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Substance Abuse As a Coexisting Disability. Report from the Study Group

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Substance Abuse As a Coexisting Disability. Report from the Study Group DOCUMENT RESUME ED 367 086 EC 302 787 AUTHOR Corthell, David W., Ed. TITLE Substance Abuse as a Coexisting Disability. Report from the Study Group. Institute on Rehabilitation Issues (18th, Memphis, Tennessee, October 1991). INSTITUTION Wisconsin Univ.-Stout, Menomonie. Stout Vocational Rehabilitation Inst. SPONS AGENCY National Inst. on Disability and Rehabilitation Research (ED/OSERS), Washington, DC. PUB DATE Oct 91 CONTRACT H133880049-90 NOTE 191p. PUB TYPE Guides Non-Classroom Use (055) EDRS PRICE MF01/PC08 Plus Postage. DESCRIPTORS Agency Cooperation; Attitudes; *Clinical Diagnosis; Counseling Techniques; Cultural Influences; *Disabilities; Family Involvement; Incidence; *Intervention; Job Development; Job Placement; Multiple Disabilities; Pharmacology; Program Development; *Rehabilitation; *Substance Abuse; Symptoms (Individual Disorders); *Vocational Rehabilitation ABSTRACT This document, the result of the collaborative efforts of tine members of the Prime Study Group of the Institute on Rehabilitation Issues, provides information concerning techniques, strategies, models, and resources for rehabilitation professionals who are working with persons with coexisting abuse problems and disabling conditions. Chapter I, an introduction, defines "coexisting disability," outlines prevalence and incidence, examines multicultural issues, and explores personal and social attitudes about substance abuse. Chapter II addresses the medical aspects of substance abuse, covering the classification of substances; effects on the central nervous system; pharmacology; and interaction of substances with physical, cognitive, mental, and emotional disabilities. Chapter III considers assessment of substance abuse as a coexisting disability, witn special attention given to the diagnostic interview. It describes signs and symptoms of substance abuse, criteria for psychoactive substance dependency, and methods of detecting substance abuse. Chapter IV covers the definition of treatment, intervention strategies, the need for family involvement, and interagency cooperation. Chapter V begins with the vocational rehabilitation counselor's responses to substance abusing clients and then addresses resources and networking, confidentiality, and appropriate methods for sharing information. Chapter VI discusses how traditional substance abuse treatment programs fail to meet the needs of many persons with disabilities and discusses ways to develop more accessible treatment programs. Chapter VII addresses job development and placement in cases of substance abuse as a coexisting disability. Appendices contain the 12-step model for addiction recovery, a glossary of drug street language, and an annotated list of 19 suggested readings. (Each chapter contains references.) (JDD) EIGHTEENTH INSTITUTE ON REHABILITATION ISSUES SUBSTANCE ABUSE AS A COEXISTING DISABILITY r .1At '4t OLT- RESEARCH AND U S DEPARTMENT OF EDUCATION c 3 Eaucabona, Resea,o, and .mo,o.erneni TRAINING CENTER ECUCATIONAL RESOURCES INFORMATION CENTER IERIC1 :/h.sdocument has been reproduced as Ace,,ed horn the person n. organQat.en ongnating Mno, Changes ha,,e been made to mp,ove E'P'Odut WM, puaht. UNIVERSITY OF WISCONSIN-STOUT "^Is & ',E.. 0 OPn.ons staled O ths aoc mem do not necessaoh, ,eD,esent STOUT VOCATIONAL REHABILITATION INSTITUTE OF PI pos.hor 0, pot,: SCHOOL OF EDUCATION AND HUMAN SERVICES MENOMONIE. WISCONSIN OCTOBER, 1991 ' ma . OUT COPY MAW.; Report from the Study Group on SUBSTANCE ABUSE AS A 1 COEXISTING DISABILITY David W. Corthell, Ed.D. James Brown, Ph.D. Editor and IRI University Chairperson Coordinator Prime Study Group RESEARCH AND TRAINING CENTER Stout Vocational Rehabilitation Institute University of Wisconsin-Stout Menomonie, Wisconsin 54751 Eighteenth Institute on Rehabilitation Issues McmphisOctober, 1991 3 The contents of this IRI Document were developed under a grant (H133B80049-90) from the National Institute on Disability and Rehabilitation Research of the Department of Education and the Rehabilitation Services Administration. However, these contents do not necessarily represent the policy of those agencies, and you should not assume endorsement by the Federal Government. Prime Study Group Eighteenth Institute on Rehabilitation Issues Sponsor: University of Wisconsin-Stout, Research and Training Center Pete Anderson J. A. Durate Director Program Specialist Congress on Chemical Dependency Texas Rehabilitation Commission and Disability Central Office AODA Department of Human Services 4900 North Lamar Boulevard 15519 Crenshaw Boulevard, Suite 209 Austin, TX 78751-2316 Gardina, CA 90249 Bobby G. Greer Karl Botterbusch, Ph.D., CVE Professor Research Specialist, Professor