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Volume 10
Issue 1
Online publication date 2014-01-17
Title Evaluation of the qualitative and quantitative characteristics of dual diagnosis (Pilot Study)
Author Maria Prodromou, Savoula Ghobrial, Koukia Eumorfia
Abstract
Objective: Dual diagnosis is a special case of psychiatric co morbidity in which the drug dependent patient qualifies for other than dependence co-occurring mental health disorder. This old term is still maintained in bibliography in order to underline the difficulties in treating these patients. This pilot study was conducted using a naturalistic approach to study for eighteen months. Clients were admitted as inpatients is Residential Therapeutic Rehabilitation Program offered by the Mental Health Services in Cyprus. 
 Methods: Forty-five consecutive patients admitted to the Residential Therapeutic Rehabilitation Program (RTRP) under the Mental Health Services in Cyprus during the period of January 2009 to June 2010. Primary outcomes were the coexistence of psychiatric disorder and substance use disorder, the client profile with dual diagnosis and treatment retention. The EuropASI questionnaire and examination of personal records were used, which included the psychiatric diagnosis of the patients according to the DSM-IV Results: A total of forty five patients were used, 30 were males (80%) with mean age 27.5 ± 6.7, and 15 were females, (20%) with mean age 26.4 ± 4.1. The study revealed that 33.3% of patients suffered with psychiatric disorder with coexistence of drug dependency, thus, showing that only a minority of patients admitted to the (RTRP) in Mental Health Services have double diagnosis. Additionally the most commonly appeared psychiatric disorder is mood disorder. The psychiatric disorder is often associated with the main drug use (heroin, cocaine, THC e.t.c), further more patients diagnosed with double diagnosis often abandoned the Residential Rehabilitation Program early. Results support that the group of dually diagnosed and the group with drug-dependence are showing differences in relation to their treatment retention (Log Rank Mantel-Cox test shown Chi-Square: 4.52, df=1, p< .05). In conclusion, the results have shown the individual characteristics of the clients with dual diagnosis in comparison with clients with substance use disorder. The characteristics included e.g. the educational background, their occupation, their police record, their family and interpersonal relationships.
Conclusion: Despite the fact that the minority of the patients admitted in (RTRP) have double diagnosis, this study adds to the evidence that drug dependent patients with a co morbid mental health disorder show worse prognosis. Dual diagnosis was found to negatively affect prognosis in patients with drug dependence. Concluding this pilot study is supporting those clients that are diagnosed with co morbid disorder should be assessed and evaluated at the beginning of their treatment in order to offer them care that is meeting their needs and encourage them to adhere with their treatment.

Citation
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Keywords Addiction, drug dependence, dual diagnosis, comorbidity, rehabilitation, relapse prevention
DOI http://dx.doi.org/10.15208/ati.2014.03
Pages 11-19
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