Substance Abuse

Physical inaccessibility negatively impacts the treatment participation of persons with disabilities.

This research assessed the impact that physical inaccessibility of provider locations has on the substance abuse treatment participation of two groups of persons with disabilities. A random sample of treatment providers in the Mid-Atlantic region were surveyed and asked if they had declined services to persons with spinal cord (SCI) or traumatic brain (TBI) injuries […]

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Self-reported smoking and alcohol use among adolescents with intellectual disabilities.

Self-reported smoking and alcohol use were examined among 95 adolescents (aged 11-15) with intellectual disabilities and 4069 adolescents who did not have intellectual disabilities. Results indicated that adolescents with intellectual disabilities reported increased rates of smoking and decreased rates of using alcohol at least once a month. There were no marked differences between the two […]

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Retention in publicly funded methadone maintenance treatment in two Western States.

This study examined individual and system characteristics associated with retention in methadone maintenance treatment among Medicaid-eligible adults in treatment for opiate use in Oregon and Washington. Logistic regression was used to examine the contributions of predisposing, need, and enabling characteristics on 365 day retention in methadone maintenance treatment. Older patients, patients with a history of […]

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Three-year outcomes of long-term patients with co-occurring bipolar and substance use disorders.

Little is known about the long-term outcomes of patients in the public mental health system who are disabled by co-occurring bipolar and substance use disorders. This article reports on the 3-year course of 51 patients with co-occurring bipolar and substance use disorders in the New Hampshire Dual Diagnosis Study. Participants received integrated dual disorders treatments […]

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Patterns of alcohol and substance use and abuse in persons with spinal cord injury: risk factors and correlates.

Tate DG, Forchheimer MB , Krause JS, Meade MA, Bombardier CH. Arch Phys Med Rehabil. 2004 Nov;85(11):1837-47. Model Spinal Cord Injury Care System, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor 48109-0491, USA. dgtate@umich.edu Objective: To investigate patterns of alcohol consumption and abuse and substance use among persons with spinal cord injury […]

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Performance assessment in community mental health care and at-risk populations.

We examine whether community mental health care centers (CMHCs) differ in their ability to serve at-risk populations, including clients with dual diagnoses for substance abuse, comorbid disabilities, and particularly severe functional impairment. Our analysis uses data from Indiana ’s public mental health system. Although at-risk clients experience, on average, worse outcomes than other clients, we […]

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Smoking status and quality of life: a longitudinal study among adults with disabilities.

Background: Current research suggests that people with disabilities are more likely to use tobacco, less likely to quit, and less likely to be screened for tobacco use. However, little is known about the impact of changes in smoking status on the health-related quality of life (HRQL) of people with disabilities. Objective: The primary objective of […]

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Medicaid managed care, substance abuse treatment, and people with disabilities: review of the literature.

Most states enroll individuals with disabilities who receive Supplemental Security Income (SSI) in Medicaid managed care plans. The impact of managed care on these individuals, especially those with substance abuse disorders, is not well understood. A review of the literature related to substance abuse, disability, and Medicaid managed care suggests that substance abuse is a […]

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Smoking prevalence and knowledge of associated risks in adult attenders at day centres for people with learning disabilities.

Background: Increased longevity among people with learning disabilities is accompanied by an increase in morbidity. A possible explanation is that living in the community and a move to greater independence may bring higher health risks through obesity and smoking. The study aimed to see if rates of smoking have increased from earlier published rates and […]

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Alcohol and drug abuse among persons with multiple sclerosis.

Objective: To examine the one-month prevalence and impact of substance abuse in a large community sample of persons with multiple sclerosis (MS). Methods: Members of the Multiple Sclerosis Society of King County were surveyed by mail. This multifaceted health survey included questions pertaining to substance abuse. Seven hundred and thirty-nine out of 1374 potential participants […]

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