DOCUMENT RESUME ED 313 827 EC 221 343 AUTHOR Boros, Alexander, Ed. TITLE Alcohol and the Physically Impaired: Special Focus. INSTITUTION National Inst. on Alcohol Abuse and Alcoholism (DHRS), Rockville, Md. REPORT NO ADM-89-151 PUB DATE 89 NOTE 101p. AVAILABLE FROMSuperintendent of Docments, Mail Stop: SSOM, U.S. Government Printing Office, Washington, DC 20402-9375 ($8.00 per year; $4.00 single copy). PUB TYPE Collected Works Serials (022) Reports Descriptive (141) -- Guides - Non-Classroom Use (055) JOURNAL CIT Alcohol Health & Research World; v13 n2 1989 EDRS PRICE MF01/PC05 Plus Postage. DESCRIPTORS *Alcohol Abuse; *Alcoholism; Blindness; College Students; Disease Incidence; Epilepsy; *rtioloTi; Higher Education; *Intervention; *Physical Disabilities; Physical Therapy; *Rehabilitation; Research Projects; Visual Impairments IDENTIFIERS Arthritis; Head Injuries; Spinal Cord Injuries ABSTRACT The articles in this special issue explore the connections between the dual disabilities of alcohol abuse and physical impairment, and reflect progress made in exploring the causes and treatments of alcohol abuse a,nrig the physically impaired. Selected articles include: "Results of a Model Intervention Program for Physically Impaired Persons" (Sharon Schaschl and Dennis Straw); "Alcohol .'buse and Traumatic Brain Injury" (Gregory Jones); "Alcohol Abuse ano persons Who Are Plind: Treatment Considerations" (Michael Nelipovich and Elmer Buss); "Treatment of Alcohol Abuse in Persons with Recent Spinal Cord Injuries" (Allen Heinemann et al.); "Intervention with Visually Impaired Children of Alcoholics" (Christine Saulnier); "Double Trouble: Alcohol and Other Drug Use among Orthopedically Impaired College Students" (Dennis Moore and Harvey Siegal); "Arthritic Disease and Alcohol Abuse" (David Nashel); "Epilepsy, Seizures, and Alcohol" (Michael Stoll); "Alcohol and Othei Drug Abuse by the Physically Impaired: A Challenge for Rehabilitation Educators" (Bobby Groer); "Epidemiologic Bulletin No. 21: Alcohol-Related Morb,dity among the Disabled: The Medicare Experience 1985" (Mary Dufour et al.); "Highlights from the 1987 National Drug and Alcoholism Treatment Unit Survey (NDATUS)" (Joan Harris and James Colliver); and "A New Agenda for Alcohol Research: Tie Institute of Medicine Reports on Causes and Consequences -A Summary." (JDD) * * * * * * * * * * * * * * * * * * * * * * * * ** * ..{. * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * Reproductions supplied by EDRF are the best that can be made * from the original document. ********************************************************,************** RECEIVED JuL 0 1989 Volume 13 Number 2 NALNIL 1989 National Institute on Alcohol Abuse and lete,Aworm Alcoholism U S DEPARTMENT OF EDUCATION Office of Educational Reseaich and Impovement CDUCATIONAL RESOURCES NFORMATION CENTER (ERIC) LiVTrus document has been reproduced as received from the person or organization originating it O Minor changes have been made to improve reproduction quality Points of view or opinions stated in this docu- ment do not necessarily represent official OERI position or policy 'As , U.S. Department of Public Health Alcohol, Drub Abuse. 4'-) Health and Human Service and Mental Health Services Admini.,tration ALCOHOL DATA IN MINUTES, NOT DAYS NIAAA Offers 2 Electronic Resources for Anyone with Access to a Computer and Modem ETON for low-cost QUICK FACTSfor no-cost access bibliographic searches to alcohol epidemiology The crucial task of identifying sources on Authoritative statistics on alcohol use ar.1 any alcohol-related topic suddenly has be- alcohol-related problems in the United come faster and easier through direct public States are yours in seconds through Quck access to the NIAAA "Alcohol and Alcohol Facts,theelectronic bulletin board of Problems Science Database." 