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Substance Abuse and Brain Injuries

Substance Use and Abuse After Brain Injury:
A Programmer's Guide

Cartoon Al says I'm Neuron Al. I know alot about how to createprograms that promoterecovery for injured brains.This manual has ideas forrehabilitation programs. Ed says I'm Ed Injury - a pretty
cool brain that's recovering from injury. I'll decide whether or not to install the software you include in your program. Sara says I'm Sara Bellum -  I work in rehabilitation and I'm trying to increase the chances that Ed's decision is a healthy one.

Purpose and Content of this Manual

As programmers who create “user friendly” programs, there are some assumptions we have made:

1. All rehabilitation centers can offer some programming in prevention and intervention even without new resources. To develop programs, this manual describes three versions — a mininum version and two “upgrades” that can be installed in a phased approach. The spread sheet on pages 6 and 7 outlines the three versions of substance abuse programming: good, better, and best. All versions of the program provide prevention, intervention and treatment resources either within the facility or through community resources

.
2. Regardless of a person’s willingness to change behavior, programming can still work toward helping the person consider change. This manual includes information that rehabilitation professionals can use to work toward optimum recovery for the persons they serve, including:

  • client and family education;
  • screening;
  • assessment;
  • stages of change;
  • motivational interviewing;
  • intervention activities; and
  • referral.


3. Any substance use following a brain injury is detrimental to recovery. Although light or occasional alcohol use is not seen as substance abuse in clinical terms, the risks and complications of trying to recommend a safe amount to drink make it necessary to state that the only safe level is abstinence.


Substance Abuse Education Series

Utilities for Community Professionals