Substance use problems among people with mild/borderline intellectual disability

Juberg, Anne; Røstad, Monica; Søndenaa, Erik

doi:10.1177/1455072516687255

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…An increasing number of studies have assessed feasibility and effectiveness of prevention and intervention programs for SUD in MID-BIF. Programs that have been shown effective in individuals without intellectual disability need to be adapted to the needs and learning style of individuals with MID-BIF [25][26][27].…”

Section: Treatment: Prevention Intervention and Reasonable Adaptationsmentioning

confidence: 99%

“…Reasonable adaptations SUD in MID-BIF is a complex and chronic condition which warrants treatment involving medical, social, and psychological professional competence [1,27]. Facilities for intellectual disability care often do not have necessary skills and attitude for addressing SUD while addiction centers often are not adapted to the needs of clients with MID-BIF leading to difficulties in case identification, drop out, and less favorable treatment outcomes [35,36].…”

Section: Andandmentioning

confidence: 99%

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Substance use disorders in people with intellectual disability

Didden

VanDerNagel

Delforterie

et al. 2020

Current Opinion in Psychiatry

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Purpose of review To provide an overview of studies on substance use and substance use disorder (SUD) in individuals with mild intellectual disability or borderline intellectual functioning (MID–BIF). Recent findings Many individuals with MID–BIF use tobacco, alcohol, and drugs. On average, rates of substance use and SUD are similar to or even higher than those in peers with average intelligence. Individuals with MID–BIF are overrepresented in (forensic) addiction care. Several instruments are now available for the assessment of SUD and its risk factors in this target group. Prevention and intervention programs have been shown feasible and with promising outcomes, although the evidence base is still small. Professionals in addiction care and intellectual disability care facilities show deficiencies in skills in addressing SUD in clients with MID–BIF. Summary Research in this area is still in its infancy, though an increasing number of studies show promising outcomes regarding case identification, assessment, and treatment of SUD in intellectual disability. Policy and practice should be adapted to the characteristics of individuals with MID–BIF.

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Section: Treatment: Prevention Intervention and Reasonable Adaptationsmentioning

confidence: 99%

Section: Andandmentioning

confidence: 99%

Substance use disorders in people with intellectual disability

Didden

VanDerNagel

Delforterie

et al. 2020

Current Opinion in Psychiatry

View full text Add to dashboard Cite

show abstract

“…Frictions among patients’ treatment needs and the available care are frequently mentioned specifically for those with SUD and MBID. ID services generally lack the skills to treat SUD, whereas addiction services are not equipped to guide those with MBID [ 18 , 45 , 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Pars,

VanDerNagel,

Dijkstra

et al. 2023

JCM

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Recovery capital (RC) encompasses the wide range of resources individuals can employ to recover from Substance Use Disorder (SUD). It consists of five subdomains: human, social, cultural, financial, and community RC. Negative recovery capital (NRC) represents the obstacles to recovery. Research on (N)RC in complex multimorbid populations is scarce. This study offers an initial exploration of the viability of (N)RC in three individuals with SUD, psychiatric comorbidities, and an intellectual disability (a triple diagnosis) in inpatient addiction treatment. We collected case file data, ranked recovery goals, and conducted follow-up interviews. The data were subjected to template analysis, using (N)RC domains as codes. All domains were prevalent and relevant, showing dynamic and reciprocal effects, influenced by critical life events acting as catalysts. Notably, during treatment, patients prioritized individual skill development despite challenges in other domains. RC emerges as a valuable concept for mapping recovery barriers and facilitators in individuals with a triple diagnosis, serving as an alternative to the medical model and complementing the biopsychosocial model. It provides a systematic framework to assess critical factors for recovery in complex cases and accordingly align interventions. Future studies should explore the intersections of NRC domains and the dynamic nature of (N)RC to enhance the understanding of the challenges faced by individuals with a triple diagnosis.

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Exploring the predictive properties of the Hayes Ability Screening Index subtest background information in identifying individuals with MBID among in-patients with SUD

Braatveit

Aßmus

Hove³

2022

Front. Psychiatry

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IntroductionFor individuals with substance use disorder (SUD), mild to borderline intellectual disability (MBID) goes undetected in treatment clinics. The Hayes Ability Screening Index (HASI) has been found to be a valid, time-saving screening instrument for MBID in SUD treatment. MBID can have significant implications for treatment planning and outcomes. Therefore, it is important to have methods for the early recognition of these comorbid conditions. Because of less sensitivity to recent or ongoing substance use, the HASI subtest background information may be particularly valuable as an early screening of MBID. The main aim was to investigate the convergent, predictive, and discriminant validity of the HASI subtest background information in identifying in-patients with SUD as MBID or non-MBID.MethodsEighty-four in-patients with SUD aged 19–64 participated in this multicentre study. MBID was diagnosed according to the ICD-10 using WAIS-IV, Vineland II, and self-reported childhood learning difficulties.ResultsThe main finding was that, among the HASI subtests, background information was the strongest predictor. A HASI background information cut between 6 and 7 showed a sensitivity of 78% and a specificity of 72%.ConclusionThe HASI subtest background information has acceptable convergent, predictive, and discriminant validity as a screening for MBID among in-patients in SUD treatment.

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Substance use problems among people with mild/borderline intellectual disability

Cited by 3 publications

References 22 publications

Substance use disorders in people with intellectual disability

Substance use disorders in people with intellectual disability

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Exploring the predictive properties of the Hayes Ability Screening Index subtest background information in identifying individuals with MBID among in-patients with SUD

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