Evidence map›Paper›PMID 27494051›Full record

ArticleJournal of dual diagnosis

Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use.

Rodrigo Marín-Navarrete, María Elena Medina-Mora, Viviana E Horigian, Ihsan M Salloum, Luis Villalobos-Gallegos, José Fernández-Mondragón

Open access · greenAbstract read
In one paragraph

Article in Journal of dual diagnosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Rodrigo Marín-Navarretea Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM) , Mexico City , Mexico.
María Elena Medina-Moraa Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM) , Mexico City , Mexico.
Viviana E Horigianb Department of Public Health Sciences , Miller School of Medicine, University of Miami , Miami , Florida , USA.
Ihsan M Salloumc Division of Alcohol and Drug Abuse, Department of Psychiatry & Behavioral Sciences , Miller School of Medicine, University of Miami , Miami , Florida , USA.
Luis Villalobos-Gallegosa Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM) , Mexico City , Mexico.
José Fernández-Mondragóna Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM) , Mexico City , Mexico.
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz · MXUniversity of Miami · US

Funding

The Florida Node Alliance of the National Drug Abuse Treatment Clinical Trials NetworkUG1DA013720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel J Feaster, Viviana Elizabeth Horigian · 2015 to 2026
$50.6M
NIDA NIH HHS UG1 DA013720
6 · The paper itself

Abstract

objectiveIn Mexico, specialized treatment services for people with co-occurring disorders are limited within public health services, while private options are deemed too costly. More than 2,000 community-based residential care facilities have risen as an alternative and are the main source of treatment for individuals with substance use disorders; however, suboptimal practices within such facilities are common. Information on the clinical characteristics of patients receiving care in these facilities is scarce and capacity to provide high-quality care for co-occurring disorders is unknown. The aims of this study were to examine the prevalence of co-occurring disorders in patients receiving treatment for substance use in these community-based residential centers and to assess whether the presence of co-occurring disorders is associated with higher severity of substance use, psychiatric symptomatology, and other health risks.

methodsThis study was conducted with 601 patients receiving treatment for substance use disorders at 30 facilities located in five Mexican states, recruited in 2013 and 2014. Patients were assessed with self-report measures on substance use, service utilization, suicidality, HIV risk behaviors, psychiatric symptomatology, and psychiatric disorder diagnostic criteria.

resultsThe prevalence of any co-occurring disorder in this sample was 62.6%. Antisocial personality disorder was the most prevalent (43.8%), followed by major depressive disorder (30.9%). The presence of a co-occurring disorder was associated with higher severity of psychiatric symptoms (aB = .496, SE = .050, p < .05); more days of substance use (aB = .219, SE = .019, p < .05); current suicidal ideation (aOR = 5.07, 95% CI [2.58, 11.17]; p < .05), plans (aOR = 5.17 95% CI [2.44, 12.73]; p < .05), and attempts (aOR = 6.43 95% CI [1.83, 40.78]; p < .05); more sexual risk behaviors; and more contact with professional services (aOR = 1.77, 95% CI [1.26, 2.49], p < .05).

conclusionsCo-occurring disorders are highly prevalent in community-based residential centers in Mexico and are associated with significantly increased probability of other health risks. This highlights the need to develop care standards for this population and the importance of clinical research in these settings.

Indexed as

Community Health CentersResidential FacilitiesAdultComorbidityDiagnosis, Dual (Psychiatry)FemaleHumansMaleMental DisordersMexicoSexual BehaviorSubstance-Related DisordersSuicidal Ideationcommunity-based residential care facilities for substance useCo-occurring disordersinpatientsrisk behaviorssubstance use disorderssuicide

Identifiers

PMID27494051
PMCPMC6929207
OpenAlexW2482844670

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.