POTENTIAL RISK AND PROTECTIVE FACTORS FOR SUBSTANCE ABUSE IN A TEENAGER WITH INTELLECTUAL DISABILITY: CASE DESCRIPTION

Authors

  • Carmen COSTEA-BĂRLUŢIU Babeş-Bolyai University, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro
  • Tabita-Nataşa CUCICEA Special Technological Highschool Samus, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro

Keywords:

substance use, mental health, intellectual disabilities, adolescence, risk and protective factors, recovery from substance use.

Abstract

Among the mental health problems faced by teenagers with intellectual disabilities, substance use becomes increasingly important and interferes with educational and social adjustment, leading to higher risks for involvement with criminal justice system. The complex interplay of personal, interpersonal, familial and social risks factors faced by this population of youngsters leads to their limited opportunities, in general, as well as their limited chances to recover from mental health problems, in particular. Our investigation aims to document potential risk factors influencing vulnerability to substance use in a teenager with intellectual disability and mental health problems. Within a brief case description, we documented some risk factors that could influence substance abuse in the case of a teenager with mild intellectual disability coming from a socially deprived environment and an atypical family background. We emphasized the important role that professionals in the fields of special education, psychiatry, social work have in helping these teenagers recover and readjust to a normal life, after recovering from the use of illicit substances.

ZUSAMMENFASSUNG. Im Zusammenhang mit den psychischen Störungen, die Jugendliche mit geistiger Behinderung gefährden, nimmt der Substanzgebrauch eine immer wichtigere Stellung ein und beeinträchtigt die Integration in die Gesellschaft und Bildungseinrichtungen, wodurch das Kriminalitätsrisiko erhöht wird. Das komplexe von dieser Bevölkerungsgruppe zu bewältigende Zusammenspiel von persönlichen, zwischenmenschlichen, familiären und sozialen Risikofaktoren führt zu beschränkten Möglichkeiten im Allgemeinen und erschwert ihnen die Erholung von psychischen Störungen im Besonderen. Ziel unserer Untersuchung ist das Aufdecken möglicher Risikofaktoren, die die Anfälligkeit für Substanzgebrauch bei Jugendlichen mit geistigen oder psychischen Störungen erhöhen. In einer kurzen Fallbeschreibung zeigen wir einige Risikofaktoren auf, die sich auf den Substanzgebrauch im Falle eines Jugendlichen mit leichter mentaler Retardierung aus einem sozial benachteiligten Umfeld und einer untypischen Familie auswirken. Die Rolle von Sonderpädagogen, Psychiatern und Sozialarbeitern im Heilungsprozess und in der Wiedereingliederung dieser Jugendlichen wird hierbei betont.

Schlüsselwörter: Substanzgebrauch, psychische Gesundheit, geistige Behinderung, Jugendalter, Risiko- und Schutzfaktoren, Wiedereingliederung nach Substanzgebrauch

Author Biographies

Carmen COSTEA-BĂRLUŢIU, Babeş-Bolyai University, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro

Special Education Department, Babeş-Bolyai University, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro

Tabita-Nataşa CUCICEA, Special Technological Highschool Samus, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro

Special Technological Highschool Samus, Cluj-Napoca, Romania. Email: carmen.costea@ubbcluj.ro

References

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th edition), Washington DC: Author.

Arthur, A.R. (2003). The emotional lives of people with learning disability. British Journal of Learning Disabilities, 31, p. 25-30.

Austin, A.M., Macgowan, M.J., Wagner, E.F. (2005). Effective Family-Based Interventions for Adolescents With Substance Use Problems: A Systematic Review. Research in Social Work Practice, 15(2), 67-83.

Beecher, M.E., Rabe, R.A., Wilder, L.K. (2004). Practical Guidelines for Counseling Students With Disabilities. Journal of College Counseling, 7, p.83-89.

Best, D., Beckwith, M., Haslam, C., Alexander Haslam., S., Jetten, J., Mawson, E., Lubman, D.I. (2016). Overcoming alcohol and other drug addiction as a process of social identity transition: the social identity model of recovery (SIMOR). Addiction Research & Theory, 24(2), 111-123.

Brault, M.W. (2010). Americans with Disabilities: 2010. Household Economic Studies. Current Population Reports, U.S. Department of Commerce, U.S. Census Bureau.

Cain, N., Davidson, P., Dosen, A., Garcia-Ibanez, J., Giesow, V., Hillery, J., Kwok, H., Martorell, A., Novell-Alsina, R., Salvador-Carulla, L., Torr, J. (2010). An international perspective of mental health services for people with intellectual disability, în Bouras, N., Holt, G. (eds.). Mental Health Services for Adults with Intellectual Disability. Strategies and Solutions, Psychology Press, Hove.

Chaplin, E., Gilvarry, C., Tsakanikos, E. (2011). Recreational substance use patterns and co-morbid psychopathology in adults with intellectual disability. Research in Developmental Disabilities, 32, 2981-2986.

