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Treatment of Substance Abuse in Dual Diagnosis

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Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

Interventions for substance use–related problems are limited for individuals with intellectual disability (ID). This is problematic, as the lack of interventions can lead to substance use initiation, progression of substance use into substance use disorder, poorer outcomes of treatment, and stigmatization of individuals with dual diagnosis. Additionally, staff who work with individuals with ID and addiction treatment lack resources to effectively help substance use in individuals with ID. Nevertheless, there has been an increase in studies assessing the feasibility and outcomes of interventions for substance use and abuse in individuals with ID. This chapter reviews psychological and pharmacological interventions for individuals with dual diagnosis of substance abuse and ID.

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References

  • Borsboom, D., & Cramer, A. O. (2013). Network analysis: An integrative approach to the structure of psychopathology. Annual Review of Clinical Psychology, 9, 91–121.

    Article  Google Scholar 

  • Braatveit, K., Torsheim, T., & Hove, O. (2018). Screening for intellectual disabilities: A validation of the Hayes ability screening index for in-patients with substance use disorder. Nordic Journal of Psychiatry, 72, 387–392.

    Article  Google Scholar 

  • Castellanos-Ryan, N., Rubia, K., & Conrod, P. J. (2011). Response inhibition and reward response bias mediate the predictive relationships between impulsivity and sensation seeking and common and unique variance in conduct disorder and substance misuse. Alcoholism Clinical Experimental Research, 35, 140–155.

    Google Scholar 

  • Comeau, N., Stewart, S. H., & Loba, P. (2001). The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents’ motivations for alcohol, cigarette, and marijuana use. Addictive Behaviors, 26, 803–825.

    Google Scholar 

  • Conrod, P. J., O'Leary-Barrett, M., Newton, N., Topper, L., Castellanos-Ryan, N., Mackie, C., et al. (2013). Effectiveness of a selective, personality-targeted prevention program for adolescent alcohol use and misuse: A cluster randomized controlled trial adolescent alcohol misuse prevention. JAMA Psychiatry, 70, 334–342.

    Article  Google Scholar 

  • Conrod, P. J., Pihl, R. O., & Vassileva, J. (1998). Differential sensitivity to alcohol reinforcement in groups of men at risk for distinct alcoholism subtypes. Alcoholism Clinical and Experimental Research, 22, 585–597.

    Article  Google Scholar 

  • Cooper, L. M., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005.

    Article  Google Scholar 

  • Didden, R., Nijman, H., Delforterie, M., & Keulen-De Vos, M. (2019). Treatment of anger and violence in individuals with intellectual disability. In W. Lindsay, L. Craig, & D. Griffiths (Eds.), The Wiley handbook of what works for offenders with intellectual and developmental disabilities: An evidence-based approach to theory, assessment and treatment (pp. 297-309). London, UK: Wiley.

    Google Scholar 

  • European Monitoring Centre for Drugs and Drug Addiction. (2015). Comorbidity of substance use and mental disorders in Europe. Lisbon, Portugal: European Monitoring Centre for Drugs and Drug Addiction.

    Google Scholar 

  • Fried, E. I., van Borkulo, C. D., Cramer, A. O., Boschloo, L., Schoevers, R. A., & Borsboom, D. (2017). Mental disorders as networks of problems: A review of recent insights. Social Psychiatry and Psychiatric Epidemiology, 52, 1–10.

    Article  Google Scholar 

  • Frielink, N., & Embregts, P. (2013). Modification of motivational interviewing for use with people with mild intellectual disability and challenging behaviour. Journal of Intellectual and Developmental Disabilities, 38, 279–291.

    Article  Google Scholar 

  • Hassiotis, A., Gazizova, D., Akinlonu, L., Bebbington, P., Meltzer, H., & Strydom, A. (2011). Psychiatric morbidity in prisoners with intellectual disabilities: Analysis of prison survey data for England and Wales. British Journal of Psychiatry, 199, 156–157.

    Article  Google Scholar 

  • Hayes, A. M., Yasinski, C., Barnes, J. B., & Bockting, C. L. (2015). Network destabilization and transition in depression: New methods for studying the dynamics of therapeutic change. Clinical Psychology Review, 41, 27–39.

