Substance use disorders in individuals with mild to borderline intellectual disability: Current status and future directions

Neomi van Duijvenbode*, Joanneke E.L. VanDerNagel, Robert Didden, Rutger C.M.E. Engels, Jan K. Buitelaar, Marion Kiewik, Cor A.J. de Jong

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

48 Citations (Scopus)

Abstract

Knowledge regarding substance use (SU) and substance use disorder (SUD) in individuals with mild to borderline intellectual disabilities (ID) has increased over the last decade, but is still limited. Data on prevalence and risk factors are fragmented, and instruments for screening and assessment and effective treatment interventions are scarce. Also, scientific developments in other fields are insufficiently incorporated in the care for individuals with ID and SUD. In this selective and critical review, we provide an overview of the current status of SU(D) in ID and explore insights on the conceptualisation of SUD from other fields such as addiction medicine and general psychiatry. SU(D) turns out to be a chronic, multifaceted brain disease that is intertwined with other physical, psychiatric and social problems. These insights have implications for practices, policies and future research with regard to the prevalence, screening, assessment and treatment of SUD. We will therefore conclude with recommendations for future research and policy and practice, which may provide a step forward in the care for individuals with ID and SUD.

Original languageEnglish
Pages (from-to)319-328
Number of pages10
JournalResearch in developmental disabilities
Volume38
DOIs
Publication statusPublished - 1 Mar 2015
Externally publishedYes

Keywords

  • Assessment
  • Intellectual disability
  • Prevalence
  • Screening
  • Substance use disorder
  • Treatment

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