Interventions for people with alcohol use disorders and an intellectual disability: A review of the literature

  title={Interventions for people with alcohol use disorders and an intellectual disability: A review of the literature},
  author={Louisa Degenhardt},
  journal={Journal of Intellectual and Developmental Disability},
  pages={135 - 146}
  • L. Degenhardt
  • Published 1 January 2000
  • Medicine
  • Journal of Intellectual and Developmental Disability
Alcohol is the most commonly used psychoactive substance in the general population, and alcohol use disorders are among the most common forms of mental illness. Prolonged heavy drinking can cause cognitive and physical impairment, and is associated with other mental disorders. There are a number of additional issues concerning problematic alcohol use that are of particular significance to those with an intellectual disability, particularly concerning the unique medical and psychological effects… 

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It is highlighted that although the prevalence of alcohol use disorders in people with intellectual disability (PWID) appears to be low, it is a significant issue and assessment and treatment needs to be tailored to the needs of PWID on an individual basis.

Alcohol-related problems in adolescents and adults with intellectual disabilities

Uncertainty surrounds the ability of alcohol services, and services for individuals with intellectual disabilities respectfully, to meet the needs of this population, and modification of existing treatment approaches and development of liaison approach need further evaluation of their effectiveness.

Alcohol and intellectual disability

  • M. Simpson
  • Medicine
    Journal of intellectual disabilities : JOID
  • 2012
The extant literature is reviewed, showing that it constructs an inherently pathological view of drinking in people with intellectual disabilities, framing it entirely within a discourse of risk and as a personal behaviour, rather than as a social and cultural one.

An exploration of substance misuse in people with intellectual disabilities.

It is suggested that greater emphasis needs to be placed upon the early identification of this hidden population by primary and secondary healthcare personnel, and also ID personnel, to diminish the long-established patterns of use and associated related-behaviours.

Substance abuse among individuals with intellectual disabilities.

Implicit associations with regard to alcohol abuse among the mild intellectual disabled. An explorative study

This study investigates the feasibility of an implicit association test among people with an intellectual disability and indicates that, when using an approach avoidance task, group differences between high alcohol drinkers, social drinkers and non- drinkers can be found.

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A review of substance use research among those with mental retardation.

  • N. McGillicuddy
  • Psychology
    Mental retardation and developmental disabilities research reviews
  • 2006
Results of studies on the cigarette, alcohol, and illicit drug use of adolescents and adults with mental retardation suggest that substance use is slightly lower among those with MR than among nondisabled comparison groups, but it is nonetheless a problem for many individuals.

Staff Perspectives of Substance Use and Misuse Among Adults With Intellectual Disabilities Enrolled in Dutch Disability Services

The authors concluded that the low effectiveness of mainstream addiction treatment or consultation suggests that there is a need for more cross-system collaboration to address this problem.

Assessment and Treatment for Persons with Coexisting Ability and Substance Use Issues: A Review and Analysis of the Literature

A comprehensive search of the literature revealed a need for population-specific instruments for screening and assessment of the use of alcohol and drugs, including the misuse of prescription medication and tailored treatment methods and individualized treatment plans that meet diverse literacy or cognitive needs.



Comorbidity of mental disorders with substance misuse

The title of this editorial evokes the image of a patient with a psychosis, usually schizo phrenia, who abuses or is dependent upon alcohol or an illicit drug. The suffering of these individuals and

Substance Disorder Among Persons With Mild Mental Retardation

It appears that less substance abuse is required in MR than in non-MR persons to precipitate psychosocial crises and health problems associated with psychoactive substances.

Substance Disorder Among Persons with Mild Mental Retardation: A Comparative Study

It appears that less substance abuse is required in MR than in non-MR persons to precipitate psychosocial crises and health problems associated with psychoactive substances.

Disabilities, developmental handicaps, and substance misuse: a review.

The research problems contributing to the limited findings in the field are described, and a hierarchy of research needs is suggested, along with several working hypotheses concerning substance use/misuse and persons with disabilities.

Drug abuse in persons with mental retardation: a review.

The literature on drug abuse by people with mental retardation, a real, but largely ignored problem, was reviewed and the status of drug abuse prevention and drug education for this population was reviewed.

Drug and alcohol abuse : a clinical guide to diagnosis and treatment

The fifth edition of this text offers a clinically oriented guide in the field of drug and alcohol abuse, and continues to set the standard for substance abuse research.

Treatment of Substance Abuse in Severely Mentally Ill Patients

Current clinical research converges on several emerging principles of treatment that address the scope, pace, intensity, and structure of dual-diagnosis programs.

Population prevalence of psychopathology in children and adolescents with intellectual disability: I. Rationale and methods.

  • S. EinfeldB. Tonge
  • Psychology, Medicine
    Journal of intellectual disability research : JIDR
  • 1996
Findings from previous studies are reviewed and the methodology of a new study using the Developmental Behaviour Checklist is described, clear that psychopathology is several times more prevalent in children and adolescents with ID than in those without this disability.

Relapse prevention for individuals with developmental disabilities, borderline intellectual functioning, or illiteracy.

  • J. Paxon
  • Psychology, Medicine
    Journal of psychoactive drugs
  • 1995
A group design is proposed for this population of individuals with developmental disabilities, borderline intellectual functioning, or illiteracy that can be easily utilized by programs struggling with a lack of resources for the target population.

Alcohol and drug use by mentally retarded adults.

  • R. Edgerton
  • Medicine, Psychology
    American journal of mental deficiency
  • 1986
Data from ethnographic studies of four samples of community-living mentally retarded persons were presented showing that the majority of these persons used drugs and alcohol rarely or not at all; indeed, they used these substances less often than did their nonretarded parents, siblings, spouses, and friends.