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 were using illicit drugs in the month preceding their injury?

Answer 4

12%

23% were misusing alcohol

Question 5

If a person miss used 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

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

Answer 7

Low SUD, High TBI

TBI rehab programs and service settings

Substance misuse addressed by education, screening, brief interventions and linkage

May recommend no use of people have poor impulse control

Question 8

Quadrant 3

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

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