Chapter 19. Dual Diagnosis – Australasia

  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. Gary Croton RPN, MHSc (AOD) alcohol specialist

Published Online: 9 SEP 2009

DOI: 10.1002/9781444314571.ch19

Dual Diagnosis: Practice in Context

Dual Diagnosis: Practice in Context

How to Cite

Croton, G. (2009) Dual Diagnosis – Australasia, in Dual Diagnosis: Practice in Context (eds P. Phillips, O. McKeown and T. Sandford), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314571.ch19

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. Eastern Hume Dual Diagnosis Service, Australia

Publication History

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

ISBN Information

Print ISBN: 9781405180092

Online ISBN: 9781444314571



  • dual diagnosis - Australasia;
  • system change drivers and Australian treatment systems;
  • harms and unwanted outcomes and dual diagnosis;
  • Australian estimates of dual diagnosis prevalence;
  • barriers to better outcomes for persons with dual diagnosis;
  • indigenous, aboriginal and Torres Strait Islander people and burden of disease;
  • mental health disorder prevalence and rural Australia's worse health outcomes;
  • Australian health care system;
  • national level responses to dual diagnosis;
  • national comorbidity initiative


This chapter contains sections titled:

  • Introduction

  • Drivers for system change

  • Consumer and carer demand

  • Prevalence

  • Harms and unwanted outcomes strongly associated with dual diagnosis

  • Opportunity to provide more effective treatment of ‘target’ disorders via improved recognition and more effective responses to co-occurring disorders

  • Barriers to better outcomes for persons with dual diagnosis

  • Indigenous Australians

  • Rural and remote regions of Australia

  • Australia's responses to dual diagnosis

  • Structure of the Australian health care system

  • National level responses to dual diagnosis

  • The National Comorbidity Initiative

  • Improved Services for People with Drug and Alcohol Problems and Mental Illness Measure

  • ‘Can Do’ – Managing Mental Health and Substance Use in General Practice

  • Headspace

  • State level responses to dual diagnosis

  • Conclusion

  • References