Dennis Moore, Ed.D. & Nikki Rogers, Ph.D. SARDI, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA Institut výzkumu inkluzivního vzdělávání Masarykova Univerzita, Brno 28 Duben 2011 žOverview of substance abuse and persons with disabilities žDiscuss ideas for similar issues in Czech Republic žSubstance Use Disorder = abuse of or dependence on alcohol, drugs, or misuse of prescription drugs žMust include negative impacts on “activities of daily living” (ADL), such as participating in school, family, work,community ž žIn the US Centers for Disease Control (CDC) National 2010 Disability Chapter 6 includes only one alcohol/drug health indicator – ž Reduce alcohol use by pregnant women with disabilities ž žTreatment Episode Data Set and National Survey on Drug Use and Health do not measure disability (SAMHSA) : ž žTherefore, very little awareness of or interest in substance abuse impacts among persons with disabilities ž žSignificant prevalence of SUD’s among persons seeking employment ž“Hidden” substance abuse may impact many systems žCosts of rehabilitation are high in some cases ž žStigma impedes progress on issue žInvolvement of disability community pivotal to success žPoverty, lack of employment, increase SUD risk žReduced judgment and drug tolerance žOne of most difficult groups to integrate into SUD group tx žCommunity integration and inclusion may increase SUD risk ž žFollowing injury, rates of use return to pre-injury žUp to 20% develop problem after injury žIncreased cerebral insult with TBI and alcohol/drug use, reduced judgment and drug tolerance žDeaf may have rates similar to general population – but higher risk if using any alcohol or drugs žSignificant communication, cultural, comprehension issues žMost difficult population to successfully serve ž e-pop demo e/pop technology – DODA SAMHSA funded žHigh co-occurrence SUD with HIV & HEP C žSUD and 2ndary conditions may impair employment more than HIV žHEP C will become large public health issue, perhaps surpassing HIV žSignificant issues with criminal justice and these conditions ž žhttp://www.hhs.gov/od/about/fact_sheets/substanceabuse.html žhttp://www.med.wright.edu/citar/sardi/ ž