Health Risk Behaviors of African American Adolescents With Mild Mental Retardation: Prevalence Depends on Measurement Method

Pack, Robert P.; Wallander, Jan L.; Browne, Dorothy C.

doi:10.1352/0895-8017(1998)102<0409:hrboaa>2.0.co;2

Cited by 38 publications

(49 citation statements)

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“…Finally, in a survey of 14-to 17-year-old African-American adolescents with mild MR, Pack et al [1998] found lifetime and past month rates of alcohol use to be 48 and 39%, respectively. Lifetime and past month rates of marijuana use were 13 and 10%, respectively; lifetime and monthly rates of other illicit drug use were extremely low.…”

Section: Alcohol and Illicit Drug Use Among Adolescents With Mrmentioning

confidence: 99%

A review of substance use research among those with mental retardation

McGillicuddy

2006

Ment. Retard. Dev. Disabil. Res. Rev.

100

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This article reviews research conducted on the cigarette, alcohol, and illicit drug use of adolescents and adults with mental retardation (MR). The majority of the research related to substance use conducted on this population has been limited to surveys. Overall, results of these studies suggest that, although substance use is slightly lower among those with MR than among nondisabled comparison groups, it is nonetheless a problem for many individuals. This research is reviewed and a discussion of both the general and specific flaws of these studies follows. Further, the examination of education, prevention, and treatment programs for this population has been overlooked, indicating that individuals with MR are likely not receiving the services most appropriate for them. The article concludes with a discussion of several topics that need to be addressed in future studies, including research on potential best practices in the overlooked areas of substance abuse interventions.

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Section: Alcohol and Illicit Drug Use Among Adolescents With Mrmentioning

confidence: 99%

A review of substance use research among those with mental retardation

McGillicuddy

2006

Ment. Retard. Dev. Disabil. Res. Rev.

100

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“…For example, Pack et al (1998) investigated urban African American youth with mild mental retardation and found that they were more at risk for binge drinking and carrying weapons than other African American adolescents.…”

Section: People With Disabilities and Substance Abusementioning

confidence: 99%

Substance Abuse Treatment Services for People with Disabilities

Bachman

Drainoni

Tobias

2003

Journal of Disability Policy Studies

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The authors present results from an exploratory study conducted to learn more about how Medicaid managed-care plans meet the needs for substance abuse treatment among people with disabilities. These results suggest that capitated health plan staff members are more likely to be knowledgeable about the special needs of people with disabilities who also experience substance abuse problems. Staff members of smaller and more focused health plans demonstrated the greatest knowledge about individuals with disabilities. Staff members of larger behavioral health carve-outs are more likely to develop strategies to achieve population-level goals, such as increased access to care and cost-efficiency. The carve-out plans are likely to offer specialized services only to people with co-occurring mental health and substance abuse problems or to individuals with HIV/AIDS. The authors discuss a number of barriers that make it difficult for managed-care organizations to provide substance abuse treatment services to people with disabilities.datory basis (Substance Abuse and Mental Health Services Administration, 1999). The SAMHSA data also indicated that 25 of these states included at least one substance abuse treatment modality as part of the benefit package. The growing reliance upon managed-care organizations to provide substance abuse treatment services for Medicaid recipients with disabilities may either limit access to these services or provide opportunity for innovation in how they are delivered.Despite the fact that people with disabilities often need substance abuse treatment, we were unable to find any research that documented whether Medicaid managed-care plans are using the flexibility afforded them by capitation to develop creative substance abuse treatment delivery models for individuals with serious disabilities. In this article, we present the results of an exploratory study conducted to learn more about how managed-care plans meet the needs for substance abuse treatment among people with disabilities. The purpose of this inquiry was to learn whether there are innovative programs or plans across the country that can serve as models for improving service delivery for this complex and potentially expensive-to-serve population. Our results are relevant for multiple stakeholders interested in improving health care for people with disabilities, including consumers and advocates, state legislators, state agencies, providers, and groups or organizations that sponsor training and education for these constituencies.

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“…Pack, Wallander, and Browne (1998) reported that the lifetime prevalence of alcohol use was 48%, and the prevalence of alcohol use during the past month was 39% among adolescents with ID attending special education classes in the US. The previously mentioned studies reported results as follows: the prevalence of past-year alcohol use ranged from 22.7% to 54.5% and the prevalence of past-month alcohol use ranged from 8.8% to 35.5% (Gress & Boss, 1996); 41% of adolescents with ID had consumed alcohol at some time (Emerson & Turnbull, 2005); 0.6% of adolescents with ID were regular alcohol drinkers (Yen & Lin, 2010); 71.7% of adolescents with ID reported ever having used alcohol (Fakier & Wild, 2011); approximately 20% of children and adolescents with ID living in residential/foster care had used alcohol (Taggart et al, 2007); the prevalence of alcohol use was 29.5% in adolescents with ID and behavioural/emotional problems and 4% in adolescents with ID who were identified as not having behavioural/emotional problems (Taggart et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Many researchers found evidence that the prevalence of alcohol use was lower among adolescents with ID in comparison with adolescents without ID (Gress & Boss, 1996;McGillicuddy & Blane, 1999;McGuire et al, 2007;Pack et al, 1998;Rimmer et al, 1995;Robertson et al, 2000;Rurangirwa et al, 2006;VanDerNagel et al, 2011). However, Emerson and Turnbull (2005) reported a lower level of using alcohol at least once a month in adolescents with ID and no differences on lifetime alcohol use between adolescents with and without ID.…”

Section: Introductionmentioning

confidence: 99%

“…However, data on the use of inhalants are questionable because the past-year prevalence rates (3.8-7.4%) were lower than past-month prevalence rates (1.6-10.4%). According to Pack et al (1998), the lifetime prevalence of marijuana use was 13%, the past-month prevalence of marijuana use was 10%, and the prevalence of other illicit drug use was very low. Fakier and Wild (2011) reported the following prevalence rates of having everused illicit drugs: 13.1% for methamphetamine, 34.3% for cannabis, 8% for methaqualone, 11% for inhalants, 5.2% for cocaine, 12% for ecstasy and 6.3% for other illegal drugs.…”

Section: Introductionmentioning

confidence: 99%

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Drug use in adolescents with mild intellectual disability in different living arrangements

Žunić-Pavlović

Pavlović²,

Glumbić

2013

Drugs: Education, Prevention and Policy

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Aims: This study explored the prevalence and patterns of cigarette, alcohol and illicit drug use among adolescents with mild intellectual disability (ID) residing in different types of living arrangements in Serbia. Methods: A total of 100 male and female adolescents, aged 13-20 years, attending special schools for students with ID completed a self-report measure on drug use. Fifty adolescents lived with their parents, and the other fifty lived at residential schools. Findings: Overall, the prevalence rates of having ever used cigarettes, alcohol and marijuana were 63%, 49% and 4%, respectively. Boys were more likely to use drugs than girls. The higher prevalence and more severe patterns of drug use were found in adolescents living in residential settings. The significant differences were mainly related to smoking. Conclusions: The findings from the present study suggest that a substantial number of adolescents with ID had experienced drug use. Implications for future research and prevention practice were discussed.

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Health Risk Behaviors of African American Adolescents With Mild Mental Retardation: Prevalence Depends on Measurement Method

Cited by 38 publications

References 0 publications

A review of substance use research among those with mental retardation

A review of substance use research among those with mental retardation

Substance Abuse Treatment Services for People with Disabilities

Drug use in adolescents with mild intellectual disability in different living arrangements

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