CH 13 Substance Misuse Flashcards
What is the ratio of people receiving rehabilitation for TBI or substance misuse among individuals entering rehabilitation?
2/3
How much higher is the risk of substance misuse following injury if there was substance misuse prior to injury?
10x Higher
What percent of kids 16+ were using drugs prior to injury?
12%
What percent of kids 16+ were using alcohol prior to injury?
23%
List 3 ways a TBI may influence substance misuse
- increased severity of substance misuse
- earlier age of first substance use
- higher likelihood of other disorders
What percentage of the general population has been diagnosed with substance use d/o?
10%
What is difference between substance misuse vs substance use disorder?
misuse is just exceeding recommended amount
SUD is continued use despite social, health, psych consequences
What populations have higher frequency of TBI + SUD/misuse?
higher frequency in younger ages and people with additional mental health disorders
List 3 groups of people who are advised to avoid any alcohol consumption
-ppl <21 yo
-women who are pregnant/may become pregnant
-ppl taking meds that may interact with alcohol
List 4 screening tools developed to assess SUD
AUDIT
CAGE
CRAFFT
ASSIST
What percentage of ppl receiving /sud tx have h/o at least 1 TBI
~50%
Describe the 4 Quadrant Model of Opportunities for Substance Misuse Intervention with Persons with a TBI
Severity for TBI, Severity for SUD, location of treatment and recommended intervention (see page 37 of study guide)
List 4 characteristics in the population with high severity TBI that may interfere with client-counselor relationships in substance treatment settings.
-impulsivity
-impaired social skills
-attn/organization/memory
-disconnect b/w intent and behavior that counselor must be aware of
