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Substance Abuse and Disability: Implications for Rehabilitation Counselling Practices

Published online by Cambridge University Press:  27 August 2015

Elizabeth Da Silva Cardoso*
Affiliation:
University of Wisconsin-Madison
*
Rehabilitation Psychology Program, University of Wisconsin-Madison, 432 N. Murray St., Madison WI53703, USA
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Extract

The prevalence of substance abuse among people with disabilities is a major concern in the field of rehabilitation. Recent research has indicated that substance abuse increases incidents that lead to disability and undermines rehabilitation gain. However, most rehabilitation counsellors lack sophistication concerning the dual problems of substance abuse and disability because of their unfamiliarity with and inadequate training for substance abuse and disability issues. This paper provides an overview of (a) important issues related to substance abuse and disability, (b) procedures and techniques for identifying, assessing, counselling and referring clients with substance abuse problems for treatment, and (c) implications for rehabilitation counselling training and practices.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Babor, T. (1993). Substance use and persons with physical disabilities: Nature, Diagnosis, and clinical subtypes. In Heinemann, A.W. (Ed.), Substance abuse and physical disability (pp.4356). Binghamton, New York: The Haworth Press.Google Scholar
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behaviour change. Psychological Review, 84, 191215.CrossRefGoogle Scholar
Blume, S. (1983). The disease concept today. Minneapolis: The Johnson Institute.Google Scholar
Bratter, B. I., Bratter, T. E., Radda, H. T., & Steiner, K. M. (1993). The residential therapeutic caring community. Special issue: Psychotherapy for the addictions. Psychotherapy, 30 (2), 299304.CrossRefGoogle Scholar
Brismar, B., Engstrom, A., & Rydberg, V. (1983). Head injury and intoxication: A diagnostic and therapeutic dilemma. Acta Chirurgica Scandinacica, 149, 1114.Google ScholarPubMed
Brownell, K.D., Marlatt, G. A., Lichenstein, E. & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765782.CrossRefGoogle ScholarPubMed
Budziack, T. J. (1993). Evaluating treatment services. In Heinemann, A. W. (Ed.), Substance abuse and physical disability (pp.239255). Binghamton, New York: The Haworth Press.Google Scholar
Burke, W. H., Wesolowski, M. D., & Gruth, W. L. (1988). Comprehensive head injury rehabilitation: An outcome evaluation. Brain Injury, 2, 313322.CrossRefGoogle ScholarPubMed
Chan, F., Cunningham, J., Kwok, L., Dunlap, L., Kobayashi, R., & Tanquery, M. (1995). Solving the vocational assessment puzzle: Pieces to meet the challenge with people having traumatic brain injury [computer software]. Chicago: Rehabilitation Institute of Chicago.Google Scholar
Chiauzzi, E. J. (1991). Preventing relapse in the addictions. A biopsychosocial approach. New York: Pergamon Press.Google Scholar
Cummings, C., Gordon, J. R., & Marlatt, G. A. (1980). Relapse: Strategies of prevention and prediction. In Miller, W. R. (Ed.), The addictive behaviours (pp. 231321). Elmsford, New York: Pergamon Press.Google Scholar
Deren, S., & Rendell, J. (1984). Increasing program utilization of vocational services. National Institute on Drug Abuse. Rockville, MD: NIDA.Google Scholar
DiClemente, C. C. (1991). Motivational interviewing and stages of change. In Miller, W. R. and Rollnick, S. (Eds.), Motivational Interviewing (pp. 191202). New York: The Guilford Press.Google Scholar
Egelko, S., & Galanter, M. (1993). Introducing cognitive-behavioral training into a self-help drug treatment program. Special issue: Psychotherapy, 30 (2), 214221.CrossRefGoogle Scholar
Goodwin, D. W. (1988). Alcoholism hereditary. New York: Ballatine Books.Google Scholar
Goodwin, L. R. (1993). Special Interest Network in Substance Abuse. Journal of Applied Rehabilitation Counseling, 24 (1), 5862.CrossRefGoogle Scholar
Graham, J. R. (1990). MMPI-2 assessing personality and psychopathology. New York: Oxford University Press.Google Scholar
Greer, B. G. (1986). Substance abuse among people with disabilities: A case of too much accessibility. Journal of Rehabilitation, 52, 3438.Google Scholar
Graeber, J., Gardner, W. J., & Chan, F., & Wang, M. H. (1995). Substance abuse rehabilitation. [computer software]. Madison, WI: Department of Rehabilitation and Special Education, University of Wisconsin-Madison.Google Scholar
Heinemann, A. W. (1993). Prevalence and consequences of alcohol and other drug problems following spinal cord injury. In Heinemann, A. W. (Ed.), Substance abuse and physical disability (pp.6373). Binghamton, New York: The Haworth Press.Google Scholar
