Department of Clinical Medicine UMH

Responsible Director

Doctor of the Department of Clinical Medicine UMH silhouette


Associate Professor

[email protected]
Tel: +34 965 23 37 88

Units: Clinical Medicine

Spanish Society of Dual Pathology SEDP logo



Department Secretary

[email protected]
+34 965 91 94 49

Pre-enrolment University Miguel Hernández image


Faculty of Medicine

Credits ECTS: 30 (750 hours)

Duration: 1 semester

Download the pdf of the course here

IMPORTANT: Documentation for foreign students

Specific web:

Telephone: +34 629 84 19 04

Mode: on-line.
UMH (Faculty of Medicine)
Internships (optional): University hospitals of San Juan and Elche (Spain).

Teaching centre: Clinical Medicine

Branch of teaching: Health Sciences

Pre-registration:  01/06/14 to 01/12/14

Registration: 01/12/14 to 24/01/15

Duration: 26/01/15 to 30/09/15

Hours: 750

Maximum registration fee:

1250 euros (Normal).

1000 euros (Reduced).

Max students: 50

Min students: 25

Download the pdf of the course here

Specific web: universityspecialistdualpathology

Academic justification

University Specialist in Dual Pathology II Edition

It is estimated that between 40-60 of the mentally ill they develop an addiction to alcohol or other drugs throughout his life, comorbidity that is referenced under the term of Dual Pathology. In Spain, the Spanish society of Pathology Dual observed a prevalence of Dual Pathology of 53, among patients treated in specific centres of drug addiction and Mental Health (AEPD, 2008). Three-quarters of these patients would present two or more mental disorders and the 71 evidence the existence of a personality disorder

On the other hand, the prevalence of Dual Pathology differs depending on the type of care resource which is determined. When we analyze data from centers specialized in the attention to people drug addicts, the prevalence rises to a 63 while in Mental health units, 25 of the patients presented a dual disorder (AEPD, 2008). In a psychiatric inpatient unit, comorbidity rate stands at around 30-50 depending on the diagnosis that motivates the entry (Oliveras, Garcia and Alcantara, 2003).

Obviously, the presence of psychiatric co-morbidity in substance use disorder affects the course and evolution of the box addictive, generating a series of negative consequences such as a higher frequency of the number of hospitalizations and emergency room services, as well as increased frequency of relapses of violence autoheterolesivos – and higher levels of family instability and social exclusion. In sum, a worse prognosis that evidence be associated to a worse adherence to treatment as well as to the lack of specific interventions for this large group of clinical population.

Despite its high prevalence epidemiological and health care, it offer training for them professional that develop their functions in this field is very low. Notably, the initiative developed by the Spanish society of Pathology Dual with the development of training modules under the patronage of the pharmaceutical industry. However, currently there is no title specific University graduate in this matter, nor nor the training offer developed so far has included the variety of contents that are collected in the course of specialist in Dual Pathology presented here. In this sense, the course includes would together with the epidemiological and clinical – aspects. novelty include comprehensive training in specific psychotherapeutic interventions for the treatment of Dual Pathology, as well as others aimed at patients with greater clinical complexity, characterized by a severe mental disorder

1. Spanish Association of Dual Pathology. Epidemiological study to determine the prevalence, diagnosis and therapeutic approach of Dual Pathology in the community of Madrid. Madrid, 2008.

2. Oliveras Valenzuela MA, García Fernández L, Alcántara Lapaz AG. Welfare implications of addiction: perspective of a psychiatric inpatient unit En: De Felipe C. (ed.): Basic and clinical aspects of the Neurobiology of addiction. Foundation Dr. Esteve. Barcelona, 2003. pp. 109-118.

Postgraduates in Mental health

With the backing of the Spanish Society of Dual Pathology, Miguel Hernández University offers a University Specialist Course in Dual Pathology (30 ECTS), with a mixed methodology (online and face-to-face) which allows greater accessibility to students, regardless of their place of residence. With this methodology, highlights the existence of a scholarship program – directed both as Latin American – Spanish professionals in order to facilitate access to high level academic training.

The course contents include a comprehensive training in Psychopathology, aimed at empowering students to properly identify the psychiatric symptoms and diagnose them properly. On the other hand, highlights the fact that the treatments outlined in the course is not limited to the strict pharmacological, including a relevant contribution of treatments of psychotherapeutic approach, both those aimed at the serious mental disorder such as those specifically designed for patients with dual pathology. All from the previous analysis of the different orientations of treatment systems directed to these kind of patients.


The main objective of the program is focused on providing an update of knowledge in terms of attention to the Dual Pathology, including the contents of preferential interest based on the current training needs detected among professionals in this area.

As specific objectives, it intends that the students acquire the knowledge, skills and attitudes needed for a professional practice adequate care to the Dual Pathology and, in particular:

1) Correctly identify the psychiatric symptoms, learning how to create an adequate assessment of psychopathology.

2) Learn about the different treatment models that have demonstrated evidence in attention to the dual pathology.

