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轻度/边缘性智力残疾者的物质使用问题:挪威主流多学科专科物质治疗面临的挑战。

Substance use problems among people with mild/borderline intellectual disability: Challenges to mainstream multidisciplinary specialist substance treatment in Norway.

作者信息

Juberg Anne, Røstad Monica, Søndenaa Erik

机构信息

Department of Social Work, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Department of Mental Health, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

出版信息

Nordisk Alkohol Nark. 2017 Apr;34(2):173-185. doi: 10.1177/1455072516687255. Epub 2017 Mar 23.

Abstract

AIMS

This article aims to shed light on the prevalence of problem substance use in individuals with borderline or mild intellectual disability in Norway, the extent to which their problem use warrants multidisciplinary specialist substance treatment (MST) and whether they receive such treatment at present.

METHOD

We employed a scoping review of international and Norwegian literature and made additional informal literature searches.

RESULTS

The prevalence of substance use problems among people with intellectual disability in Norway is uncertain. In spite of representing problem complexity of the kind that warrants MST and the entitlement of all population groups to such treatment, Norwegians with mild or borderline intellectual disability seem to receive treatment at this level only to a modest extent.

CONCLUSION

In order to fit better with aims of Norwegian substance policy, there is a need for national research on the prevalence of substance use among people with intellectual disability. We also seem to need both effect studies and action research in order to strengthen screening and assessment routines and collaboration across competence areas and administrative levels and to develop treatment modalities that fit people in this population group.

摘要

目的

本文旨在阐明挪威边缘型或轻度智力残疾个体中物质使用问题的患病率、其问题使用需要多学科专业物质治疗(MST)的程度,以及他们目前是否接受此类治疗。

方法

我们对国际和挪威文献进行了范围综述,并进行了额外的非正式文献检索。

结果

挪威智力残疾人群中物质使用问题的患病率尚不确定。尽管这类问题的复杂性需要MST,且所有人群都有权接受此类治疗,但轻度或边缘型智力残疾的挪威人似乎仅在一定程度上接受了这种水平的治疗。

结论

为了更好地符合挪威物质政策的目标,有必要对智力残疾人群中物质使用的患病率进行全国性研究。我们似乎还需要效果研究和行动研究,以加强筛查和评估程序,以及跨能力领域和行政层面的合作,并开发适合该人群的治疗方式。

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