Chapter 20. Dual Diagnosis – Europe

  1. Dr Peter Phillips PhD, MSc, RMN, PGCAP, FHEA senior lecturer honorary lecturer member specialist3,
  2. Dr Olive McKeown PhD, MSc, Dip N, CELTT, Cert Obst, RMN, RGN visiting lecturer specialist lecturer practitioner senior lecturer4 and
  3. Tom Sandford BSc (Hons), Dip N, RGN, RMN executive director policy adviser regional director general manager Head member5
  1. Jane Salvage RGN, BA, MSc, Hon LLD visiting professor1 and
  2. Rob Keukens health consultant lecturer2

Published Online: 9 SEP 2009

DOI: 10.1002/9781444314571.ch20

Dual Diagnosis: Practice in Context

Dual Diagnosis: Practice in Context

How to Cite

Salvage, J. and Keukens, R. (2009) Dual Diagnosis – Europe, in Dual Diagnosis: Practice in Context (eds P. Phillips, O. McKeown and T. Sandford), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314571.ch20

Editor Information

  1. 3

    City University London, UK

  2. 4

    St George's University, London, UK

  3. 5

    Royal College of Nursing, London, UK

Author Information

  1. 1

    Florence Nightingale School of Nursing and Midwifery, King's College, University of London, England

  2. 2

    HAN University, Nijmegen, the Netherlands

Publication History

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

ISBN Information

Print ISBN: 9781405180092

Online ISBN: 9781444314571



  • dual diagnosis – Europe;
  • Eastern Europe and social context, prevalence and treatment of problems;
  • Western European practice and dual diagnosis;
  • ‘Eastern Europe’ - ‘Eastern bloc’ of countries behind the Iron Curtain;
  • rapid spread of HIV/acquired immunodeficiency syndrome (AIDS);
  • Eastern European countries - impressive drinking culture;
  • human immunodeficiency virus/acquired immunodeficiency syndrome;
  • care and treatment responses;
  • health and social care systems - coping with challenges


This chapter contains sections titled:

  • Introduction

  • The historical and social context

  • Elements of dual diagnosis in the region

  • Alcohol

  • Other psychoactive substances

  • Care and treatment responses

  • Problems and solutions

  • Conclusion

  • References