Understanding and Overcoming Barriers to Substance Abuse Treatment Access for People with Mental Retardation

Slayter, Elspeth

doi:10.1080/15367100802009780

Cited by 46 publications

(37 citation statements)

References 32 publications

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“…They confront disadvantages from social and environmental determinants of health, including lower educational levels, lower incomes, and higher unemployment, than people without disabilities (Iezzoni, 2011). In particular, people with intellectual disabilities (ID) suffer disproportionately from substance use problems, due largely to a lack of empirical evidence on what substance-related disorder prevention and treatment efforts are effective for them (Slayter, 2008; Cocco & Harper, 2002). Available research is scattered across disciplines, with the last review synthesizing findings written more than five years ago (McGillicuddy, 2006).…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Substance abuse among individuals with intellectual disabilities

Chapman

2012

Research in Developmental Disabilities

144

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“…They are at risk for developing problematic alcohol use and alcohol use disorders (Burgard, Donohue, Azrin, & Teichner, 2000;McGillicuddy, 2006) and often experience more severe negative consequences from alcohol use compared to individuals without MBID (Slayter, 2008). Although this group has gained attention over the past years, the current knowledge on SU(D) in individuals with MBID is scarce and there is a need for valid screening and assessment tools and effective treatment interventions (Kerr, Lawrence, Darbyshire, Middleton, & Fitzsimmons, 2013;Van Duijvenbode et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Everybody Is…Drinking! Interpretation Bias in Problematic Drinkers With and Without Mild to Borderline Intellectual Disability

Duijvenbode

Didden

Korzilius

et al. 2016

Journal of Mental Health Research in Intellectual Disabilities

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Background: Problematic alcohol use is characterized by disrupted associative processing of environmental clues, where problematic drinkers interpret ambiguous, alcohol-relevant clues in an alcohol-related way. The present study examined the strength of this interpretation bias in a large sample (N = 230) of light and problematic drinkers with and without mild to borderline intellectual disability (MBID, IQ 50-85). Method: All participants were asked to finish 24 open-ended, ambiguous scenarios with their first, spontaneous response. Results: Consistent with the hypothesis, problematic drinkers with and without MBID were found to have an interpretation bias toward alcohol. The difference in the strength of the bias between light and problematic drinkers was strongest for negative scenarios. Participants with MBID showed a stronger interpretation bias compared to participants without MBID, especially on the negative scenarios. Conclusion: Problematic drinkers tend to interpret ambiguous, alcohol-relevant clues in an alcohol-related way and this tendency increases with higher levels of alcohol use-related problems. These results extend our knowledge on substance use disorder and provide new lines of inquiry for the assessment and treatment of problematic alcohol use in individuals with MBID.

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“…This may be due to a lack of empirical evidence to inform prevention and treatment efforts 12. As mentioned, people with ID are particularly susceptible to the adverse effects of antipsychotics because their brain structure differs from that of the general population.…”

Section: Discussionmentioning

confidence: 99%

“…People with intellectual disabilities (ID) suffer disproportionately from substance abuse problems, including use of MA 12. The prevalence of use and misuse of several illicit drugs is relatively higher among people with ID than among people without ID 13.…”

Section: Introductionmentioning

confidence: 99%

Blonanserin treatment in patients with methamphetamine-induced psychosis comorbid with intellectual disabilities

Okazaki

Makinodan

Yamamuro

et al. 2016

NDT

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ObjectiveMethamphetamine (MA) use has recently been associated with high levels of psychiatric hospitalization and serious social dysfunction. MA use causes frequent psychotic symptoms, which can be treated with antipsychotics. However, people with intellectual disabilities (ID) are vulnerable to adverse effects resulting from treatment with antipsychotic medications.MethodWe report two cases of MA-induced psychosis (MAP) in patients with ID who were treated with the antipsychotic blonanserin.ResultsIn both the cases presented, symptoms of psychosis were improved by switching medications from other antipsychotic drugs to blonanserin. Despite the presence of ID in these patients, no significant adverse effects, such as sedation, were detected after treatment with blonanserin.ConclusionBlonanserin may be an effective and well-tolerated pharmacotherapeutical treatment for patients with MAP comorbid with ID. However, further work is necessary to validate this claim.

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Understanding and Overcoming Barriers to Substance Abuse Treatment Access for People with Mental Retardation

Cited by 46 publications

References 32 publications

Substance abuse among individuals with intellectual disabilities

Substance abuse among individuals with intellectual disabilities

Everybody Is…Drinking! Interpretation Bias in Problematic Drinkers With and Without Mild to Borderline Intellectual Disability

Blonanserin treatment in patients with methamphetamine-induced psychosis comorbid with intellectual disabilities

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