Skip to main content

Abstract

There is a growing body of research on substance use and substance use disorders among individuals with intellectual and developmental disabilities who have been identified as a group at risk. Use of alcohol, tobacco and/or illicit drugs is prevalent, especially among those with mild to borderline intellectual and developmental disabilities. Epidemiological studies however have many shortcomings and valid measurement instruments are largely lacking. Though educational and intervention programs to educate clients about the adverse effects of tobacco and alcohol use, and to reduce the actual use of these substances have been evaluated, the evidence-base of these interventions remains small. In this chapter we propose a range of measures to improve policy and practice concerning case identification, and diagnosing and treating substance use disorders, such as the need for more cross-system collaboration and the use of integrated treatment approaches for the benefit of individuals with intellectual and developmental disabilities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Chaplin, E., Gilvarry, C., & Tsakanikos, E. (2011). Recreational substance use patterns and co-morbid psychopathology in adults with intellectual disability. Research in Developmental Disabilities, 32, 2981–2986.

    Article  PubMed  Google Scholar 

  • Chapman, S., & Wu, L. (2012). Substance abuse among individuals with intellectual disabilities. Research in Developmental Disabilities, 33, 1147–1156.

    Article  Google Scholar 

  • Chester, V., Green, F., & Alexander, R. (2011). An audit of a smoking cessation programme for people with an intellectual disability resident in a forensic unit. Advances in Mental Health and Intellectual Disabilities, 5, 33–41.

    Article  Google Scholar 

  • Demers, J., French, D., & Moore, D. (2000). The preliminary evaluation of a programme to help educators address the substance use/prevention needs of special students. Journal of Alcohol and Drug Education, 46, 14–26.

    Google Scholar 

  • Didden, R., Embregts, P., Van der Toorn, M., & Laarhoven, N. (2009). Substance abuse, coping strategies, adaptive skills and emotional and behavioral problems in clients with mild to borderline intellectual disability admitted to a treatment facility: A pilot study. Research in Developmental Disabilities, 30, 927–932.

    Article  PubMed  Google Scholar 

  • Gale, L., Naqvi, H., & Russ, L. (2009). Asthma, smoking and BMI in adults with intellectual disabilities: A community-based survey. Journal of Intellectual Disability Research, 53, 787–796.

    Article  PubMed  Google Scholar 

  • Kelman, L., Lindsay, W., McPherson, F., & Mathewson, Z. (1997). Smoking education for people with learning disabilities. British Journal of Learning Disabilities, 25, 95–99.

    Article  Google Scholar 

  • Kerr, S., Lawrence, M., Darbyshire, C., Middelton, R., & 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  PubMed  Google Scholar 

  • Lindsay, W., Carson, D., Holland, A., Taylor, J., O’Brien, G., Wheeler, J., et al. (2013). Alcohol and its relationship to offence variables in a cohort of offenders with intellectual disability. Journal of Intellectual and Developmental Disability, 38, 325–331.

    Article  PubMed  Google Scholar 

  • Lindsay, W., McPherson, F., Kelman, L., & Mathewson, Z. (1998). Health promotion and people with learning disabilities: The design and evaluation of three programmes. Health Bulletin, 56, 694–698.

    Google Scholar 

  • Lottman, T. (1993). Access to generic substance abuse services for persons with mental retardation. Journal of Alcohol and Drug Education, 39, 41–55.

    Google Scholar 

  • McCusker, C., Clare, I., Cullen, C., & Reep, J. (1993). Alcohol-related knowledge and attitudes in people with a mild learning disability: The effects of a ‘Sensible Drinking’ group. Journal of Community and Applied Social Psychology, 3, 29–40.

    Article  Google Scholar 

  • McGillicuddy, N. (2006). A review of substance use research among those with mental retardation. Mental Retardation and Developmental Disabilities Research Reviews, 12, 41–47.

    Article  PubMed  Google Scholar 

  • McGillivray, J., Gaskin, C., Newton, D., & Richardson, B. (In press). 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.

    Google Scholar 

  • McGillivray, J., & Moore, M. (2001). Substance use in offenders with mild intellectual disability. Journal of Intellectual and Developmental Disability, 26, 297–310.

    Article  Google Scholar 

  • McLaughlin, D., Taggart, L., Quinn, B., & Milligan, V. (2007). The experiences of professionals who care for people with intellectual disability who have substance-related problems. Journal of Substance Use, 12, 133–143.

    Article  Google Scholar 

  • Mendel, E., & Hipkins, J. (2002). Motivating learning disabled offenders with alcohol-related problems: A pilot study. British Journal of Learning Disabilities, 30, 153–158.

    Google Scholar 

  • Peine, H., Darvish, R., Blakelock, H., Osborne, J., & Jenson, W. (1998). Non-aversive reduction of cigarette smoking in two adult men in a residential setting. Journal of Behavior Therapy and Experimental Psychiatry, 29, 55–56.