Chaplin, E., Partsenidis, I., Samuriwo, B., Underwood, L., McCarthy, J. (2014). Does substance use predict contact with the criminal justice system for people with intellectual disabilities? Journal of Intellectual Disabilities and Offending Behaviour, 5(3), 147-153.

Chapman, S.L.C., Wu, L.T. (2012). Substance abuse among individuals with intellectual disabilities. Research in Developmental Disabilities, 33, 1147-1156.

Cleveland, M.J., Feinberg, M.E., Bontempo, D.E., Greenberg, M.T. (2008). The Role of Risk and Protective Factors in Substance Use Across Adolescence. Journal of Adolescent Health, 43(2), p. 157-164.

Costea-Bărluţiu, C. (2015). Elemente de consiliere psihologică și psihoterapie a persoanelor cu dizabilități și familiilor acestora, în Roşan, A. (coord.). Psihopedagogie Specială. Modele de evaluare şi intervenţie, Ed. Polirom, Iaşi.

Dagnan, D., Lindsay, W.R. (2012). People with Intellectual Disabilities and Mental Ill-Health, în Emerson, E., Hatton, C., Dickson, K., Gone, R., Caine, A., Bromley, J. (eds.). Clinical Psychology and People with Intellectual Disabilities, Wiley-Blackwell, West Sussex.

Day, C., Lampraki, A., Ridings, D., Currell, K. (2016). Intellectual disability and substance use/misuse: a narrative review. Journal of Intellectual Disabilities and Offending Behaviour, 7(1), 25-34.

Durand, V.M. (2014). Disorders of Development, în Barlow, D.H. (ed.). The Oxford Handbook of Clinical Psychology, Oxford University Press, New York.

Frielink, N., Schuengel, C., Kroon, A., Embregts, P.J.C.M. (2015). Pretreatment for substance-abusing people with intellectual disabilities: intervening on autonomous motivation for treatment entry. Journal of Intellectual Disability Research, 59(12), 1168-1182.

Hobden, K.L., LeRoy, B.W. (2008). Assessing Mental Health Concerns in Adults with Intellectual Disabilities. A Guide to Existing Measures, Developmental Disabilities Institute, Wayne State University.

Kepper, A., van den Eijnden, R., Monshouwer, K., Vollebergh, W. (2014). Understanding the elevated risk of substance use by adolescents in special education and residential youth care: the role of individual, family and peer factors. Eur Child Adolesc Psychiatry, 23, 461-472.

McGillicuddy, N.B. (2006). A Review of Substance Use Research Among Those With Mental Retardation, Ment Retard Dev Disabil Res Rev, 12(1), 41-47.

McNamara, J.K., Willoughby, T. (2010). A Longitudinal Study of Risk-Taking Behavior in Adolescents with Learning Disabilities. Learning Disabilities Research & Practice, 25(1), 11-24.

National Institute on Drug Abuse (2003). Preventing Drug Use among Children and Adolescents (In Brief). What are the risk factors and protective factors?, https://www.drugabuse.gov/publications/preventing-drug-abuse-among-children-adolescents/chapter-1-risk-factors-protective-factors/what-are-risk-factors

National Institute on Drug Abuse (2002). Risk and Protective Factors in Drug Abuse Prevention, Drug Abuse Prevention Research Update, http://archives.drugabuse.gov/NIDA_Notes/NNVol16N6/Risk.html

Pickard, M., Akinsola, T. (2010). The association between psychopathology and intellectual disability, în Bouras, N., Holt, G. (eds.). Mental Health Services for Adults with Intellectual Disability. Strategies and Solutions, Psychology Press, Hove.

Raffensperger, M.K. (2009). Factors that influence outcomes for clients with an intellectual disability. British Journal of Guidance & Counselling, 37(4), 495-509.

Ricciardi, J.N., Luiselli, J.K. (2007). Behavioral-Clinical Consultation in the Developmental Disabilities: Contemporary and Emerging roles, în Jacobson, J.W., Mulick, J.A., Rojahn, J. (eds.). Handbook of Intellectual and Developmental Disabilities, Springer, New York.

Schijven, E.P., Engels, R.C.M.E., Kleinjan, M., Poelen, E.A.P. (2015). Evaluating a selective prevention program for substance use and comorbid behavioral problems in adolescents with mild to borderline intellectual disabilities: Study protocol of a randomized controlled trial. BMC Psychiatry, 15, 167-173.

Sturmey, P. (2007). Psychosocial and Mental Status Assessment, în Jacobson, J.W., Mulick, J.A., Rojahn, J. (eds.). Handbook of Intellectual and Developmental Disabilities, Springer, New York.

Downloads

Published

2016-06-30

How to Cite

COSTEA-BĂRLUŢIU, C., & CUCICEA, T.-N. (2016). POTENTIAL RISK AND PROTECTIVE FACTORS FOR SUBSTANCE ABUSE IN A TEENAGER WITH INTELLECTUAL DISABILITY: CASE DESCRIPTION. Studia Universitatis Babeș-Bolyai Psychologia-Paedagogia, 61(1), 15–26. Retrieved from http://193.231.18.162/index.php/subbpsypaed/article/view/5459

Issue

Section

Articles