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Area of Science:

  • Mental Health Services
  • Psychiatry
  • Public Health

Background:

  • The Basaglia Law in 1978 shifted mental health services towards community-based, voluntary treatments, broadening focus to environmental factors.
  • Dual diagnosis, defined by WHO as co-occurring substance use and psychiatric disorders, presents a complex challenge requiring inter-service networking.

Purpose of the Study:

  • To review current literature on treatment and networking strategies for dual diagnosis.
  • To identify gaps in clinical practice guidelines and national treatment approaches for dual diagnosis.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Web of Science, Scopus, and Google Scholar using relevant keywords.
  • National and regional health and addiction regulations were screened, and 31 relevant studies were included from 598 initial titles.

Main Results:

  • No specific clinical practice guidelines for dual diagnosis were found in the literature.
  • There is a lack of nationally shared treatment strategies, with significant variation in approaches across regional health services.

Conclusions:

  • Existing treatment options for dual diagnosis have weaknesses.
  • The "Multidisciplinary Healthcare" model is proposed as the optimal approach to address the complexities of dual diagnosis cases.