Chapter 18. Dual Diagnosis – North America

  1. Dr Peter Phillips PhD, MSc, RMN, PGCAP, FHEA senior lecturer honorary lecturer member specialist2,
  2. Dr Olive McKeown PhD, MSc, Dip N, CELTT, Cert Obst, RMN, RGN visiting lecturer specialist lecturer practitioner senior lecturer3 and
  3. Tom Sandford BSc (Hons), Dip N, RGN, RMN executive director policy adviser regional director general manager Head member4
  1. Theodora Sirota BS, MA, PhD associate professor psychotherapist group facilitator leader and
  2. Kathleen Leo PhD, bachelor of science, master of science recipient

Published Online: 9 SEP 2009

DOI: 10.1002/9781444314571.ch18

Dual Diagnosis: Practice in Context

Dual Diagnosis: Practice in Context

How to Cite

Sirota, T. and Leo, K. (2009) Dual Diagnosis – North America, in Dual Diagnosis: Practice in Context (eds P. Phillips, O. McKeown and T. Sandford), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314571.ch18

Editor Information

  1. 2

    City University London, UK

  2. 3

    St George's University, London, UK

  3. 4

    Royal College of Nursing, London, UK

Author Information

  1. Seton Hall University College of Nursing, South Orange, NJ, USA

Publication History

  1. Published Online: 9 SEP 2009
  2. Published Print: 23 OCT 2009

ISBN Information

Print ISBN: 9781405180092

Online ISBN: 9781444314571



  • dual diagnosis – North America;
  • co-occurring mental illness and substance use disorders - serious public health problem;
  • post-traumatic stress disorder (PTSD);
  • ‘dual diagnosis’ concept in United States;
  • Diagnostic and Statistical Manual of Mental Disorders III;
  • socio-cultural and public policy considerations;
  • dually diagnosed individuals and paucity of programmes of treatment;
  • Intensive Outpatient Programs (IOP) - relapse prevention programmes;
  • dual diagnosis concept and challenges


This chapter contains sections titled:

  • Introduction

  • Prevalence

  • Historical context

  • Socio-cultural and public policy considerations

  • Approaches to treatment

  • Research

  • Issues and challenges

  • Conclusion

  • References