3) Have updated knowledge in diagnosis and treatment of psychiatric disorders that present greater prevalence of comorbidity with disorders substance use.

4) Know the characteristics of the main psychotherapeutic interventions in patients with mental disorders serious and, specifically, in dual pathology.


To access the University Specialist Course in Dual Pathology is required to be in possession of a degree of official university studies, preferably in Medicine and Psychology, Nursing and Occupational Therapy.

Students must have access to a personal computer with internet access, as well as enough knowledge of English to read and understand the complementary bibliography which could contribute in that language.

They will be priority, students, the following selection criteria:

1º) Be resident or specialist in Psychiatry, Clinical Psychology or Mental Health Nursing.

2º) Work on some Healthcare resource of Drug Addiction or Mental Health.

3º) Order of pre-registration.


eThe teaching will be preferably on-line, using the virtual platform of the UMH. In some modules that require a face-to-face practical training by the nature of its contents, will complement training online with the delivery of short face-to-face seminars (4-5 hours). Attendance at these face-to-face seminars may be replaced by their corresponding videos to be viewed when the student does not reside in Spain or other duly justified causes and prior approval of the direction of the course.

The course includes a total of 115 hours theory (online or face-to-face), with the rest of their workload to other activities for the students, such as reading documentation, performing the tasks assigned to each subject, tutoring, personal study, and assessment tests.

Each subject will be given by:

  • Theory classes: didactic units, developed by teachers, which will be available on the course website for reading by the students.
  • Supplementary reference material: on the website of the course, students will benefit from complementary material (texts, clinical cases and audiovisual material) must read to broaden the content corresponding to the didactic units.
  • Tutoring: there will be a tutor of the subject to individual e-mail attention.
  • Seminars: those modules in which the practical nature of its contents is suitable to complement training online with the person (for example, psychotherapeutic interventions modules), will be carried out face to face seminars, with a methodology to check and to deepen the knowledge gained previously through the didactic units and the supplementary material and practical. The seminars will take place in Conference on Friday and Saturday, allowing to combine training with work.
  • Internships: as a complementary activity, students may pursue health care internships, on a voluntary basis. At the start of the course will establish the schedule of practices, once known existing demand.


The course duration is 30 ECTS (750 hours). Its curriculum is distributed in three courses and a final project.



Code Subject Units ECTS Mandatory
1 Psychopathology Psychopathology 6
2 Dual Pathology: evaluation, clinical and therapeutic approaches Dual Pathology: evaluation, clinical and therapeutic approaches 9
3 Psychological treatments in Severe Mental Disorder Psychological treatments in Severe Mental Disorder 9
4 Final Project  AFinal Project 6


The evaluation of the performance of students will be made by three complementary systems:

a) Test exam, performed online at the end of each of the subjects. The exams will be weighted according to the duration of each module, resulting in an average that will correspond to the 40% of the final grade.

b) Open questions: per taught subject, the student must answer to a maximum of 5 open response questions, which will be available at the same time that their corresponding teaching unit and complementary material. The weighted obtained equals 20% of the final grade.

c) Final work: students perform a final work on any of the contents taught in the course. The work must have a minimum of 20 pages and a maximum of 25 extension, and may consist of a review of the literature, the exposure of a clinical case or any other content that was previously approved by the direction of the course. Note obtained in this work corresponds to the 40% of the final grade.

When the modules completed by students include face-to-face seminars, assistance to a minimum of 75% of the teaching hours will be required. In the case of failure to fulfil this criteria, the note of course that will be used in the determination of the corresponding average will be 0 points. If the student was not residing in Spain–or in other duly justified cases and with prior approval of the direction of the course–attendance at face-to-face seminars may be replaced by viewing the video of them, that will be placed at the disposal of the students.

The final grade will be determined by the formula: Final Note= (0,4*a) + (0,2*b) + (0,4*c). To obtain the Title of Specialist Degree is required a minimal note of 5 points.


