Perfiles de pacientes con patología dual: ¿qué diferencias existen entre los que acuden a las unidades de salud mental comunitaria y a los centros de tratamiento de drogodependencias?

The aim of this study was to analyze and compare the profile of dual patients treated in mental health units or drug user services with patients using both. The sample consisted of 170 patients diagnosed with dual pathology, recruited using an accidental sampling technique. Of the sample, 64 were being treated at Addiction Center of Huelva (ADH), 51 at various Community of Mental Health Units (CMHU) in the province of Huelva and 55 were treated with a coordinated use of both resources. The patients were diagnosed using MINI and PID-5. A higher prevalence of patients with a cocaine and heroin dependence profile was observed in the patients treated in ADH (35.9%, as opposed to 2% in CMHU and 16.4% in the coordinated service). For those patients treated in CMHU there was a higher prevalence of profiles related to cannabis dependence (41.2%, as opposed to 9.4% in the ADH and 16.4% in the coordinated service). The odds ratio for hypomanic episodes was 2.879 (p < 0.05) for patients in ADH compared with the other two services. The odds ratio observed for manic episodes was 0.483 (p < .05) in ADH patients, whilst for patients in CMHU there was a higher prevalence of comorbid psychotic disorders in comparison with those using ADH services (66% as opposed to 37.5%). The high prevalence of comorbid disorders - along with the differences in profiles identified between services - suggests the need to consider treating these patients using integrated services.