Chapter 9. Polysubstance Use and Personality Disorder

  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. Simon McArdle senior lecturer

Published Online: 9 SEP 2009

DOI: 10.1002/9781444314571.ch9

Dual Diagnosis: Practice in Context

Dual Diagnosis: Practice in Context

How to Cite

McArdle, S. (2009) Polysubstance Use and Personality Disorder, in Dual Diagnosis: Practice in Context (eds P. Phillips, O. McKeown and T. Sandford), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314571.ch9

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. University of Greenwich, London, UK

Publication History

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

ISBN Information

Print ISBN: 9781405180092

Online ISBN: 9781444314571



  • polysubstance use and personality disorder;
  • psychiatric disorders and problematic substance use;
  • personality disorders and substance use - antisocial personality disorders (ASPD) and BPD;
  • service delivery and mainstream mental health services;
  • treatment and intervention approaches;
  • models of care for substance misuse and need for comprehensive assessment (NTA);
  • stages of change model in assessment and treatment;
  • substance use interfering with assessment and treatment of mental health problems;
  • multidisciplinary team (MDT);
  • therapeutic nurse–patient relationship


This chapter contains sections titled:

  • Introduction

  • Prevalence

  • Service delivery

  • What is personality disorder?

  • Treatment and intervention approaches

  • Assessment

  • Stages of change

  • Therapeutic principles

  • Conclusion

  • References