Heinemann, A.W., Doll, M., & Schnoll, S. (1989). Treatment of alcohol abuse in persons with recent spinal cord injuries. Alcohol Health and Research World, 13 (2), 110117.Google Scholar
Heinemann, A. W., Goranson, N., Ginsbury, K., & Schnoll, S. (1989). Alcohol use and activity patterns following a spinal cord injury. Rehabilitation Psychology, 34, 191206.CrossRefGoogle Scholar
Heinemann, A. W., Keen, M., Donohue, R., Schnoll, S. (1988). Alcohol use by persons with recent spinal cord injury. Archives of Physical Medicine and Rehabilitation, 69, 619624.Google ScholarPubMed
Ingraham, K., Kaplan, S., & Chan, F. (1992). Rehabilitation counselors' awareness of client alcohol abuse patterns. Journal Applied Rehabilitation Counseling, 23 (3), 1822.CrossRefGoogle Scholar
Lam, C. S., Chan, F., & McMahon, B. T. (1991). Factorial structure of the change assessment questionnaire for individuals with traumatic brain injury. Journal of Rehabilitation Psychology, 36, 189199.CrossRefGoogle Scholar
Livingston, P., Rendell, J. R., & Wolkstein, E. (1990). A work-study model for rehabilitation counselor education in substance abuse. Journal of Applied Rehabilitation Counseling, 21 (3), 1620.CrossRefGoogle Scholar
Lowenfels, A. B., & Millers, T. T. (1984). Alcohol and trauma. Annals of Emergency Medicine, 13, 10561060.CrossRefGoogle ScholarPubMed
Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York: Guilford.Google Scholar
Milam, J. R., & Ketcham, K. (1981). Under the influence: A guide to the myths and realities of alcoholism. Seattle, WA: Bantam Books.Google Scholar
Miller, W. R. ,& Hester, R. K. (1989). Self-control training. In Miller, W. R. & Hester, R. K. (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (pp. 141149). New York: Pergamon Press.Google Scholar
National Institute on Alcohol Abuse and Alcoholism (1982). Statistical report on National Institute on Alcohol Abuse and Alcoholism funded treatment programs for calendar year 1980. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism, Department of Health and Human Services.Google Scholar
O'Donnel, J., Cooper, J., Gessner, J., Shehan, I., Ashely, J. (19811982). Alcohol, drugs, and spinal cord injury. Alcohol Health and Research World, 227229.Google Scholar
Pekarik, G., & Zimmer, L. (1992). Relation of client variables to continuance in five types of alcohol treatment settings. Addictive Behaviours, 17 (2), 105115.CrossRefGoogle ScholarPubMed
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19, 276288.CrossRefGoogle Scholar
Prochaska, J. O., & DiClemente, C. C. (1986). The transtheoretical approach: Towards a systematic eclectic framework. In Norcross, J.C. (Ed.), Handbook of eclectic psychotherapy (pp.181200). New York: Brunner/Mazel.Google Scholar
Rehabilitation Brief (1990). Substance abuse and disability, 12 (12). Washington, DC: National Institute on Disability and Rehabilitation Research, Department of Education: Author.Google Scholar
Schlesinger, S. E., & Horberg, L. K. (1993). Comprehensive treatment of addictive families. In Heinemann, A W. (Ed.), Substance abuse and physical disability (pp.217237). Binghamton, New York: The Haworth Press.Google Scholar
Schwab, A. J., & DiNetto, D. M., (1993). Factors related to the successful vocational rehabilitation of substance abusers. Journal of Applied Rehabilitation Counseling, 24 (3), 1120.CrossRefGoogle Scholar
Selzer, M. L. (1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 16531658.CrossRefGoogle ScholarPubMed
Shuckit, M. A. (1991). Alcohol and alcoholism. In Wilson, J. H.et al. (Eds.), Harrison's principle of internal medicine. New York: McGraw-Hill.Google Scholar
Texas Employment Commission. (1990, 06). The high cost of substance abuse. Texas Business Today, p. 4.Google Scholar
Victor, M., & Adams, R. D. (1983). The effect of alcohol on the nervous system. In Petersdorf, R. G.et al. (Eds.), Harrison's principles of internal medicine. New York: McGraw-Hill.Google Scholar
Wexler, H. K., Magura, S., Beardsley, M. M., & Josepher, H. (1994). An AIDS education and relapse prevention model for high-risk parolees. Journal of the Addictions, 29 (3), 361386.Google ScholarPubMed
Yarkony, G. M. (1993). Medical complications in rehabilitation. In Heinemann, A. W. (Ed.), Substance abuse and physical disability (pp. 93103). Binghamton, New York: The Haworth Press.Google Scholar
Zucker, R. A. (1986). Four alcoholisms: A developmental account of the etiologic process. In Rivers, P. C. and Lincoln, N. B. (Eds.), Alcohol and addictive behaviours (pp. 2783). Lincoln, NB: University of Nebraska Press.Google Scholar