Dual Pathology Recommendations for Improving the Quality of Care

1. Conceptual approach to dual pathology

H. I. Carrera Machado, L. I. Alfonzo Bello, A. F. Vale Ferreira, J. M. Fernández Fernández, C. Sena Vasconcelos, E. Echarri Arrieta, S. J. Ferreira da Silva Alexandre, and G. A. Castaño Pérez, and M. Conde Amado

2. Diagnostic approach to dual pathology

H. I. Carrera Machado, M. Conde Amado, A. F. Vale Ferreira, C. Sena Vasconcelos, E. Echarri Arrieta, S. J. Ferreira da Silva Alexandre, P. A. Tobajas Ruber, G. A. Castaño Pérez, and L. I. Alfonzo Bello

3. Care approach: principles, models, and proposed care pathway for the dual patient

H. I. Carrera Machado, L. I. Alfonzo Bello, C. Sena Vasconcelos, A. F. Vale Ferreira, E. Echarri Arrieta, G. Rossi Gonnet, M. A. Ortega Orozco, G. A. Castaño Pérez, and M. Conde Amado

4. Care approach for dual diagnosis patients in residential and semi-residential centers, within the framework of care provided by a general hospital and emergency services, and in specific facilities

4.1 Residential centers and dual pathology: therapeutic communities

and other residential centers for the mentally ill

J. Vitor Marques, J. M. Ramos, C. Pereiro Gómez, A. M. González López, M. A. Ortega Orozco, and G. A. Castaño Pérez

4.2 Semi-residential centers (units, centers, and/or day hospitals) and dual pathology

A. Piñón Blanco, F. Otero Lamas, M. T. Lage López, M. Villarino González, and M. S. Cardoso Carvalho           

4.3 Dual diagnosis patients in the context of general hospital care: in hospital wards and emergency departments

T. Rodríguez Barca, J. Bello Porto, I. Fernández Baz, and B. Pérez Gálvez

4.4 Specific facilities for dual diagnosis patients: specific dual diagnosis units

M. Torrens Melich, A. M. Coratu, R. B. Sauras Quetcuti, D. García Fuentes, C. M. Sousa Franco, I. Vieira Murta, J. Teixeira, G. Mateu Codina, and F. Fonseca Casals

5. Pharmacological treatment: criteria for quality prescribing in the treatment of dual diagnosis patients

S. J. Ferreira da Silva Alexandre, C. Gama Elías, B. Salazar Laya, M. A. Celdrán Hernández, and E. Echarri Arrieta           

6. Nursing and the dual diagnosis approach

M. J. Álvarez Alonso, C. Carballal Balsa, M. L. Bugallo Pardo, F. C. Pessoa Esteves, abd M. C. Vallejo Curto      

7. Recommendations for an effective approach to the social integration of dual-diagnosis patients: the importance of the process of "social destigmatization"

A. Mariño Blanco, A. J. De Jesús Roque, and C. A. Pinto da Rocha

8. Addressing the legal and ethical aspects of dual pathology

8.1. Medical-legal issues and their approach in dual pathology: medical-legal aspects of the dual patient

J. L. Fernández Hierro and M. J. Veiga Candán

8.2. Proposals for a quality approach to dual diagnosis patients within the framework

of correctional institutions

G. Flórez Menéndez and M. Pérez Rivas  

8.3 "The Portuguese model": from the decriminalization of drug use to integrated responses to addiction

A. F. Vale Ferreira, A. J. Da Silva Barbosa, A. I. Da Silva Tavares, and J. A. Castel-Branco Goulão

8.4 Toxicological aspects in the treatment of dual diagnosis patients

A. M. Bermejo Barrera, P. Cabarcos Fernández, I. Álvarez Freire, and M. J. Tabernero Duque   

8.5 Ethical aspects in the treatment of dual diagnosis patients

M. J. Tabernero Duque, P. Cabarcos Fernández, I. Álvarez Freire, C. C. Cossío Uribe, and A. M. Bermejo Barrera          

9. Is prevention possible in dual pathology? 

F. Otero Lamas, A. F. Vale Ferreira, A. I. Da Silva Tavares, and A. Piñón Blanco

10. Other topics of interest in dual pathology

10.1 Neurobiological foundations of dual diagnosis 

M. C. García-Mahía, F. J. Vicente Alba, and G. A. Castaño Pérez, M. Vidal Millares

10.2 Genetic and epigenetic factors in dual diagnosis

J. M. Tamayo Jaramillo and A. Aparicio Zambrano         

10.3 Application of proteomics in dual pathology

C. Spuch Calvar, T. Rivera Baltanás, P. Fernández Palleiro, A. Piñón Blanco, Y. Diz Chaves, D. S. Rodrigues Amorin, and J. M. Olivares Diez           

10.4 A question of gender and age in dual pathology           

10.4.1 Gender and dual pathology

J. M. Fernández Fernández    

10.4.2 Adolescence and dual pathology

G. Rossi Gonnet, M. L. Villalba Ambrosoni, and N. Tailanian Hagopian

10.5 Substances and dual pathology 

10.5.1 Psychoactive substances in dual pathology   

C. Sena Vasconcelos

10.5.2 New psychoactive substances in dual pathology

J. P. Silva and F. Carvalho 

Biography

Homero Indalecio Carrera Machado, Associate Professor, Department of Psychiatry, Faculty of Medicine, University of Santiago de Compostela. Specialist Physician Area, Drug Addiction Care Unit (ACLAD), A Coruña. Spain.

Luis Isidoro Alfonzo Bello, Former Regional Advisor on Substance Use for PAHO/WHO and CICAD/OAS, Washington DC, USA.

Adelino Fernando Vale Ferreira, Manager, Drug Addiction Prevention Commission of Porto, Portugal.