    Article  Google Scholar 

  • Hecimovic, K., Barrett, S. P., Darredeau, C., & Stewart, S. H. (2014). Cannabis use motives and personality risk factors. Addictive Behaviors, 39, 729–732.

    Article  Google Scholar 

  • Holden, P., & Neff, J. A. (2000). Intensive outpatient treatment of persons with mental retardation and psychiatric disorder: A preliminary study. Mental Retardation, 38, 27–32.

    Article  Google Scholar 

  • Hronis, A., Roberts, A., & Kneebone, I. (2017). A review of cognitive impairments with children with intellectual disabilities: Implications for cognitive behaviour therapy. British Journal of Clinical Psychology, 56, 189–207.

    Article  Google Scholar 

  • Insel, T. R., & Cuthbert, B. N. (2015). Medicine. Brain disorders? Precisely. Science, 348, 499–500.

    Article  Google Scholar 

  • Jenaro, C., Flores, N., Cruz, M., Perez, M., Vega, V., & Torres, V. (2018). Internet and cell phone usage patterns among young adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 31, 259–272.

    Article  Google Scholar 

  • Jurewicz, H. (2017). The challenged addict, addiction recovery with concurring developmental disorders. Madison, CT: Bick Publishing House.

    Google Scholar 

  • Kerr, S., Lawrence, M., Darbyshire, C., Middleton, A., & Fitzsimmons, L. (2013). Tobacco and alcohol-related interventions for people with mild/moderate intellectual disabilities: A systematic review of the literature. Journal of Intellectual Disability Research, 57, 393–408.

    Article  Google Scholar 

  • Kiewik, M. (2018). Prevention and intervention of substance use and misuse in persons with intellectual disabilities. Doctoral thesis, Radboud University, Nijmegen, the Netherlands.

    Google Scholar 

  • Kiewik, M., VanDerNagel, J., Engels, R., & de Jong, C. (2017). The efficacy of an e-learning prevention program for substance use among adolescents with intellectual disabilities: A pilot study. Research in Developmental Disabilities, 63, 160–166.

    Article  Google Scholar 

  • Kiewik, M., VanDerNagel, J., Engels, R., & De Jong, C. (submitted). Cognitive behavior therapy for adults with mild to borderline intellectual disabilities and substance use disorders: a feasibility study.

    Google Scholar 

  • Kouimtsidis, C., Bosco, A., Scior, K., Baio, G., Hunter, R., Pezzoni, V., … Hassiotis, A. (2017). A feasibility randomized controlled trial of extended brief intervention for alcohol misuse in adults with mild to moderate intellectual disabilities living in the community: The EBI-LD study. Trials, 18, 216.

    Article  Google Scholar 

  • Lambert, M., LePage, J., & Schmitt, A. (2003). Five-year outcomes following psychiatric consultation to a tertiary care emergency room. American Journal of Psychiatry, 160, 1350–1353.

    Article  Google Scholar 

  • Langas, A.-M., Malt, U., & Opjordsmoen, S. (2011). Comorbid mental disorders in substance users from a single catchment area. A clinical study. BMC Psychiatry, 11, 25.

    Article  Google Scholar 

  • Lindsay, W. (2009). Adaptations and developments in treatment programmes for offenders with developmental disabilities. Psychiatry, Psychology and Law, 16, S18–S35.

    Article  Google Scholar 

  • McGillivray, J., Gaskin, C., Newton, D., & Richardson, B. (2016). Substance use, offending and participation in alcohol and drug treatment programmes: A comparison of prisoners with and without intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 29, 289–294.

    Article  Google Scholar 

  • Minkoff, K. (2001). Level of care determination for individuals with co-occurring psychiatric and substance disorders. Psychiatric Rehabilitation Skills, 5, 163–196.

    Google Scholar 

  • Najavits, L. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York, NY: Guilford Press.

    Google Scholar 

  • National Institute on Drug Abuse (2012). Principles of drug addiction treatment: A research-based guide (3rd ed.). Bethesda, MA: NIDA.

    Google Scholar 

  • Poelen, E. A. P., Schijven, E. P., Otten, R., & Didden, R. (2016). Personality dimensions and substance use in individuals with mild to borderline intellectual disabilities. Research in Developmental Disabilities, 63, 142–150.

