 5(44):488–493.
[45]	Alves, H., Kessler, F. and Ratto, L.R.C. Comorbidity: Use of Alcohol and Other Psychiatric Disorders. Revista Brasileira de Psiquiatria, 2004; 26(1):51–53.
[46]	Vasconcelos, S.C. et al. Nursing interventions for drug users: qualitative meta-synthesis. American Journal of Nursing Research, 2013; 1(1):24-27.
[47]	Yuan, H.B., Williams, B.A. and Fang, J.B. The contribution of high-fidelity simulation to nursing students’ confidence and competence: a systematic review. International Nursing Review, 2012; 59:26–33
[48]	Campos, G.W.S., and Amaral, M.A. The clinic expanded and shared, democratic management and care networks as theoretical-operational for hospital reform. Ciência e Saúde Coletiva, 2007; 12(4):849-859.
[49]	Tripp, J.C., Skidmore, J.R., Cui, R. and Tate, S.R. Impact of physical health on treatment for co-occurring depression and substance dependence. Journal of Dual Diagnosis, 2013; 9(3):239-248.
[50]	Brooks, S.K., Chalder, T. and Gerada, C. Doctors vulnerable to psychological distress and addictions: Treatment from the Practitioner Health Programme. Journal of Mental Health, 2011; 20(2):157–164.
[51]	Santos, A.F.O. and Cardoso, C.L. Mental health professionals: manifestations of stress and Burnout. Estudos de Psicologia, 2010a; 1(27):67–71.
[52]	Santos, A.F.O. and Cardoso, C.L. Mental health professionals: occupational stressors stress and mental health. Psicologia em Estudo, 2010b; 2(15):245-253.
[53]	Raitio, K., and Kokkinen, L. Politics of organizational restructuring in health care and work ability of nurses’. American Journal of Nursing Science, 2014; 3(5):73-77.

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APA Style

Selene Cordeiro Vasconcelos, Rafaella Viana Teixeira, Paulo Dias de Amorim Neto, Murilo Duarte da Costa Lima, Vânia Pinheiro Ramos, et al. (2014). Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. American Journal of Nursing Science, 3(6), 110-116. https://doi.org/10.11648/j.ajns.20140306.14

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ACS Style

Selene Cordeiro Vasconcelos; Rafaella Viana Teixeira; Paulo Dias de Amorim Neto; Murilo Duarte da Costa Lima; Vânia Pinheiro Ramos, et al. Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. Am. J. Nurs. Sci. 2014, 3(6), 110-116. doi: 10.11648/j.ajns.20140306.14

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AMA Style

Selene Cordeiro Vasconcelos, Rafaella Viana Teixeira, Paulo Dias de Amorim Neto, Murilo Duarte da Costa Lima, Vânia Pinheiro Ramos, et al. Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. Am J Nurs Sci. 2014;3(6):110-116. doi: 10.11648/j.ajns.20140306.14

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@article{10.11648/j.ajns.20140306.14,
  author = {Selene Cordeiro Vasconcelos and Rafaella Viana Teixeira and Paulo Dias de Amorim Neto and Murilo Duarte da Costa Lima and Vânia Pinheiro Ramos and Iracema da Silva Frazão and Ana Márcia Tenório de Souza Cavalcanti},
  title = {Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {6},
  pages = {110-116},
  doi = {10.11648/j.ajns.20140306.14},
  url = {https://doi.org/10.11648/j.ajns.20140306.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140306.14},
  abstract = {Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.},
 year = {2014}
}

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TY  - JOUR
T1  - Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
AU  - Selene Cordeiro Vasconcelos
AU  - Rafaella Viana Teixeira
AU  - Paulo Dias de Amorim Neto
AU  - Murilo Duarte da Costa Lima
AU  - Vânia Pinheiro Ramos
AU  - Iracema da Silva Frazão
AU  - Ana Márcia Tenório de Souza Cavalcanti
Y1  - 2014/12/16
PY  - 2014
N1  - https://doi.org/10.11648/j.ajns.20140306.14
DO  - 10.11648/j.ajns.20140306.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 110
EP  - 116
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20140306.14
AB  - Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.
VL  - 3
IS  - 6
ER  -

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Author Information

Selene Cordeiro Vasconcelos

Neuropsichiatry, Federal University of Pernambuco, Recife, Brazil
Rafaella Viana Teixeira

