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Title: Alcohol and illicit substance misuse in individuals with intellectual disabilities
Author: Royle, Amanda Dawn
Awarding Body: University of Oxford
Current Institution: University of Oxford
Date of Award: 2013
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Substance misuse amongst individuals with intellectual disability (ID) has been identified as a growing concern for ID services. Despite significant negative consequences there remains inadequate service provision and limited research in the area. The first paper presents a systematic review of the literature on the treatment and interventions for illicit drugs and alcohol misuse. Five treatment and three preventative approaches are identified and reviewed. Overall, the quality of the literature was poor with a number of methodological weaknesses preventing reliable conclusions from being made. However, there is evidence for the successful adaption of mainstream substance misuse interventions, such as Motivation Interviewing (MI) for individuals with ID. The second paper investigates the attitudes of staff working in ID service: to substance misuse and treatment intervention for substance misuse in individuals with ID. An on-line survey was completed by a sample ofS1 healthcare staff who were found to have optimal attitudes in the area of Non-Moralism and Non-Stereotyping. Suboptimal attitudes were found for Permissiveness, Treatment Intervention and Treatment Optimism attitudes measured by the Substance Abuse Attitude Survey (SAAS) . Overall, these attitudes were not dissimilar to those of mental health professionals. Gender, personal substance use and score on a general Therapeutic Optimism Scale (TOS) were found to have predictive ability for different subscales of the SAAS. The amount of variance explained in SAAS subscales by the predictors in this study was relatively small and factors worthy of investigating in future research include organisational cultures, systemic factors and the emotional experience of staff to this work.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psych.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available