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Clinical care of patients with dual disorders in India: diverse models of care delivery

Yatan Pal Singh Balhara (Department of Psychiatry and National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India)
Abhishek Ghosh (Department of Psychiatry, PGIMER, Chandigarh, India)
Siddharth Sarkar (Psychiatry and National Drug Dependence Treatment Center, All India Institute of Medical Sciences, New Delhi, India)
Jayant Mahadevan (NIMHANS, Bangalore, India)
Arghya Pal (AIIMS Raebareli, Raebareli, India)
Venkata Lakshmi Narasimha (AIIMS Deoghar, Deoghar, India)
Dheeraj Kattula (Christian Medical College and Hospital Vellore, Vellore, India)
Sambhu Prasad (AIIMS Patna, Patna, India)
Arpit Parmar (AIIMS Bhubaneswar, Bhubaneswar, India)
Preethy Kathiresan (AIIMS Jodhpur, Jodhpur, India)
Anirudha Basu (AIIMS Kalyani, Kalyani, India)
Gayatri Bhatia (AIIMS Rajkot, Rajkot, India)
Raghav Shah (Private Sector Clinic, Jaipur, India)
Naveen Kumar Dhagudu (ESIC Medical College and Hospital Hyderabad, Hyderabad, India)
Richa Tripathi (Department of Psychiatry, All India Institute of Medical Sciences Gorakhpur, Gorakhpur, India)
Balaji Bharadwaj (JIPMER, Puducherry, India)

Advances in Dual Diagnosis

ISSN: 1757-0972

Article publication date: 16 November 2022

Issue publication date: 23 November 2022

63

Abstract

Purpose

This study aims to offer an overview of the models of clinical care of the patients with dual disorders in India.

Design/methodology/approach

All the members of the Dual Diagnosis India Network (DDIN) who shared the clinical care delivery at their center were invited to share the details of their model. In addition, an invite was also sent to those members who could not attend the online session but were interested in contributing the required information about their model. The information shared by the respondents was collated. The different models were then categorized based on their features.

Findings

Following the categorization of the clinical care services organization across different settings, five different models emerged. These were specialized dual diagnosis clinic; services for dual disorders offered as substance use disorder (SUD) treatment services within general psychiatry care; services for dual disorders in general psychiatry care; services for dual disorders offered as SUD treatment services separated from general psychiatry care; and services for dual disorders offered in general psychiatry services combined with exclusive SUD treatment services.

Originality/value

Currently, there is limited literature on models of dual disorders from the low- and middle-income countries. The authors believe that the documentation of these models from India shall be of help while setting up services for dual disorders in other health-care settings. This study can be a valuable resource for making informed choices while setting up new services.

Keywords

Acknowledgements

The authors acknowledge the contribution from Dr Tamonud Modak (AIIMS, Bhopal) for sharing the information on the clinical care services for dual disorders at his facility.

Citation

Balhara, Y.P.S., Ghosh, A., Sarkar, S., Mahadevan, J., Pal, A., Narasimha, V.L., Kattula, D., Prasad, S., Parmar, A., Kathiresan, P., Basu, A., Bhatia, G., Shah, R., Dhagudu, N.K., Tripathi, R. and Bharadwaj, B. (2022), "Clinical care of patients with dual disorders in India: diverse models of care delivery", Advances in Dual Diagnosis, Vol. 15 No. 4, pp. 227-243. https://doi.org/10.1108/ADD-09-2022-0025

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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