    Article  Google Scholar 

  • Sakdalan, J., Kittner, D., & Judd, D. (2017). ASAP-ID: Substance abuse programme for a forensic ID population. Journal of Intellectual Disabilities and Offending Behaviour, 8, 157–164.

    Article  Google Scholar 

  • Salavert, J., Clarabuch, A., Fernandez-Gomez, F., Barrau, V., Giraldez, M., & Borras, J. (2018). Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation. Journal of Intellectual Disability Research, 62, 923–930.

    Article  Google Scholar 

  • Schiepek, G., Heinzel, S., Karch, S., Plöderl, M., & Strunk, G. (2016). Synergetics in psychology: Patterns and pattern transitions in human change processes. In G. Wunner & A. Pelster (Eds.), Selforganization in complex systems: The past, present, and future of Synergetics (pp. 181–208). Cham, Switzerland: Springer.

    Chapter  Google Scholar 

  • Slayter, E. (2010). Disparities in access to substance abuse treatment among people with intellectual disabilities and serious mental illness. Health and Social Work, 35, 49–59.

    Article  Google Scholar 

  • Taggart, L., McLaughlin, D., Quinn, B., & McFarlane, C. (2007). Listening to people with intellectual disabilities who misuse alcohol and drugs. Health and Social Care in the Community, 15, 360–368.

    Article  Google Scholar 

  • Tsimopoulou, I., Stenfert Kroese, B., Unwin, G., Azmi, S., & Jones, C. (2018). A case series to examine whether people with learning disabilities can learn prerequisite skills for cognitive behaviour therapy. The Cognitive Behaviour Therapist, 11, e1.

    Article  Google Scholar 

  • Van Duijvenbode, N., VanDerNagel, J., Janssen van Raay, M., & Didden, R. (2019). Triple trouble: tobben of teamwork? [Triple trouble: tricky or teamwork?]. De Psycholoog, 54, 10-19.

    Google Scholar 

  • Van Duijvenbode, N., VanDerNagel, J. E. L., Didden, R., Engels, R., Buitelaar, J., Kiewik, M., et al. (2015). Substance use disorders in individuals with mild to borderline intellectual disabilities: Current status and future directions. Research in Developmental Disabilities, 38, 319–328.

    Article  Google Scholar 

  • VanDerNagel, J., Kemna, L., Barendregt, C., & Wits, E. (submitted). Recognized and treated accordingly: improving access to addiction care for individuals with mild intellectual disabilities.

    Google Scholar 

  • VanDerNagel, J., & Kiewik, M. (2016). CGT+, Cognitieve gedragstherapeutische behandeling voor problematisch middelengebruik bij mensen met een Lichte Verstandelijke Beperking [CBT+, cognitive behavioral therapy for substance use disorder in individuals with mild intellectual disability]. Utrecht, The Netherlands: Perspectief.

    Google Scholar 

  • VanDerNagel, J., Kiewik, M., Buitelaar, J., & De Jong, C. (2011). Staff perspectives of substance use and misuse among adults with intellectual disabilities enrolled in Dutch disability services. Journal of Policy and Practice in Intellectual Disabilities, 8, 143–149.

    Article  Google Scholar 

  • VanDerNagel, J., Kiewik, M., & Didden, R. (2017). Handboek LVB en verslaving [handbook mild ID and addiction]. Amsterdam, The Netherlands: Boom.

    Google Scholar 

  • VanDerNagel, J., Kiewik, M., Dijk, V., Didden, R., Korzilius, H., … De Jong, C. (2017). Substance use in individuals with mild to borderline intellectual disability: A comparison between self-report, collateral-report, and biomarker analysis. Research in Developmental Disabilities, 63, 151–159.

    Article  Google Scholar 

  • Woicik, P. A., Stewart, S. H., Phil, R. O., & Conrod, P. J. (2009). The substance use risk profile scale: A scale measuring traits linked to reinforcement-specific substance use profiles. Addictive Behaviors, 34, 1042–1055.

    Article  Google Scholar 

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Correspondence to Robert Didden .

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Didden, R., VanDerNagel, J., van Duijvenbode, N., Delforterie, M., Otten, R., Poelen, E. (2020). Treatment of Substance Abuse in Dual Diagnosis. In: Matson, J. (eds) Handbook of Dual Diagnosis. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-46835-4_32

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