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BRS Colleague/IRS S1,rrLh or RR' Vier Dark 202-289-4112 (modern ) /itumulagasXat Alcohol lesellzhWorklSPECIAL FOCUS Alcohol- and the Physically Impaired From the Editors 99 Facing the Challenge 101 ALEXANDER BORGS Alcohol Abuse and Traumatic Brain Injury 104 GREGORY A. JONES Reatment of Alcohol Abuse in Persons with Recent Spinal 110 Cord Injuries ALLEN W. HEINEMANN, MATTHEW DOLL, AND SIDNEY SCHNOLL Double Trouble: Alcohol and Other Drug Use 118 PAGE III Among Orthopedically Impaired College Students DENNIS MOORE AND HARVEY SIEGAL Arthritic Disease and Alcohol Abuse 124 DAVID J. NASHEL Alcohol Abuse and Persons Who Are Blind: Treatment 128 Considerations MICHAEL NELIPOVICh AND El MER BUSS Intervention with Visually Impaired Children of Alcoholics 132 CHRISTINE SAULNIER PAGE 104 Epilepsy, Seizures, and Alcohol 138 MICHAEL J. STOIL Alcohol and Other Drug Abuse by the Physically Impaired: 144 A Challenge for Rehabilitation Educators BOBBY G. GREER Results of a Model intervention Program for Physically 150 Impaired Persons SHARON SCHASCHL AND DENNIS SERA ?' PAGE 118 97 California Responds: Changing livatment Systems Through 154 Advocacy for the Disabled JOHN DE MIRANDA AND LINDA CHERRY Epidemiologic Bulletin No. 21: 158 Alcohol-Related Morbidity Among the Disabled: The Medicare Experience 1985 MARY C. DUFOUR. DARRYL BERTOLUCCI, CAROL COWELL. FREDERICK S. STINSON, AND JOHN NOBLE Readers' Exchange: Hearing-Impaired AlcoholicsAn Underserved 162 PAGE 12{ Community GLADYS A. KEARNS Alcoholism and Bullous Changes of the Lungs 166 SIDNEY L. CRAMER Departments: Occupational Arena: 'Keating Patients with 168 Alcohol-Related TraumaA Report from the ARUS Symposium International Perspectives: Alcohol-Related Trauma in 174 M "cico Special Populations: NIAAA Suppor, for Studies on 176 PAGE US Hispanic-Americans Research Reports: Highlights from the 1987 National Drug and Alcoholism 178 Treatment Unit Survey (NDATUS) JOAN R. HARRIS AND JAMES D. COLLIVER A New Agenda for Alcohol Research: 183 The Institute of Medicine Reports on Causes and ConsequencesA Summary PAGE. 183 , NI ALCOHOL HEALTH & RESEARCH WORLD FROM THE EDITORS In 1980, Alcohol Health & Re- leagues, that alcohol abuse often nier describes the important. of search World presented an issue develops before physical impair- this interaction to an inpatient pro- that focused on persons with both ment and that physical impairment gram for the visually impaired, and physical impairments and alcohol- is the result of accidents related to de Miranda and Cherry describe related problems. At that time, alcohol abuse, is perhaps the mos' how shared interests and activism most research on physical impair- dramatic. These authors state that among the two groups of profes- ment and alcohol abuse centered onif alcohol abuse was a problem sionals have resulted in a statewide documenting the relationship be- before physical impairment, it is effort in California. tween those two conditions. Much likely to continue to be a problem. One crucial factor remains un- progress has been made since then The need to address alcohol abuse changed when comparing 1980 to in exploring the causes and the while treating the physically im- 1989: the enthusiasm and dedica- treatments of alcohol abuse among paired becomes crucial to patient tion of the inaividuals involved in the physically impaired. recovery. diagnosing, treating, and preventing The articles in this issue reflect At the same time, the psychologi-alcohol-related problems among the this progress and explore the con- cal and practical problems of the physically impaired. The editors of nections between the twat disabili- physically impaired must be ad- Alcohol Health & Research World, ties of alcohol abuse and physical dressed in any number of settings ifincluding Guest Editor Alexander impairment. Some of these connec- alcoholism treatment is to succeed. Boros, were delighted with the re- tions are subtlesuch as that be- Treatment centers, inpatient units, sponse to the development of this tween alcohol abuse and arthritis, and self-help groups, in meeting theissue of the journal. We hope that as described by Nashel, and that special needs of the physically im- some of this enthusiasm is trans- between alcohol abuse and epilepsy, paired, can be most effective in mitted to the reader along with the as described by Stoil. Other