Managing dual disorders: a statement by the Informal Scientific Network, UN Commission on Narcotic Drugs

Addictiveness: an independent dimension in the psychotic syndrome. Presentation of the Addictiveness in the Psychotic Syndrome Assessment Scale (APSAS)

“…The recent recommendations of the United Nations working group for the management of dual disorders (Volkow et al, 2020) warns of the importance of attending to the 'wrong door syndrome'. According to it, diagnosis and treatment of SUD in the mental health and general medical services are ignored, and vice versa.…”

“…The concept of dual pathology refers to comorbidity or concurrence of disorders (Volkow et al, 2016(Volkow et al, , 2020. In Spain it has been widely used in psychiatry (Roncero Alonso & Casas Brugué, 2016) to denote the comorbidity of substance use disorders (SUD) together with other mental disorders, but it has also been used in reference to the comorbidity of personality disorders with other mental disorders, or intellectual disability along with mental disorders.…”

Special Issue: Diagnosis and Management of Addiction and Other Mental Disorders (Dual Disorders)

“…Thus, taking into account the burden it places on the health and legal systems, psychiatric comorbidity among persons who use drugs carry high costs for society. Studies have shown that comorbid disorders are reciprocally interactive and cyclical, and a poor prognosis can be expected for both SUD and other mental disorders if treatment does not address DD in an integrated way [ 2 , 3 , 4 ].…”

“…The review on the quality of the clinical recommendation management guidelines, carried out by Hakobyan et al [ 16 ], suggests the use of the NICE guideline to better meet the standards although it shows a clear need to improve the evidence-based recommendations for integrated treatment in DDs. In this sense, much remains to be done as the United Nations Commission on Narcotic Drugs–World Health Organization (WHO) has recently urged United Nations member states [ 4 ].…”

Adictividad: una dimensión independiente en el síndrome psicótico. Presentación de la Escala de Evaluación de la Adictividad en el Síndrome Psicótico (EASP)

“…El concepto de patología dual hace referencia a la comorbilidad o concurrencia de trastornos (Volkow et al, 2016(Volkow et al, , 2020. En España ha sido ampliamente utilizado en psiquiatría (Roncero Alonso & Casas Brugué, 2016) para denotar la comorbilidad de trastornos por usos de sustancias (TUS) junto con otros trastornos mentales, pero también se ha utilizado en referencia a la comorbilidad de trastornos de la personalidad con otros trastornos mentales, o de discapacidad intelectual junto con trastornos mentales.…”