    Article  PubMed  Google Scholar 

  • Simpson, M. (2012). Alcohol and intellectual disability. Personal problem or cultural exclusion? Journal of Intellectual Disability Research, 16, 183–192.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Myers, R. E., Karazsia, B., Winton, A. S. W., & Singh, J. (2014). A randomized controlled trial of a mindfulness-based smoking cessation program for individuals with mild intellectual disability. International Journal of Mental Health and Addiction, 12, 153–168.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B., Singh, A. N., Singh, A. A., et al. (2013). A mindfulness-based smoking cessation program for individuals with mild intellectual disability. Mindfulness, 4, 148–157.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, A. N., Singh, J., & Singh, A. D. (2011). Effects of a mindfulness-based smoking cessation program for an adult with mild intellectual disability. Research in Developmental Disabilities, 32, 1180–1185.

    Article  PubMed  Google Scholar 

  • Slayter, E. (2010a). Demographic and clinical characteristics of people with intellectual disabilities with and without substance abuse disorders in a Medicaid population. Intellectual and Developmental Disabilities, 48, 417–431.

    Article  PubMed  Google Scholar 

  • Slayter, E. (2010b). Not immune: Access to substance abuse treatment among Medicaid-covered youth with mental retardation. Journal of Disability Policy Studies, 20, 195–204.

    Article  Google Scholar 

  • Steel, A., & Ritchie, G. (2004). Psycho-educational approach to addiction: A case study. Drugs and Alcohol Today, 4, 30–33.

    Article  Google Scholar 

  • Steinberg, M., Heimlich, L., & Williams, J. (2009). Tobacco use among individuals with intellectual or developmental disabilities: A brief review. Intellectual and Developmental Disabilities, 47, 197–207.

    Article  PubMed  PubMed Central  Google Scholar 

  • Taggart, L., McLaughlin, D., Quinn, B., & Milligan, V. (2006). An exploration of substance misuse in people with intellectual disabilities. Journal of Intellectual Disability Research, 50, 588–597.

    Article  PubMed  Google Scholar 

  • To, W., Neirynck, S., Vanderplasschen, W., Vanheule, S., & Vandevelde, S. (2014). Substance use and misuse in persons with intellectual disabilities (ID): Results of a survey in ID and addiction serves in Flanders. Research in Developmental Disabilities, 35, 1–9.

    Article  PubMed  Google Scholar 

  • To, W., Vanheule, S., Vanderplasschen, W., Audenaert, K., & Vandevelde, S. (2015). Screening for intellectual disability in persons with a substance abuse problem: Exploring the validity of the Hayes Ability Screening Index in a Dutch-speaking sample. Research in Developmental Disabilities, 36, 498–504.

    Google Scholar 

  • Tracy, J., & Hosken, R. (1997). The importance of smoking education and preventive health strategies for people with intellectual disability. Journal of Intellectual Disability Research, 41, 416–421.

    Article  PubMed  Google Scholar 

  • Van Duijvenbode, N., Didden, R., Bloemsaat, G., & Engels, R. (2012). Problematic use of alcohol and mild intellectual disability: Standardization of pictorial stimuli for an alcohol cue reactivity task. Research in Developmental Disabilities, 33, 1095–1102.

    Article  PubMed  Google Scholar 

  • Van Duijvenbode, N., Didden, R., Korzilius, H., Trentelman, M., & Engels, R. (2013). Executive control in long-term abstinent alcoholics with mild to borderline intellectual disability: The relationship with IQ and severity of alcohol use-related problems. Research in Developmental Disabilities, 34, 3583–3595.

    Article  PubMed  Google Scholar 

  • Van Duijvenbode, N., Didden, R., Voogd, H., Korzilius, H., & Engels, R. (2012). Cognitive biases in individuals with mild to borderline intellectual disability and alcohol use-related problems. Research in Developmental Disabilities, 33, 1928–1936.

    Article  PubMed  Google Scholar 

  • Van Duijvenbode, N., VanDerNagel, J., 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  PubMed  Google Scholar 

  • VanDerNagel, J., Kemna, L., & Didden, R. (2013). Substance use among persons with mild intellectual disability: Approaches to screening and interviewing. The NADD Bulletin, 16, 87–92.

    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., Postel, M., Van Dijk, M., Didden, R., Buitelaar, J., et al. (2014). Capture recapture estimation of the prevalence of individuals with intellectual disability and substance use disorder. Research in Developmental Disabilities, 35, 808–813.

    Article  PubMed  Google Scholar 

  • VanDerNagel, J., Kiewik, M., Van Dijk, M., De Jong, C., & Didden, R. (2011). Handleiding SumID-Q, Meetinstrument voor het in kaart brengen van middelengebruik bij mensen met een lichte verstandelijke beperking. [Manual SumID - Q. An instrument to assess substance use in individuals with mild intellectual disability]. Deventer, The Netherlands: Tactus.

    Google Scholar 

  • Westermeyer, J., Kemp, K., & Nugent, S. (1996). Substance disorder among persons with mild mental retardation. American Journal on Addictions, 5, 23–31.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert Didden .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Didden, R., VanDerNagel, J., van Duijvenbode, N. (2016). Substance Use Disorders. In: Singh, N. (eds) Handbook of Evidence-Based Practices in Intellectual and Developmental Disabilities. Evidence-Based Practices in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-319-26583-4_38

Download citation

Publish with us

Policies and ethics