Nursing, Federal University of Pernambuco, Recife, Brazil
Paulo Dias de Amorim Neto

Nursing, Federal University of Pernambuco, Recife, Brazil
Murilo Duarte da Costa Lima

Neuropsichiatry, Federal University of Pernambuco, Recife, Brazil
Vânia Pinheiro Ramos
Iracema da Silva Frazão
Ana Márcia Tenório de Souza Cavalcanti

Nursing, Federal University of Pernambuco, Recife, Brazil

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APA Style

Selene Cordeiro Vasconcelos, Rafaella Viana Teixeira, Paulo Dias de Amorim Neto, Murilo Duarte da Costa Lima, Vânia Pinheiro Ramos, et al. (2014). Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. American Journal of Nursing Science, 3(6), 110-116. https://doi.org/10.11648/j.ajns.20140306.14

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ACS Style

Selene Cordeiro Vasconcelos; Rafaella Viana Teixeira; Paulo Dias de Amorim Neto; Murilo Duarte da Costa Lima; Vânia Pinheiro Ramos, et al. Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. Am. J. Nurs. Sci. 2014, 3(6), 110-116. doi: 10.11648/j.ajns.20140306.14

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AMA Style

Selene Cordeiro Vasconcelos, Rafaella Viana Teixeira, Paulo Dias de Amorim Neto, Murilo Duarte da Costa Lima, Vânia Pinheiro Ramos, et al. Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis. Am J Nurs Sci. 2014;3(6):110-116. doi: 10.11648/j.ajns.20140306.14

Copy | Download

@article{10.11648/j.ajns.20140306.14,
  author = {Selene Cordeiro Vasconcelos and Rafaella Viana Teixeira and Paulo Dias de Amorim Neto and Murilo Duarte da Costa Lima and Vânia Pinheiro Ramos and Iracema da Silva Frazão and Ana Márcia Tenório de Souza Cavalcanti},
  title = {Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {6},
  pages = {110-116},
  doi = {10.11648/j.ajns.20140306.14},
  url = {https://doi.org/10.11648/j.ajns.20140306.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140306.14},
  abstract = {Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.},
 year = {2014}
}

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TY  - JOUR
T1  - Comorbid Psychiatric in Drug Users: Integrative Review on Dual Diagnosis
AU  - Selene Cordeiro Vasconcelos
AU  - Rafaella Viana Teixeira
AU  - Paulo Dias de Amorim Neto
AU  - Murilo Duarte da Costa Lima
AU  - Vânia Pinheiro Ramos
AU  - Iracema da Silva Frazão
AU  - Ana Márcia Tenório de Souza Cavalcanti
Y1  - 2014/12/16
PY  - 2014
N1  - https://doi.org/10.11648/j.ajns.20140306.14
DO  - 10.11648/j.ajns.20140306.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 110
EP  - 116
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20140306.14
AB  - Despite the high prevalence of dual diagnosis in the world and the importance to treatment patients, very little is known about complexity of this phenomenon and the factors associates in this population. Aim: Of delineating the themes to related dual diagnosis. Methods: Integrative review, two investigators independently reviewed the articles. Pubmed, Scopus, CINAHL and LILACS using combinations of the keywords "dual diagnosis" and "drug users". Results: Our search identified 15 papers, showed about two emphases, one on the drug users and other on the professional of mental health. The themes related patients were: psychiatric comorbidity in injecting drug users; reasons for the drug consume; substance use disorders and not substance use disorders in patients with mental illness; dual diagnosis in VIH patients. Other themes were: necessity to train the team of professional mental health; necessity to supervision of professional mental health during their job with the patients with dual diagnosis; necessity to do scientific gap to this patients; need to identify early dual diagnosis in drug users; to work with expanded clinical in the treatment of dual diagnosis in drug users; necessity to beware professionals mental health. Limitations: the search strategy did not rescue any intervention article in dual diagnosis. Conclusion: Given the high prevalence of dual diagnosis, the relative paucity of clinical guidance, and the potential impact that occurrence of dual diagnosis can have on the course of treatment. Implications for nursing and health policy: Nurses care directly from these patients need to know the disease for taking better care of their clients. For public policy contributes to the exhortation need for changes in the operation of mental health services, because they realized that there is dichotomy between mental health policy and alcohol and other drugs that do not include the care of a patient with dual diagnosis.
VL  - 3
IS  - 6
ER  -

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