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To prevent substance abuse among people with all types of disabilities. To increase access to substance abuse services statewide.
people with all
To increaseaccess to substance abuse services statewide
“Issues Linking Developmental Disabilities and Substance Abuse Services”Debbie Aidelman, MS, CPSCerebral Palsy of New JerseyDirector of Substance Abuse Prevention
FAS Fetal Alcohol Syndrome
ARBD Alcohol Related Birth Defects
FAE Fetal Alcohol Effects
ARND Alcohol Related Neuro-developmental Disorders
The mild & subtle problems are often misdiagnosed. Rather than receiving educational & behavioral supports needed to compensate for the disabilities, individuals may exhibit
poor frustration tolerance, depression and low self-esteem.
As result, they may experiment with alcohol/drugs and get
into trouble with the law at an early age.
1. People with disabilities should not be treated any differently.
2. Nobody with a disability ever shows up.
3. There’s another agency that deals specifically
with this situation.
4. It’s hopeless anyway.
5. I don’t have training in this.
6. People with disabilities don’t have substance abuse
7. People with disabilities have a right to medicate
themselves.(I’d do it too in that same situation.)
8. Jerry Lewis told me not to!
9. I’ll get sued if the person with a disability gets hurt.
10. We can’t address the medical or medication needs here.
(D. Moore & J.A. Ford: RRTC on Drugs & Disability)
3. Public Accommodations
4. State and Local Government
(Federal legislation passed in 1990)
ASSESS ALCOHOL USE HISTORY
For people who are addicted to nicotine, alcohol, drugs, gambling and food, the signs and symptoms of addictions are the same. Some include:
Moderate drinking: 1 - 4 drinks daily
Heavy drinking: 4 - 6 drinks daily
Binge drinking: 5 or more at a time ranging from 2 X per week to 2 -3 X per month
Addiction: significant impact on one’s life; loss of control, harmful results start to become long range. The amount of alcohol one consumes is not an important as the consequences.
Call for Alcohol/Drug Assessment, Out-patient/In-patient Treatment Programs, & 12-Step/Support Groups:
*NJ Substance Abuse Hotline: 800-238-2333
*NJ Prevention Network: 866-367-6576
*Alcoholics Anonymous: 800-245-1377
Too much free time
Working two jobs
Too much pressure on the job
Job dissatisfaction or boredom
Required business meetings, dinners and parties
Active drinking or drugging by other employees
Working a rotating, graveyard, or night shift
Lack of supervision
Working excessive overtime
Dealers near the job
Access to marketable goods or petty cashRelapse Triggers: Work Related
1. Half follow alcohol or drug use
2. Intoxication rates range from 29% to 58% at time of injury
3. Alcohol abuse histories range from 25% to 68%
4. Substance abuse directly contributes to incidence of physical disabilities:
People who use alcohol or other drugs after a brain injury don’t recover as much or as fast.
Brain injuries cause problems in balance, walking or talking that get worse when a person uses drugs.
People who have had a brain injury often say or do things without thinking first, a problem made worse by using.
Brain injuries cause problems with thinking, like concentration or memory and using makes these worse.
After an injury, alcohol and other drugs have a more powerful effect.
Depression is common; drinking alcohol should be avoided.
Substance abuse can cause a seizure.
More likely to have another brain injury.
Ohio Valley Center for Brain Injury Prevention and Rehabilitation, 2001
1. We admitted we were powerless over alcohol - that our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could restore us to sanity.
3. Made a decision to turn our will and our lives over to the care to God as we understood Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
6. Were entirely ready to have God remove all these defects of character.
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to make amends to them all.
9. Made direct amends to such people whenever possible, except when to do so would injure them or others.
10. Continued to take personnel inventory and when we were wrong promptly admitted it.
11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
12. Having had a spiritual awaking as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.
1. I believe that when I drink I cannot control my life.
2. I must begin to believe in a God that will help me become well.
3. I must decide that I will allow God to help guide me in my life work and my relationships with other people.
4. I must search my past life and search life now to see what is good and what still must be changed.
5. With God’s help I am able to share my past, both good and bad things, with another person I trust.
6. I am ready to change the things I must change.
7. I ask God to help me change my life now.
8. I am ready to say I am sorry to the people I hurt during the time I drank too much.
9. I will go to the people I hurt before and show with my present actions that I am truly sorry.
10. I will always look for my mistakes and quickly admit any wrong things that I do.
11. Each day, I will think how God will help me become a better person.
12. Now that I have a new life, I will gladly search for other persons who drink too much and together we will follow these twelve ideas one day at a time.
Session 1: Alcohol and Other Drugs:
The effect on the human body and behavior
Session 2: Alternatives to Substance Abuse: Fun without Alcohol
Session 3: Peer Pressure and Self-Esteem
Session 4: Alcohol, Prescription
Medications & O-T-C Drugs: A lethal combination
Session 5: Tobacco and Nicotine
1. Participate in the advocacy movement of the NJ Coalition on Disabilities and Addictions.
2. Arrange in-service training sessions for agency staff/colleagues.
3. Consider the lifelong effects of alcohol-related
birth defects and FASD.
4. Utilize specialized ATOD materials, brochures,
manuals and videos.
5. Urge special educators and schools to integrate
A/D prevention curricula for classified students in “transition from school to adult life”.
6. Increase accessible AA/NA meeting sites.
7. Utilize S.O.S. or NJ Division of Deaf & H/H
“Interpreter Referral Service”.
8. Consider the ADA when planning ATOD prevention activities/events and publicize accessibility features.
9. Acknowledge attitudinal, architectural and programmatic barriers when accessing services.
10. Increase cultural sensitivity toward persons with disabilities. Encourage “People First” language.
11. Disability Specialists: *Need to increase early identification and referral of substance abusers.
12. Addictions Specialists: *Need to modify techniques in compliance with the ADA.
13. Cross-pollinate ideas, cross organizational boundaries.