Salem State University, School of Social Work, Salem, MA 01970, USA.
Intellect Dev Disabil. 2010 Oct;48(5):361-74. doi: 10.1352/1934-9556-48.5.361.
For some, community inclusion facilitates access to alcohol and drugs and, therefore, the potential for developing substance abuse disorders. However, little is known about substance abuse treatment use among people with intellectual disabilities. Using standardized performance measures, substance abuse treatment utilization was examined for Medicaid-covered people with intellectual disabilities and substance abuse (N=9,484) versus people without intellectual disabilities (N=915,070). The sociobehavioral model of healthcare use guides multivariate logistic regression analyses of substance abuse treatment utilization patterns, revealing disability-related disparities. Factors associated with utilization included being non-White, living in a nonurban area, having a serious mental illness, and living in a state with a generous Medicaid plan for substance abuse treatment. Implications relate to health policy, service delivery patterns, and the need for cross-system collaboration in the use of integrated treatment approaches.
对于一些人来说，社区融入促进了他们获得酒精和毒品的机会，因此也增加了他们发展药物滥用障碍的可能性。然而，对于智障人士的药物滥用治疗使用情况，人们知之甚少。本研究使用标准化绩效衡量指标，对有智力障碍和药物滥用的医疗补助受保人（N=9484）和无智力障碍的人（N=915070）进行了药物滥用治疗利用情况的调查。医疗保健使用的社会行为模型指导了对药物滥用治疗利用模式的多变量逻辑回归分析，揭示了与残疾相关的差异。与利用相关的因素包括非白人、居住在非城市地区、患有严重精神疾病以及居住在医疗补助计划对药物滥用治疗慷慨的州。这对健康政策、服务提供模式以及跨系统合作以使用综合治疗方法的需求都具有重要意义。