Alfonzo Bello, Luís Psychiatrist. Advisor on Substance Abuse. Regional Mental Health Program. Panamerican Health Organization (Washington, United States).
Basurte Villamor, Ignacio Psychiatrist. Eating Behavior Disorders Care coordinator. Gregorio Marañón University General Hospital (Madrid).
Casas Brugué, Miguel Chief of the Psychiatry Service. Hospital Vall D’Hebrón (Barcelona). Professor of Psychiatry. Autónoma University of Barcelona.
Cid Colom, Jordi Clinical Psychologist. Rehabilitation Service. Programs Coordinator. Health care address. Health Care Institute (IAS), Girona.
García Fernández, Lorena FED Psychiatry. San Juan (Alicante) University Hospital. Associate Professor of Psychiatry. University Miguel Hernández (UMH).
García Palacios, Azucena Professor of Psychopathology. Jaume I University of Castellón.
Gisbert Aguilar, Cristina Psychiatrist. Head of the Department of Psychiatric Rehabilitation. Parc Hospitalari Martí i Julià. Institute of Health Care (IAS), Girona.
Junquero Valle, Josefa Clinical Psychologist Program of teenagers and youth. Center for Prevention and Intervention in Addiction – SPOTT. Provincial Council of Barcelona.
Lana Moliner, Fernando Psychiatrist. Director of the Día Hospital and TLP program. Institute for Neuropsychiatry i Addictions (INAD) – CAEMIL. Parc de Salut Mar of Barcelona. Co-Director of the Master in Mental Gross Disorder of the University of Barcelona.
Lorente Rovira, Esther PhD in Psychology. Clinical Psychologist. USM Malvarrosa. Valencia. CIBERSAM.
Martínez Raga, José Psychiatrist. Hospital Dr Peset (Valencia). Associate Professor of Psychiatry. University of Valencia.
Mirapeix Costa, Carlos Psychiatrist. Director of the Foundation for Research in Psychotherapy and Personality. President of the Spanish School of Psychotherapy. Co-Director of the Course of Postgraduate Diploma in Psychotherapy Integrated of the Personality Disorders by the University of Deusto.
Montenegro Corona, Mariano Psychiatrist. Master Iberoamericano in drug addiction. Former head of the Area of treatment, Rehabilitation and Social Integration of the National Council for the Control of Narcotic Drugs (CONACE). Government of Chile. External consultant of OEACICAD.
Ochoa Mangado, Enriqueta Psychiatrist. Psychiatry Service. Ramon y Cajal General University Hospital. Madrid.
Oliveras Valenzuela, Mª Angustias Chief of Psychiatry Service of the University Hospital of San Juan (Alicante). Associate Professor of Psychiatry. University Miguel Hernández.
Pérez Gálvez, Bartolomé Psychiatrist. Alcohology Unit. University Hospital of San Juan (Alicante). Associate Professor of Psychiatry. University Miguel Hernández.
Roncero Alonso, Carlos Psychiatrist. Drug Addiction CAS Coordinator. Psychiatry Service. Vall D’Hebrón University Hospital. Associate Professor of Psychiatry. Autónoma University of Barcelona.
Ruíz Parra, Eduardo Psychiatrist. Psychiatry Service. Hospital of Basurto. Bilbao.
Sanjuán Arias, Julio Psychiatrist. Psychiatry Service. Hospital Clínico Universitario from Valencia. Professor of Psychiatry. University of Valencia. CIBERSAM.
Segarra Echevarría, Rafael Psychiatrist. Psychiatry Service. Hospital de Cruces (Baracaldo). Faculty of Medicine. University of the Basque Country.
Szerman Bolotner, Néstor Chief Mental Health Service Retirement. General University Hospital Gregorio Marañón (Madrid). President of the Spanish Society of Dual Pathology.
Torrens Mèlich, Marta Director of the Line of addictions. Institute of Psychiatric Care, Mental Health and Addictions (IAPS) – Hospital del Mar. Professor of Psychiatry. Autónoma University of Barcelona.


At the beginning, students from the corresponding calendar of events, will indicate the dates that will be available on the web the relevant didactic units and supplementary material, as well as the questions and test of evaluation of each module will be provided at the beginning of the year. So that, it will be communicated the dates of face-to-face seminars that corresponding where appropriate, depending on the learning path chosen by each student.

Face-to-face seminars will take place at the University Campus of Elche, Spain.

University Specialist in Dual Pathology course will begin the day 26 January 2015, being the date limit for the delivery of the final works of September 30, 2015.


How to make the pre-registration?

You can pre-enrol by completing the Pre-registration form at Training Postgraduate Courses and Continuing Education”, by clicking here. The application period starts on June 1 and ends on November 30, 2014. The application involves a deposit of 200€, which will be deducted from the cost of tuition or, in your case, returned to the applicant if not be admitted to the course or renounce the definitive registration in the same.

How to enroll?

Once the application period is finished, it will be communicated to students the procedures of registration to be made for short to complete the enrollment process.

Price of the registration and payment system.

The registration of the course of University Specialist in Dual Pathology will be 1.250 euros.

The tuition payment will be made before the start of the course. You can split in two payments: the first at the beginning of the course and the second two months maximum from the date home course. 50 of the registration fee shall be paid in each term. Not to pay the second installment will lead to low automation of the student, as well as lose any right to repayment of the amount already paid.


A maximum of 10 scholarships, according to the following differentiation and criteria shall be granted:

a) Reduced tuition (80): may be granted a maximum of 5 scholarships, with a reduction of 20 of the cost of normal enrollment, applicants with residence in Spain, based on the valuation of your professional resume. The final cost of the tuition will be 1.000 euros.

b) Latin American Professionals (60): may be granted a maximum of 5 scholarships, with a reduction of 40 of the cost of normal enrollment, applicants residing in countries of Latin America and the Caribbean, on the basis of the assessment of his professional resume. The final cost of the registration is 750 euros.


If you need further information about the University Expert Course in Dual Pathology, you can contact by telephone with the Administrative Secretary in the number (+34) 96 591 94 49, or personally with the director of the course (Bartolomé Pérez Gálvez) at the following e-mail address: [email protected]