<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252017000600249</article-id>
<article-id pub-id-type="doi">10.17711/sm.0185-3325.2017.032</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Ibero-American initiative for dual disorders to improve public treatment programs]]></article-title>
<article-title xml:lang="es"><![CDATA[Iniciativa iberoamericana en patología dual para el mejoramiento de los programas públicos de tratamiento]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonzo-Bello]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Szerman]]></surname>
<given-names><![CDATA[Néstor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín-Navarrete]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arribas-Ibar]]></surname>
<given-names><![CDATA[Elisabet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Lopez]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Babín]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina-Mora]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Organización Panamericana de la Salud Departamento de Enfermedades No Transmisibles y Salud Mental ]]></institution>
<addr-line><![CDATA[Washington ]]></addr-line>
<country>USA</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Sociedad Española de Patología Dual  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Unidad de Ensayos Clínicos en Adicciones y Salud Mental ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Delegación del Gobierno para el Plan Nacional de Drogas de España  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Dirección General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>40</volume>
<numero>6</numero>
<fpage>249</fpage>
<lpage>255</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252017000600249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252017000600249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252017000600249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Dual disorders (DD) are defined as the co-occurrence of substance use disorders with other psychiatric disorders across the lifespan. DD represent a diagnostic dimension with clinical peculiarities and specific healthcare needs, which raises the need to implement integrative treatment algorithms. However, worldwide, most programs address this condition through serial or parallel approaches. In Latin America, as in the rest of the world, there is no health care network that adequately addresses this problem.  Objective: To describe the development of the initiative for the integral treatment of DD in Latin America.  Method: The Organización Panamericana de la Salud (Pan American Health Organization), together with other collaborating organizations, implemented a three-stage plan for developing a regional initiative: 1. meeting of DD experts, 2. review of the literature on DD, and 3. identification of services for DD care in Latin America.  Results: The creation of the Iniciativa Iberoamericana para la Patología Dual (Ibero-American Initiative for Dual Disorders) seeks to implement four lines of action to improve of public services: a) build a theoretical-conceptual consensus on DD, b) propose a treatment model, c) develop skills-based training, and d) create collaborative networks for research on DD.  Discussion and conclusion: The following actions include the formation of working groups to create a regional collaborative network, discuss the role of participating organizations and establish guidelines for the implementation of the initiative.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La patología dual (PD) se define como la coocurrencia de trastornos por uso de sustancias con otros trastornos psiquiátricos a lo largo del ciclo vital. La PD representa una dimensión diagnóstica con peculiaridades clínicas y necesidades asistenciales específicas, lo que implica la necesidad de implementar algoritmos de tratamiento integrativos. Sin embargo, la mayoría de los programas en el mundo ofrecen sólo modelos que atienden de forma serial o paralela esta condición. En Latinoamérica, como en el resto del mundo, no se cuenta con una red de atención sanitaria que aborde correctamente esta problemática.  Objetivo: Presentar el desarrollo de la iniciativa para el abordaje integral de la PD en Latinoamérica.  Método: La Organización Panamericana de la Salud, junto con otras organizaciones colaboradoras, implementó un plan de trabajo de tres etapas para generar una iniciativa regional: 1. reunión de expertos en PD, 2. revisión de la literatura sobre PD, y 3. identificar los servicios para atender la PD en Latinoamérica.  Resultados: Se generó una Iniciativa Iberoamericana para la Patología Dual. Ésta pretende implementar cuatro líneas de acción para mejorar los servicios públicos: a) generar un consenso teórico-conceptual sobre PD, b) proponer un modelo de tratamiento, c) desarrollar un entrenamiento basado en competencias, y d) crear redes de colaboración para la investigación en PD.  Discusión y conclusión: Las siguientes acciones incluyen la conformación de grupos de trabajo para crear una red colaborativa regional, discutir el rol de las organizaciones participantes y establecer lineamientos para la implementación de la iniciativa.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Dual disorders]]></kwd>
<kwd lng="en"><![CDATA[substance use disorder]]></kwd>
<kwd lng="en"><![CDATA[mental disorders]]></kwd>
<kwd lng="en"><![CDATA[addictions]]></kwd>
<kwd lng="en"><![CDATA[Ibero-American countries]]></kwd>
<kwd lng="es"><![CDATA[Patología dual]]></kwd>
<kwd lng="es"><![CDATA[trastorno por uso de sustancias]]></kwd>
<kwd lng="es"><![CDATA[trastornos metales]]></kwd>
<kwd lng="es"><![CDATA[adicciones]]></kwd>
<kwd lng="es"><![CDATA[países iberoamericanos]]></kwd>
</kwd-group>
</article-meta>
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