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Substance use and misuse in persons with intellectual disabilities (ID): Results of a survey in ID and addiction services in Flanders
Institution:1. University College Ghent, Faculty of Education, Health and Social Work, Voskenslaan 362, 9000 Ghent, Belgium;2. Ghent University, Department of Orthopedagogics, Henri Dunantlaan 2, 9000 Ghent, Belgium;3. Regional Welfare Council Roeselare – Tielt, P. Benoitstraat 15, 8800 Roeselare, Belgium;4. Ghent University, Department of Psychoanalysis and Clinical Consulting, Henri Dunantlaan 2, 9000 Ghent, Belgium;1. Advanced Research and Evaluations Laboratories, Engine Lubricants Research Department, Fuels and Lubricants Research Division, Southwest Research Institute, San Antonio, TX 78238, USA;2. Gasoline Lubricant Evaluations Section, Engine Lubricants Research Department, Fuels and Lubricants Research Division, Southwest Research Institute, San Antonio, TX 78238, USA;1. Department of Chemistry, Faculty of Arts and Sciences, Eski?ehir Osmangazi University, 26480 Eski?ehir, Turkey;2. Department of Chemical and Biological Engineering, Koç University, ?stanbul, Turkey;3. Scientific and Technological Research Application and Research Center, Sinop University, 57010 Sinop, Turkey;1. Department of Chemistry, Inha University, 100 Inha-ro, Nam-gu, Incheon 402-751, Republic of Korea;2. Department of Mechanical Engineering and the Materials Science and Engineering Program, The University of Texas at Austin, One University Station C2200, Austin, TX 78712-0292, USA;1. Inserm UMR1027-Université Paul Sabatier, Toulouse, France;2. Observatoire Français des Drogues et des Toxicomanies (OFDT), Saint Denis, France;3. Inserm U1178, Paris, France;4. Association pour le développement d’HBSC, Toulouse, France;5. Institute for Health and Social Policy, McGill University, Montreal, Canada;6. Service médical du rectorat de Toulouse, France
Abstract:Little is known about the characteristics of substance users with intellectual disabilities (ID). Nevertheless, this group is assumed to be at greater risk of developing substance misuse problems. This study focuses on substance users and misusers with ID, and investigates whether the two groups differ significantly in terms of the nature and consequences of their substance (mis)use. Information regarding the characteristics of the substance (mis)users, the substances used, the negative consequences of substance (mis)use, and the service use was collected through a questionnaire forwarded to ID and addiction services in Flanders. Caregivers identified 104 substance users and misusers with ID. Overall, few differences were observed between users and misusers. This finding underscores that substance use in persons with ID can have important consequences. Substance misusers, however, were found to have more mood changes, more suicidal ideation/thoughts, and more negative long-term consequences on their health, daily activity, and relationships due to substance misuse. Substance use and misuse were associated with mental health problems and were suggested to be a risk factor for offending behavior. To provide appropriate support for this specific population, an individualized approach is suggested that supports better intersectoral collaboration between services.
Keywords:Substance misuse  Substance use  Intellectual disability  Identification  Intellectual disability services  Addiction services
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