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Co-Occurring Psychiatric and Substance Use Disorders: Clinical Survey Among a Rural Cohort of Italian Patients

Authors Milano G, Vergani HM, Cattedra S, Carrozzino R, Mattioli F, Robbiano L, Martelli A

Received 9 July 2019

Accepted for publication 23 October 2019

Published 18 December 2019 Volume 2019:15 Pages 3453—3459

DOI https://doi.org/10.2147/NDT.S222567

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder


Giulia Milano,1,* Hayley M Vergani,1,* Simone Cattedra,1 Roberto Carrozzino,2 Francesca Mattioli,1 Luigi Robbiano,1 Antonietta Martelli1

1Department of Internal Medicine, Clinical Pharmacology and Toxicology Unit, University of Genoa, Genoa, Italy; 2Department of Addiction, Health Service ASL2 Savonese, Savona, Italy

*These authors contributed equally to this work

Correspondence: Hayley M Vergani
Department of Internal Medicine, Clinical Pharmacology and Toxicology Unit, University of Genoa, Viale Benedetto XV, 2, Genoa I-16132, Italy
Tel +39 0103538850
Fax +39 0103538232
Email hayley.vergani@gmail.com

Purpose: Dual diagnosis (DD) is the co-occurrence of both a mental illness and a substance use disorder (SUD). Lots of studies have analysed the integrated clinical approach, which involves both psychiatry and toxicology medical experts. The purpose of this study is to analyse the socio-demographic characteristics and treatment strategies of patients with DD in a rural area of Italy.
Patients and Methods: Clinical data of 750 patients were collected in 2016 through the analysis of health plan records.
Results: The rate of co-occurring disorders is highly variable among people with SUD. In the considered area, patients with DD are 24%, of these only 46.1% have been treated with an integrated clinical program. Moreover, this percentage is further reduced (35.8%) if only patients with heroin use disorder are considered.
Conclusion: A comprehensive revision of DD treatment is needed, especially for people suffering from heroin use disorder and living in remote areas. Meticulous data analysis from other addiction health services of rural areas could be necessary to identify a science-based clinical intervention.

Keywords: dual diagnosis, integrated treatments, substance use disorder, social stigma, rural populations


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