I NDIVIDUALS Dr. Genevieve Grady Oregon Developmental Disabilities - - PowerPoint PPT Presentation

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Mar 29, 2023 204 likes •404 views

A LCOHOL AND D RUG U SE W HEN W ORKING WITH I/DD I NDIVIDUALS Dr. Genevieve Grady Oregon Developmental Disabilities Coalition February 22, 2013 O BJECTIVES Review of Alcohol and Illicit Drugs Signs and Symptoms of Use, Misuse and Abuse

SLIDE 1

ALCOHOL AND DRUG USE WHEN WORKING WITH I/DD INDIVIDUALS

Dr. Genevieve Grady

Oregon Developmental Disabilities Coalition February 22, 2013

SLIDE 2

OBJECTIVES

 Review of Alcohol and Illicit Drugs  Signs and Symptoms of Use, Misuse and Abuse  Use among those with Intellectual and

Developmental Disabilities

 Recognizing Misuse and Abuse in the I/DD

Individual

 Potential Risks of Use, Misuse and Abuse  Ways to help

SLIDE 3

REVIEW OF ALCOHOL AND ILLICIT DRUGS

OBJECTIVE

SLIDE 4

DRUG CLASSIFICATION

CNS Depressant
Decreases physical and mental

functioning

Depressants “downers”

CNS Stimulant: Cocaine,

Methamphetamine

Increases physical and mental

functioning

Stimulants “uppers”

Cannabis: Marijuana, Hashish
Depresses, stimulates and hallucinates

Cannabinoids “pot”

SLIDE 5

DRUG CLASSIFICATION, CONT.

Opiates: Heroin, Opium, Methadone
Transcendent relaxation, euphoric

Opioids “dope”

Drugs: MDMA (i.e., Ecstasy), GHB (i.e.,

liquid X),

Mild hallucinogen, psychedelic properties

Club Drugs “pills”

General CNS depressant
Block the conscious mind +

hallucinogenic

Hallucinogens “dissociatives”

SLIDE 6

ALCOHOL AND FUN FACTS

Meth Heroin Alcohol

SLIDE 7

SIGNS AND SYMPTOMS OF USE, MISUSE AND ABUSE

OBJECTIVE

SLIDE 8

TYPES OF USE

Abuse Misuse Use

 Use  Drinking or drug

taking behavior

 Misuse  Drinking/drug

behavior that leads to negative consequences

 Abuse  Drinking/drug

behavior that results in a medical or psychiatric diagnosis

SLIDE 9

USE AMONG THOSE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

OBJECTIVE

SLIDE 10

I/DD AND ILLICIT SUBSTANCES

Abstinence is high
25% used

Use

Lower level = same effect
= substance related problems

Impact

Less likely to use
More likely to abuse

Abuse

SLIDE 11

RECOGNIZING MISUSE AND ABUSE IN THE I/DD INDIVIDUAL

OBJECTIVE

SLIDE 12

WHAT TO LOOK FOR: USE

I/DD Risk factors I/DD Substance Users

SLIDE 13

POTENTIAL RISKS OF USE, MISUSE AND ABUSE

OBJECTIVE

SLIDE 14

WHAT TO LOOK FOR: I/DD PITFALLS

 Likelihood of abuse is relatively high  Greater effect with less consumption  Higher frequency of binge drinking  Equivalent, if not higher, consequences  May require addiction treatment sooner

SLIDE 15

WAYS TO HELP

OBJECTIVE

SLIDE 16

WHAT TO LOOK FOR: HELP

On-going assessment of use Social environments Feelings

SLIDE 17

SKILLS

 Obstacles for skill building  Role Plays  Repetition  Real-Life Examples  Assertiveness Skills  Refusal skills  Discrimination Skills  Generalizability  Internal/External Locus of Control

SLIDE 18

QUESTIONS?

SLIDE 19

REFERENCES

 Cocco, K.M. & Harper, D.C. (2002). Substance

use in people with mental retardation: A missing link in understanding community outcomes. Rehabilitation Counseling Bulletin, 46, 33-40.

 Simpson, M. (2012). Alcohol and intellectual

disability: Personal problem or cultural exclusion. Journal of Intellectual Disabilities, 16, 183–192.

 National Center on Addiction and Substance

Abuse at Columbia University. New York, NY: Substance Abuse and Learning Disabilities: Pease in a pod or apples and oranges. Available at: http://www.casacolumbia.org.