Ch 13: Substance Misuse

Question 1

What is substance misuse?

Answer 1

The consumption of alcohol and illegal drugs in the use of prescription drugs exceeding the prescribed amount or use of another person’s prescription drugs

Question 2

What is a substance use disorder?

Answer 2

Involves continuous use despite health, psychological, or social consequences

Question 3

What proportion of people receiving either TBI or substance misuse rehab have a history of TBI and substance misuse?

Answer 3

2/3

**co-occurring

Question 4

What percent of individuals ages 16 and older entering rehabilitation for TBI were using illicit drugs in the month preceding their injury?

Answer 4

12%

23% were misusing alcohol

Question 5

If a person misused alcohol or other drugs before a TBI, how likely are they to resume substance misuse after injury?

Answer 5

10 times more likely

Question 6

Quadrant 1 of the 4 Quadrant Model of Opportunities for Substance Misuse Intervention

Answer 6

Low SUD, low TBI

Acute medical setting and PCP

Substance misuse addressed by screening and brief interventions

Using motivational interviewing to eval readiness for change

Question 7

Quadrant 2 of the 4 Quadrant Model of Opportunities for Substance Misuse Intervention

Answer 7

Low SUD, High TBI

TBI rehab programs and service settings

Substance misuse addressed by education, screening, brief interventions

Those with severe SUD referred for ongoing SUD treatment

Question 8

Quadrant 3 of the 4 Quadrant Model of Opportunities for Substance Misuse Intervention

Answer 8

High SUD, low TBI

SUD tx setting

TBI addressed by screening, accommodation, and linkage

50% persons receiving SUD tx have proof TBI

More likely to drop out early because of cog and personality disorders

Disconnect exists between intent and behavior

Question 9

Quadrant 4 of the 4 Quadrant Model of Opportunities for Substance Misuse Intervention

Answer 9

High SUD, High TBI

Specialized TBI and SUD services
Integrated programming

Intensive care mgmt- holistic tx, increasing healthy productive lifestyles, education, skill building for clients

Question 10

Screening Measures for Substance Misuse

Answer 10

Alcohol Use Disorders Identification Test
CAGE
CRAFFT
Alcohol, Smoking, and Substance Use Involvement Screening Test