title: Relevant Differences in Perception and Knowledge of Professionals in Different Spanish Autonomous Communities Regarding Availability of Resources for Patients with Dual disorders.
abstract: OBJECTIVE
  To assess the knowledge of health professionals attending patients with dual disorders about specific resources for patients with this condition in different Spanish regions.
  
  
  METHODS
  Observational, cross-sectional, multicenter study to compare the perceptions of healthcare professionals (n=659) with reality regarding specific resources available for patients with dual disorders in Spain. The professionals completed an online questionnaire. Nineteen commissioners and managers responsible for national and regional substance abuse programs also completed the questionnaire.
  
  
  RESULTS
  A representative sample of professionals from each community (553 centers in 235 Spanish cities) participated in the study. Most participants (93.2%) felt that specific resources for patients with dual disorders are needed. High percentages of professionals thought that there were no specific workshops (88.4%), subacute units (83.1%), day hospitals (82.8%), specific day centers (78.5%), or outpatient programs (73.2%) for patients with dual disorders. The real knowledge of professionals regarding the existence of specific resources varied according to the type of resource and autonomous community. The professionals generally underestimated the number of units available in their communities.
  
  
  CONCLUSIONS
  There were clear differences in the real knowledge that healthcare professionals had about the resources available for patients with dual disorders in relation to the autonomous community where they were practicing. Actions are needed to harmonize knowledge nationally, for example, a single registry, white paper, or a national program for patients with dual disorders.
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Sección de Adicciones y Patologia Dual, Departamento de Psiquiatría, Hospital Universitario Vall Hebron &#8211; Agencia de Salut Publica de Barcelona (ASPB). CIBERSAM. Barcelona, España Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Roncero
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Instituto de Adicciones. Madrid, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Vega
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Sección de Adicciones y Patologia Dual, Departamento de Psiquiatría, Hospital Universitario Vall Hebron &#8211; Agencia de Salut Publica de Barcelona (ASPB). CIBERSAM. Barcelona, España Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, España.
authors.forename: Lara
authors.initials: L
authors.lastname: Grau-López
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Instituto de Adicciones. Madrid, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Mesías
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Sección de Adicciones y Patologia Dual, Departamento de Psiquiatría, Hospital Universitario Vall Hebron &#8211; Agencia de Salut Publica de Barcelona (ASPB). CIBERSAM. Barcelona, España Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Barral
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Departamento de Psiquiatría, Hospital Universitario Gregorio Marañón, Madrid, España.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Basurte-Villamor
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Sección de Adicciones y Patologia Dual, Departamento de Psiquiatría, Hospital Universitario Vall Hebron &#8211; Agencia de Salut Publica de Barcelona (ASPB). CIBERSAM. Barcelona, España Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, España.
authors.forename: Laia
authors.initials: L
authors.lastname: Rodríguez-Cintas
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Unidad Docente de Psiquiatría y Psicología Medica, Hospital Universitario Dr. Peset y Universidad de Valencia, & Universidad CEU-UCH, Valencia, España.
authors.forename: José
authors.initials: J
authors.lastname: Martinez-Raga
authors.affiliation: Facultad de Farmacia, Universitat de Barcelona, España.
authors.forename: Núria
authors.initials: N
authors.lastname: Piqué
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Sección de Adicciones y Patologia Dual, Departamento de Psiquiatría, Hospital Universitario Vall Hebron &#8211; Agencia de Salut Publica de Barcelona (ASPB). CIBERSAM. Barcelona, España Departamento de Psiquiatría y Medicina Legal, Universitat Autònoma de Barcelona, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
authors.affiliation: Sociedad Española de Patología Dual. Madrid, España Departamento de Psiquiatría, Hospital Universitario Gregorio Marañón, Madrid, España.
authors.forename: Nestor
authors.initials: N
authors.lastname: Szerman
mesh_terms: D003430:Cross-Sectional Studies; D017831:Diagnosis, Dual (Psychiatry); D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006297:Health Services Accessibility; D006801:Humans; D008605:Mental Health Services; D013030:Spain; D019966:Substance-Related Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires