Prevention of Substance Abuse in Persons with Neurological Disabilities

Issue title: Substance Abuse

Guest editors: Allen W. Heinemann

Article type: Research Article

Authors: Langley, Mervin J.^a | Kiley, Deborah J.^{b; *}

Affiliations: [a] New Medico Rehamlitation Center of Wisconsin, Waterford, WI | [b] Rehabilitation Institute of Chicago, Chicago, IL

Note: [*] Present affiliation: Arthur Andersen and Company, SC, Chicago, IL.

Abstract: Neurological disability appears to be associated with increased risk for substance abuse. Alcohol and other drugs, through their pharmacological or expectancy-based effects, provide unique coping functions for clients with neurocognitive deficits. In this article, risk factors are identified and a four stage model of prevention intervention is described. Cognitive-behavioral strategies are used to circumvent deficits in memory, insight, and impulse control. Clients learn a variety of coping behaviors and are assisted in developing a life-style that is incompatible with substance use.

DOI: 10.3233/NRE-1992-2108

Journal: NeuroRehabilitation, vol. 2, no. 1, pp. 52-64, 1992