Department of Counseling and Research and Training Center Personnel Services University of Wisconsin-Stout Ball Hall #102 Menomonie, WI 54751 Memphis State University Memphis, TN 38152 James Brown, Ph.D., Chairperson VR state Psychological Consultant Sandy Ingram Florida Department of Labor and Substance Abuse Specialist Employment Security North Carolina Department of Division of Vocational Rehabilitation Human Resources 1709-A Mahan Drive Division of Vocational Rehabilitation Tallahassee, FL 32399-0696 Services 620 North West Street, P.O. Box 26053 David Burganowski Raleigh, NC 27611 Associate Director Region II RCEP Robert Stevens State University of NY at Buffalo VR Project Supervisor 441 Christopher Baldy Hall Palmetto Center Buffalo, NY 14260 P.O. Box 5357 Florence SC 29502 David W. Corthell, Ed.D. Director of Training and E. W. (Bud) Stude, E.D. University Sponsor Professor/Coordinator Research and Training Center California State University-Fresno University of Wisconsin-Stout Rehabilitation Counseling Program Menomonie, WI 54751 Shaw and Cedar Avenue Fresno, CA 93740 iii Rhodora Tumanon, MD Medical Director Maryland Rehabilitation Center 2301 Aroganne Drive Baltimore, MD 21218 iv 2 Acknowledgement A debt of gratitude is owed to the many contributors to the development of this book. It was the following people and organizations who provided, developed, and wrote drafts of the issues surrounding substance abuse vs a coexisting disability.It was they who have firsthand knowledge of the extent of the problem through their experience in working with this sizeable and most difficult group.The editor was honored to work with these individuals, and the organizations they represent, who made the content of this book useful to the field of vocational rehabilitation. David Burganowski, Region II RCEP, has had the lead in developing training materials in the area of substance abuse and coexisting disability. He brought his broad knowledge of the substance abuse literature and trainer skills to the Prime Study Group and had a major role in the development of the first chapter.E. W. Stude, Professor/Coordinator, Rehabilitation Counseling Program, added his knowledge of preservice training needs.In addition, he contributed his knowledge of the medical aspect of substance abuse along with Rhodora Tumanon, M.D. Pete Anderson is the Director of the Congress on Chemical Dependency and Disability, an AODA counselor, and has extensive knowledge on treatment and accommodations techniques for many individuals with other disabilities. His input is seen throughout the book, particularly its sensitivity to consumer needs and issues. Several members of the Prime Study Group strengthen the vocational rehabilitation counselor perspective.These persons included:Robert Stevens, Vocational Rehabilitation Supervisor; J. A. Durate, Program Specialist; and Sandy Ingram, DVR Substance Abuse Specialist.Each wrote a significant portion of chapters dealing with practical application of vocational rehabilitation procedure in serving persons with substance abuse problems in association with other disabilities. Ingram and Stevens also served on the editorial committee, while Durate will serve as a Chairperson of an IRI Prime Study Group in 1992. Professor Bobby Greer has published extensively in this field. He brought his extensive knowledge and wit to the work of the Prime Study Group. Karl Botterbusch brought the group information about several treatment methodologies and models.He took responsibility for incorporating input from several individuals in the development of the treatment chapter. James Brown, Vocational Rehabilitation State Psychological Consultant, performed triple duty. He served as Chairperson of the Prime Study Group and contributed his knowledge of assessment and multicultural issues.In addition, he served on the editorial committee which incorporated concerns of the persons attending the annual meeting. Staff of the Resource Center on Substance Abuse Prevention and Disability contributed the content of Appendix C.The reader will find the annotated bibliography an excellent resource for further readings on this subject. The contributiow; of those individuals who attended the annual meeting and critiqued the materials developed by the prime writing group are acknowledged. Their cogent comments were 7 taken to heart by the editorial committee and incorporated into the final text. A special thanks is given to those members who also served on the editorial committee. These individuals made my editorial job much easier through their hard work. Finally, the support of the behind-the-scenes agencies that support the Instituteon Rehabilitation Issues is recognized.These agencies include the Rehabilitation Services Administration, National Institute on Disability and Rehabilitation Research, the Counsel of State Administrators
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