الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 182 |  |  |
| | | from | 182 | | |
Abstract
1
Introduction
Definition
Dual diagnosis refers to the concurrence of two separate
entities in one person in the area of substance abuse. This means
that a substance abuse disorder occurs together with a
psychiatric disorder (Slaby 1991).
Importance of Dual diagnosis
1. Unrecognized dual diagnosed patients drain both public and
private health care systems by repeated and lengthy
hospitalization. (Slaby et al 1986).
2. High relapse rate,. these individuals rapidly resume
substance abuse after discharge~ (Dackis and Gold 1992)
3. Dual diagnosed patient fail to confirm to treatment plans
and don’t respond to self help groups (Slaby et al 1986)
4. It was reported that 35. of patients seeking emergency care
for psychiatric disorders were substance abusers
( Trier and levy 1969).
5. Dual diagnosed patients with psychiatric illness associated
with suicidal homicidal tendencies requires hospitalization
and can’t be managed on an outpatient basis in standard
(Dackis and Gold 1992).
2
Ep”idem-ie>le>gy
1 • 74% of psychiatric inpatients reportedly have abused
substances, 13%~ abused drugs other then alcohol
(Davis , 1984).
2. Frank alcoholism occurs in 8.7-17.1% of general medical
patients (Davis, 1984).
3. 26% among adolescent suicide victims reported as alcohol
abuse and dependence ( Marttunen at a1, 1991).
4. Major depression, found comorbidly in 58% of the alcoholics
who committed suicide (Murphy, 1992).
5. 57% of alcohol and drug abusers diagnosed as personality
disorder (Hace et al, 1991).
6. At least 30% of alcoholics have evidence of preexisting
disorder (Schuckit, 1989).
7. About 70S of men with antisocial personality disorder have
secondary alcohol problems during the course of their
disorder, (Anthenilli and schuckit, 1992)
8. During the manic phase of bipolar disorder, about 20~ of
patients develop sever ethanol related difficulties.
(Anthenilli and Schuckit, 1992).