State of Training, Clinical Services, and Research on Dual Disorders Across France, India, Israel, and Spain
Por:
Balhara YP, Lev-Ran S, Martinez-Raga J, Benyamina A, Singh S, Blecha L and Szerman N
Publicada:
1 ene 2016
Categoría:
Psychiatry and mental health
Resumen:
Objective: This article overviews training, clinical services, and research on dual disorders across four countries: France, India, Israel, and Spain. Methods: The current dual disorders systems in each of the four countries were reviewed, with a focus on strengths and limitations of each. Results: In France, psychiatric care occurs within the public health care system and involves little training of medical graduates for managing dual disorders. Special courses and forums for specialists have recently started to meet the growing interest of physicians in learning how to manage dual disorders. The Indian health care system grapples with a large treatment gap for mental disorders, and while some treatment services for dual disorders exist, specific research and training efforts on dual disorders are just beginning. Israel has both public- and private sector services for patients with dual disorders, with specialized inpatient and emergency care for the acutely ill as well as day care and therapeutic communities for long-term management. Interest by researchers is growing, but training and education efforts in dual disorders are, however, minimal. Similar to the other countries, addiction and psychiatry disciplines are governed by separate divisions within the National Health System in Spain. There are some dual disorders services available, but they are limited in scope. While medical professionals clearly recognize the importance of dual disorders, there is no such recognition by the national and regional governing bodies. Conclusions: The common thread in various aspects of dual disorder management in each of these four countries is that there is a lower-than-desirable level of attention to dual disorders in terms of care, policy, research, and training. There are growing opportunities for training and continuing education in dual disorders management. We suggest that nations could learn from each other's experiences on how to address the issue of dual disorders.
Filiaciones:
Balhara YP:
d Virginia Commonwealth University , Richmond , Virginia , USA
Lev-Ran S:
f Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel
:
g Unidad Docente de Psiquiatria y Psicologia Medica, Hospital Universitario Dr. Peset y Universidad de Valencia, & Universidad CEU-UCH , Valencia , Spain
Benyamina A:
h National Institute for Medical Research, University Paris-Sud, Hopital Universitaire Paul Brousse , Villejuif , France
Singh S:
a Department of Psychiatry and National Drug Dependence Treatment Centre , WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences , New Delhi , India
Blecha L:
h National Institute for Medical Research, University Paris-Sud, Hopital Universitaire Paul Brousse , Villejuif , France
Szerman N:
i Departamento de Psiquiatria , Hospital Universitario Gregorio Maranon, Calle Doctor Esquerdo , Madrid , Spain
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