Addressing Alcohol and Drug Addiction Among People With Mental Retardation in Nonaddiction Settings: A Need for Cross-System Collaboration

Slayter, Elspeth; Steenrod, Shelley

doi:10.1080/15332560802646547

Cited by 30 publications

(18 citation statements)

References 37 publications

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“…For instance, behavioral consequences associated with problematic substance use for this population include increased risk taking, moodiness, aggression, violence, vulnerability to exploitation, and problems in relationships (Didden et al, 2009 citing Tenneij and Koot 2007; Taggert et al, 2006; McGillivray & Moore, 2001). Due to physical difficulties commonly associated with ID related conditions, physiological consequences can be serious for this group and include increased cognitive deficit, cardiovascular, respiratory, and gastrointestinal problems (Degenhardt, 2000), epileptic activity (Taggert et al, 2006), and greater motor deficit (Slayter & Steenrod, 2009). The combination of substances with medications commonly taken for these physical difficulties may result in mental confusion, sedation, dementia, coma, and death (Slayter, 2008).…”

Section: Resultsmentioning

confidence: 99%

“…Findings could help inform future research efforts, so recent studies were reviewed to consider with earlier works. While there are still no good, population-based prevalence estimates for substance use or abuse among people with ID, research suggests that prevalence of alcohol and illicit drug use is low, while risk of abuse is relatively high among substance users in this population (Slayter & Steenrod, 2009; McGillicuddy & Blane, 1999). This review identified gaps in research, such as a need to assess the use of readily available substances (e.g., inhalants) in this population (Cocco & Harper, 2002), and subgroups with potentially high vulnerability to substance use problems, such as adolescents and those with a history of involvement with the criminal justice system (Cocco & Harper, 2002; Chaplin, Gilvarry & Tsakanikos, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Substance abuse among individuals with intellectual disabilities

Chapman

2012

Research in Developmental Disabilities

144

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Individuals with disabilities are a growing population that confronts multiple disadvantages from social and environmental determinants of health. In particular, the 7–8 million people in the US with an intellectual disability (ID) suffer disproportionately from substance use problems, largely because of a lack of empirical evidence to inform prevention and treatment efforts for them. Although available research could inform future research efforts, studies are scattered across disciplines with the last review synthesizing findings written more than five years ago. To consider more recent findings with earlier works, PubMed, PsychINFO, and Google Scholar were searched and produced 37 peer-reviewed texts across multiple disciplines, 15 from 2006 or later. While the prevalence of alcohol and illicit drug use in this population are low, the risk of having a substance-related problem among ID substance users is comparatively high. Gaps in the research and population subgroups that warrant special attention are identified, such as individuals with borderline and mild ID, individuals with co-occurring mental illness, and individuals who are incarcerated. Compared with substance abusers without ID, ID substance abusers are less likely to receive substance abuse treatment or remain in treatment. Research is needed to better gauge the magnitude of substance use problems, identify prevention strategies, and specify treatment components that meet the unique needs of individuals with ID.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Substance abuse among individuals with intellectual disabilities

Chapman

2012

Research in Developmental Disabilities

144

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“…Although just over 1% of youth with intellectual disabilities were removed from their families as a result of their own alcohol or drug abuse, this suggests the presence of a very vulnerable population for whom it is known that access to substance use disorder treatment is a documented challenge (Slayter, 2010a(Slayter, , 2010bSlayter & Steenrod, 2009). This suggests that disability service agencies need to develop basic competencies in screening for substance use disorders and in providing prevention-related guidance to youth with intellectual disabilities in order to support them in their decision-making around alcohol and drug use.…”

Section: Discussionmentioning

confidence: 98%

Child Welfare-Involved Youth With Intellectual Disabilities: Pathways Into and Placements in Foster Care

Slayter¹,

Springer²

2011

Intellectual and Developmental Disabilities

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Existing literature suggests that youth with intellectual disabilities are at increased risk for child maltreatment. Little is known about youth with intellectual disabilities who are supervised by child welfare authorities or living in foster care. Reasons for child welfare system involvement and placement types are explored. In this cross-sectional exploratory study, we drew on data from the Adoption and Foster Care Reporting System (AFCARS) for youth in 46 states, the District of Columbia, and Puerto Rico. A sample of 17,714 youth with intellectual disabilities and a comparison group (n = 655,536) were identified for 1999. Findings have implications for preventing the removal of youth from caregivers and the promotion of community inclusion of foster youth while in foster care.

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“…Several factors like inadequate coping skills (Hartley and MacLean 2008), impaired inhibition (Bexkens et al 2014), and limited social skills (Carroll Chapman and Wu 2012) increase the risk of substance-related problems in individuals with MBID (Duijvenbode et al 2015). Other factors associated with MBID like susceptibility to social pressure (Taggart et al 2006) and a lack of inability to understand the potentially severe consequences of substance abuse (Chaplin et al 2011) also increase the risks in these individuals (Duijvenbode et al 2015;Slayter and Steenrod 2009).…”

Section: Introductionmentioning

confidence: 99%

Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning in a Forensic Addiction Treatment Center: Prevalence and Clinical Characteristics

Luteijn

Didden

Nagel

2017

Adv Neurodev Disord

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Knowledge regarding substance-related problems and offending behavior in individuals with mild intellectual disability or borderline intellectual functioning (MBID; IQ 50-85) has increased over the last years, but is still limited. The present study examined differences in prevalence and clinical characteristics of individuals with and without MBID in a forensic addiction treatment center. Participants were 190 court mandated male clients of a low to high security forensic addiction treatment center in the Netherlands (aged between 21 and 59 years old, 82% of Dutch origin). Of the total sample 39% could be identified with MBID which is much higher than the estimated 12% to 15% of the general population. Results showed that clients with MBID reported significantly lower scores on desire for help, compared to clients without MBID (F (1, 73) = 5.12, p = .027). Against expectations, no significant group differences were found for aggression during treatment while controlling for impulsivity, treatment duration and type of substance use and offense. As results of the present study showed that clients with MBID are overrepresented in the forensic addiction treatment center, future research should further explore characteristics and responses to treatment of these clients. More knowledge about the characteristics of clients with MBID will not only help to better identify these clients, but will also to improve treatment for this group

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Addressing Alcohol and Drug Addiction Among People With Mental Retardation in Nonaddiction Settings: A Need for Cross-System Collaboration

Cited by 30 publications

References 37 publications

Substance abuse among individuals with intellectual disabilities

Substance abuse among individuals with intellectual disabilities

Child Welfare-Involved Youth With Intellectual Disabilities: Pathways Into and Placements in Foster Care

Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning in a Forensic Addiction Treatment Center: Prevalence and Clinical Characteristics

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