Pathway to care in co-occurring disorder and substance use disorder: an exploratory, cross-sectional study from India

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2021-02-08 DOI:10.1108/ADD-10-2020-0023
R. Tripathi, Shalini Singh, S. Sarkar, R. Lal, Y. Balhara
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引用次数: 2

Abstract

There is a paucity of comparative literature on pathway to care among patients with co-occurring disorders and those with only substance use disorders. This paper aims to compare the pathways to care among patients with co-occurring disorder and those with only substance use disorders.,A cross-sectional observational study was carried out on male treatment seekers at a tertiary care substance use disorder treatment center in India. Participants were recruited in two groups, those with co-occurring psychiatric and substance use disorders and those with only substance use disorders. The two groups were matched for age and socio-economic status.,A total of 189 subjects with co-occurring psychiatric and substance use disorders and 197 subjects with substance use disorders only were recruited. Psychiatric services were the most common first point of care. However, a larger proportion of the subjects in the co-occurring disorder group received the first care from faith healers, while a greater proportion received first care from the therapeutic communities in substance use disorder only group. Initial care was sought mostly following suggestion from the family members in both the groups. The time to treatment for substance use disorders did not differ between the two groups, though the treatment seeking for substance use disorder was more delayed than that of psychiatric disorder in the co-occurring disorder group.,The findings shed light on the pathway of care followed in India and is a matter of further research.,Expansion of services and dissemination of information about psychiatric disorders and substance use disorders can provide timely care to patients with substance use disorders and co-occurring disorders.,The findings have a social implication as well. More awareness is needed currently in India for timely treatment of dual disorders.,The paper is an original research by the authors. The data were collected from the participants who reported to the dual diagnosis clinic. The findings are important as they tell us about the current understanding of dual diagnosis by the general public.
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共同发生的障碍和物质使用障碍的护理途径:一项来自印度的探索性横断面研究
有一个比较文献缺乏途径护理的患者共同发生的疾病和那些只有物质使用障碍。本文的目的是比较的途径,以照顾患者之间的共同发生的障碍和那些只有物质使用障碍。一项横断面观察研究在印度三级保健药物使用障碍治疗中心的男性治疗寻求者中进行。参与者被分为两组,一组同时患有精神和物质使用障碍,另一组只有物质使用障碍。这两组人的年龄和社会经济地位相匹配。共招募189名同时患有精神和物质使用障碍的受试者和197名仅患有物质使用障碍的受试者。精神科服务是最常见的第一护理点。然而,在共患障碍组中,更大比例的受试者接受了信仰治疗师的第一次护理,而在物质使用障碍组中,更大比例的受试者接受了治疗社区的第一次护理。在两组患者中,最初的治疗主要是根据家庭成员的建议进行的。治疗物质使用障碍的时间在两组之间没有差异,尽管寻求物质使用障碍的治疗比共同发生障碍组的精神障碍的治疗要晚。这些发现揭示了印度所遵循的护理途径,这是一个需要进一步研究的问题。扩大服务和传播有关精神疾病和物质使用障碍的信息,可为患有物质使用障碍和同时发生的疾病的患者提供及时护理。研究结果还具有社会意义。印度目前需要提高对双重疾病及时治疗的认识。这篇论文是作者的原创研究。这些数据是从到双重诊断诊所报告的参与者中收集的。这些发现很重要,因为它们告诉我们目前公众对双重诊断的理解。
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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