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Alcohol use disorders in people with intellectual disability

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BJPsych_Advances_Williams_et_al_2018.pdf (456.1Kb)
Date
07/2018
Author
Williams, Fionnuala
Kouimtsidis, Christos
Baldacchino, Alexander Mario
Keywords
Alcohol
Learning (intellectual) disabilities
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
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Abstract
This article initially highlights that although the prevalence of alcohol use disorders in people with intellectual disability (PWID) appears to be low, it is a significant issue. This group can be more vulnerable to the adverse effects of alcohol and it is likely that many PWID who have alcohol use disorders are not being identified. We go on to review the limited existing literature on treatment for PWID who have alcohol use disorders and the challenges in meeting the needs of this patient group. We explore how assessment and treatment of alcohol use disorders in this population can be and needs to be tailored to the needs of PWID on an individual basis. There is also discussion about the use of incapacity legislation to treat this group. LEARNING OBJECTIVES Be aware that alcohol use disorders can be especially problematic for PWID, that such disorders can often go undetected and that adapted screening techniques may be needed to identify such problems Understand the difficulties that this population has in accessing addiction services and that successful management of PWID who misuse alcohol is usually dependent on appropriate joint working between intellectual disability and addiction services Be aware that PWID are not a homogeneous group, rather they vary widely in their abilities, necessitating interventions tailored to the individual, and that the use of compulsory measures to manage PWID who lack capacity regarding to their alcohol use should be done with caution
Citation
Williams , F , Kouimtsidis , C & Baldacchino , A M 2018 , ' Alcohol use disorders in people with intellectual disability ' , BJPsych Advances , vol. 24 , no. 4 , pp. 264-272 . https://doi.org/10.1192/bja.2017.37
Publication
BJPsych Advances
Status
Peer reviewed
DOI
https://doi.org/10.1192/bja.2017.37
ISSN
2056-4678
Type
Journal item
Rights
© 2018, Royal College of Psychiatrists. This work has been made available online in accordance with the publisher’s policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1192/bja.2017.37
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/16584

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